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Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand.
Vaccine. 2016 Apr 19; 34(18):2141-6.V

Abstract

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 1031 (96%) of 1072 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.

Authors+Show Affiliations

Influenza Program, Thailand Ministry of Public Health-U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand.Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, United States.Influenza Program, Thailand Ministry of Public Health-U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand.Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, United States.Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, United States.Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.Influenza Program, Thailand Ministry of Public Health-U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand; Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, United States.Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, United States.National Vaccine Institute, Ministry of Public Health, Nonthaburi, Thailand. Electronic address: charungm@hotmail.com.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

26854910

Citation

Ditsungnoen, Darunee, et al. "Knowledge, Attitudes and Beliefs Related to Seasonal Influenza Vaccine Among Pregnant Women in Thailand." Vaccine, vol. 34, no. 18, 2016, pp. 2141-6.
Ditsungnoen D, Greenbaum A, Praphasiri P, et al. Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand. Vaccine. 2016;34(18):2141-6.
Ditsungnoen, D., Greenbaum, A., Praphasiri, P., Dawood, F. S., Thompson, M. G., Yoocharoen, P., Lindblade, K. A., Olsen, S. J., & Muangchana, C. (2016). Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand. Vaccine, 34(18), 2141-6. https://doi.org/10.1016/j.vaccine.2016.01.056
Ditsungnoen D, et al. Knowledge, Attitudes and Beliefs Related to Seasonal Influenza Vaccine Among Pregnant Women in Thailand. Vaccine. 2016 Apr 19;34(18):2141-6. PubMed PMID: 26854910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand. AU - Ditsungnoen,Darunee, AU - Greenbaum,Adena, AU - Praphasiri,Prabda, AU - Dawood,Fatimah S, AU - Thompson,Mark G, AU - Yoocharoen,Pornsak, AU - Lindblade,Kim A, AU - Olsen,Sonja J, AU - Muangchana,Charung, Y1 - 2016/02/05/ PY - 2015/08/27/received PY - 2016/01/26/revised PY - 2016/01/27/accepted PY - 2016/2/9/entrez PY - 2016/2/9/pubmed PY - 2016/10/12/medline KW - Pregnant women KW - Seasonal influenza vaccine KW - Thailand SP - 2141 EP - 6 JF - Vaccine JO - Vaccine VL - 34 IS - 18 N2 - 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 1031 (96%) of 1072 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. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/26854910/Knowledge_attitudes_and_beliefs_related_to_seasonal_influenza_vaccine_among_pregnant_women_in_Thailand_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(16)00119-5 DB - PRIME DP - Unbound Medicine ER -