Predictors for influenza vaccination among Thai pregnant woman: The role of physicians in increasing vaccine uptake

Details

• Alternative Title:
  Influenza Other Respir Viruses
• Personal Author:
  Kaoiean, Surasak ; Kittikraisak, Wanitchaya ; Suntarattiwong, Piyarat ; Ditsungnoen, Darunee ; Phadungkiatwatana, Podjanee ; Srisantiroj, Nattinee ; Asavapiriyanont, Suvanna ; Chotpitayasunondh, Tawee ; Dawood, Fatimah S. ; Lindblade, Kim A.
• Description:
  Background
  
  Physician recommendation and attitudes and beliefs of pregnant women toward influenza and vaccination may influence vaccine uptake during pregnancy. We examined how physician recommendation and health beliefs of pregnant women may jointly affect influenza vaccination during pregnancy.
  
  Methods
  
  Thai pregnant women aged ≥18 years and >13 gestational weeks attending antenatal care (ANC) clinics, and ANC physicians were recruited during May‐August 2015. Women and physicians, linked using unique identifiers, provided data on demographic, health and work history, knowledge, attitudes, and beliefs toward influenza and vaccination, based on Health Belief Model constructs. Physicians also provided data on their practices in recommending influenza vaccination during pregnancy. Prevalence ratios for the association between knowledge, attitudes and beliefs of pregnant women, physician recommendation and documented receipt of vaccination within 30 days of the visit were calculated.
  
  Results
  
  Among 610 women, the median age was 27 years; 266 (44%) and 344 (56%) were in the second and third trimesters, respectively. Twenty‐one (3%) had pre‐existing conditions. Of 60 physicians with the median years of practice of 5; 17 (28%) reported frequently/usually/always recommending influenza vaccine to their pregnant patients, while 43 (72%) reported never/rarely/sometimes recommending the vaccine. Controlling for the pregnant women's knowledge and beliefs, pregnant women whose physician recommended influenza vaccination were 2.3 times (95% confidence interval 1.4‐3.8) more likely to get vaccinated.
  
  Conclusions
  
  In this study, physician recommendation was the only significant factor associated with influenza vaccine uptake among Thai pregnant women. Understanding physicians’ motivation/barrier to recommending influenza vaccination to pregnant women may increase coverage.
  
  
• Subjects:
  Adult Attitude Of Health Personnel Female Health Knowledge, Attitudes, Practice Humans Influenza, Human Influenza Vaccines Male Original Article Physician's Role Practice Patterns, Physicians' Pregnancy Pregnancy Complications, Infectious Pregnant Women Prenatal Care Surveys And Questionnaires Vaccination Young Adult

  More +
• Source:
  Influenza Other Respir Viruses. 13(6):582-592
• Pubmed ID:
  31419068
• Pubmed Central ID:
  PMC6800306
• Document Type:
  Journal Article
• Funding:
  5U01GH000152/US Centers for Disease Control and Prevention/International
• Volume:
  13
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:eb35646381fd8760d84df499e659a5bbf92348a161baa202f2ab30d4dd5e4941
• Download URL:
  https://stacks.cdc.gov/view/cdc/89352/cdc_89352_DS1.pdf
• File Type:
  [PDF - 721.15 KB ]