Details:

Alternative Title:
Vaccine
Publisher's site:
http://dx.doi.org/10.1016/j.vaccine.2016.01.056
Personal Author:
Ditsungnoen, Darunee ; Greenbaum, Adena ; Praphasiri, Prabda ; Dawood, Fatimah S. ; Thompson, Mark G. ; ... More +
Ditsungnoen, Darunee ; Greenbaum, Adena ; Praphasiri, Prabda ; Dawood, Fatimah S. ; Thompson, Mark G. ; Yoocharoen, Pornsak ; Lindblade, Kim A. ; Olsen, Sonja J. ; Muangchana, Charung Less -
Description:
Background

In 2009, Thailand recommended pregnant women be prioritized for influenza vaccination. Vaccine uptake among Thai pregnant women is lower than other high-risk groups.

Methods

During December 2012-April 2013, we conducted a cross-sectional survey of a convenience sample of Thai pregnant women aged ≥15 years attending antenatal clinics at public hospitals in 8 of 77 provinces. A self-administered questionnaire covered knowledge, attitudes, and beliefs related to influenza vaccination using the Health Belief Model. We examined factors associated with willingness to be vaccinated using log-binomial regression models.

Results

The survey was completed by 1,031 (96%) of 1,072 pregnant women approached. A total of 627 (61%) women had heard about influenza vaccine and were included in the analysis, of whom 262 (42%) were willing to be vaccinated, 155 (25%) had received a healthcare provider recommendation for influenza vaccination and 25 (4%) had received the influenza vaccine during the current pregnancy. In unadjusted models, high levels of perceptions of susceptibility (prevalence ratio [PR] 1.5, 95% CI 1.2–2.0), high levels of belief in the benefits of vaccination (PR 2.3, 95% CI 1.7–3.1), moderate (PR 1.7, 95% CI 1.2–2.3) and high (PR 3.4, 95% CI 2.6–4.5) levels of encouragement by others to be vaccinated (i.e., cues to action) were positively associated with willingness to be vaccinated. Moderate (PR 0.5, 95% CI 0.4–0.7) and high levels of (PR 0.5, 95% CI 0.4–0.8) perceived barriers were negatively associated with willingness to be vaccinated. In the final adjusted model, only moderate (PR 1.5, 95% CI 1.1–2.0) and high levels of cues to action (PR 2.7, 95% CI 2.0–3.6) were statistically associated with willingness to be vaccinated.

Conclusion

Cues to action were associated with willingness to be vaccinated and can be used to inform communication strategies during the vaccine campaign to increase influenza vaccination among Thai pregnant women.


Subject:
[+]
Adolescent
Adult
Female
Health Knowledge, Attitudes, Practice
Humans
Influenza, Human
Influenza Vaccines
Middle Aged
Patient Acceptance Of Health Care
Pregnancy
Pregnancy Complications, Infectious
Surveys And Questionnaires
Vaccination
Young Adult

Source:
Vaccine. 34(18):2141-2146.
Pubmed ID:
26854910
Pubmed Central ID:
PMC4811693
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States ; #5U2GGH000616-02/PHS HHS/United States
CC999999/Intramural CDC HHS/United States ; #5U2GGH000616-02/PHS HHS/United States Less -
Place as Subject:
Thailand
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:40813d49cd1aa2e7e39f65a481fb5654af9fc121f60c4382d5c63dd8ef6f9951
File Type:

Supporting Files

• 	NIHMS763574-supplement.docx	docx
  	nihms763574.nxml	bin
  	nihms763574f1.gif	gif
  	nihms763574f1.jpg	jpeg

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