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Acceptance of seasonal influenza vaccination and associated factors among pregnant women in the context of COVID-19 pandemic in China: a multi-center cross-sectional study based on health belief model.
BMC Pregnancy Childbirth. 2021 Nov 03; 21(1):745.BP

Abstract

BACKGROUND

Seasonal influenza can circulate in parallel with coronavirus disease (COVID-19) in winter. In the context of COVID-19 pandemic, the risk of co-infection and the burden it poses on healthcare system calls for timely influenza vaccination among pregnant women, who are the priority population recommended for vaccination. We aimed to evaluate the acceptance of influenza vaccination and associated factors among pregnant women during COVID-19 pandemic, provide evidence to improve influenza vaccination among pregnant women, help reduce the risk of infection and alleviate the burden of healthcare system for co-infected patients.

METHODS

We conducted a multi-center cross-sectional study among pregnant women in China. Sociodemographic characteristics, health status, knowledge on influenza, attitude towards vaccination, and health beliefs were collected. Locally weighted scatterplot smoothing regression analysis was used to evaluate the trends in the acceptance of influenza vaccine. Logistic regression was applied to identify factors associated with vaccination acceptance.

RESULTS

The total acceptance rate was 76.5% (95%CI: 74.8-78.1%) among 2568 pregnant women enrolled. Only 8.3% of the participants had a history of seasonal influenza vaccination. In the logistic regression model, factors associated with the acceptance of influenza vaccine were western region, history of influenza vaccination, high knowledge of influenza infection and vaccination, high level of perceived susceptibility, perceived benefit, cues to action and low level of perceived barriers. Among 23.5% of the participants who had vaccine hesitancy, 48.0% of them were worried about side effect, 35.6% of them lacked confidence of vaccine safety.

CONCLUSIONS

Our findings highlighted that tailored strategies and publicity for influenza vaccination in the context of COVID-19 pandemic are warranted to reduce pregnant women's concerns, improve their knowledge, expand vaccine uptake and alleviate pressure for healthcare system.

Links

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Authors+Show Affiliations

Wang R
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing, 100191, China.
Tao L
Research Center of Clinical Epidemiology, Peking University Third Hospital, No.49 Huayuan North Road, Haidian District, Beijing, 100083, China.
Han N
Tongzhou Maternal and Child Health Hospital, No.38 Yuqiao Middle Road, Tongzhou District, Beijing, 101100, China.
Liu J
The Second Affiliated Hospital of Kunming Medical University, No. 374 Dianmian Avenue, Kunming, 650101, Yunnan Province, China.
Yuan C
Qianjiang Maternal and Child Health Hospital, 122 Jiefang Road, Qianjiang City, 43100, Hubei Province, China.
Deng L
Qianjiang Central Hospital, No. 22 Zhanghua Middle Road, Qianjiang City, 433100, Hubei Province, China.
Han C
Qujing Maternal and Child Health Hospital, No. 371 liaokuo South Road, Qilin District, Qujing City, 655000, Yunnan Province, China.
Sun F
Shexian Maternal and Child Health Hospital, No. 237 Zhenxing Road, shecheng Town, Shexian City, 056400, Hebei Province, China.
Chi L
Haidian Maternal and Child Health Hospital, No. 33 Haidian South Road, Haidian District, Beijing, 100080, China.
Liu M
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing, 100191, China.
Liu J
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, No.38, Xueyuan Road, Haidian District, Beijing, 100191, China. jueliu@bjmu.edu.cn. National Health Commission Key Laboratory of Reproductive Health, Peking University Health Science Center, No.38, Xueyuan Road, Haidian District, Beijing, 100191, China. jueliu@bjmu.edu.cn.

MeSH

AdultCOVID-19ChinaComorbidityCross-Sectional StudiesFemaleHealth Belief ModelHealth Knowledge, Attitudes, PracticeHumansInfluenza A virusInfluenza VaccinesInfluenza, HumanPandemicsPatient Acceptance of Health CarePregnancyPregnancy Complications, InfectiousSARS-CoV-2SeasonsSurveys and QuestionnairesVaccination

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

34732157

Citation

Wang, Ruitong, et al. "Acceptance of Seasonal Influenza Vaccination and Associated Factors Among Pregnant Women in the Context of COVID-19 Pandemic in China: a Multi-center Cross-sectional Study Based On Health Belief Model." BMC Pregnancy and Childbirth, vol. 21, no. 1, 2021, p. 745.
Wang R, Tao L, Han N, et al. Acceptance of seasonal influenza vaccination and associated factors among pregnant women in the context of COVID-19 pandemic in China: a multi-center cross-sectional study based on health belief model. BMC Pregnancy Childbirth. 2021;21(1):745.
Wang, R., Tao, L., Han, N., Liu, J., Yuan, C., Deng, L., Han, C., Sun, F., Chi, L., Liu, M., & Liu, J. (2021). Acceptance of seasonal influenza vaccination and associated factors among pregnant women in the context of COVID-19 pandemic in China: a multi-center cross-sectional study based on health belief model. BMC Pregnancy and Childbirth, 21(1), 745. https://doi.org/10.1186/s12884-021-04224-3
Wang R, et al. Acceptance of Seasonal Influenza Vaccination and Associated Factors Among Pregnant Women in the Context of COVID-19 Pandemic in China: a Multi-center Cross-sectional Study Based On Health Belief Model. BMC Pregnancy Childbirth. 2021 Nov 3;21(1):745. PubMed PMID: 34732157.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acceptance of seasonal influenza vaccination and associated factors among pregnant women in the context of COVID-19 pandemic in China: a multi-center cross-sectional study based on health belief model. AU - Wang,Ruitong, AU - Tao,Liyuan, AU - Han,Na, AU - Liu,Jihong, AU - Yuan,Chuanxiang, AU - Deng,Lixia, AU - Han,Chunhua, AU - Sun,Fenglan, AU - Chi,Liqun, AU - Liu,Min, AU - Liu,Jue, Y1 - 2021/11/03/ PY - 2021/02/02/received PY - 2021/10/20/accepted PY - 2021/11/4/entrez PY - 2021/11/5/pubmed PY - 2021/11/23/medline KW - Acceptance KW - Associated factors KW - COVID-19 KW - Influenza vaccination KW - Pregnant women SP - 745 EP - 745 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 21 IS - 1 N2 - BACKGROUND: Seasonal influenza can circulate in parallel with coronavirus disease (COVID-19) in winter. In the context of COVID-19 pandemic, the risk of co-infection and the burden it poses on healthcare system calls for timely influenza vaccination among pregnant women, who are the priority population recommended for vaccination. We aimed to evaluate the acceptance of influenza vaccination and associated factors among pregnant women during COVID-19 pandemic, provide evidence to improve influenza vaccination among pregnant women, help reduce the risk of infection and alleviate the burden of healthcare system for co-infected patients. METHODS: We conducted a multi-center cross-sectional study among pregnant women in China. Sociodemographic characteristics, health status, knowledge on influenza, attitude towards vaccination, and health beliefs were collected. Locally weighted scatterplot smoothing regression analysis was used to evaluate the trends in the acceptance of influenza vaccine. Logistic regression was applied to identify factors associated with vaccination acceptance. RESULTS: The total acceptance rate was 76.5% (95%CI: 74.8-78.1%) among 2568 pregnant women enrolled. Only 8.3% of the participants had a history of seasonal influenza vaccination. In the logistic regression model, factors associated with the acceptance of influenza vaccine were western region, history of influenza vaccination, high knowledge of influenza infection and vaccination, high level of perceived susceptibility, perceived benefit, cues to action and low level of perceived barriers. Among 23.5% of the participants who had vaccine hesitancy, 48.0% of them were worried about side effect, 35.6% of them lacked confidence of vaccine safety. CONCLUSIONS: Our findings highlighted that tailored strategies and publicity for influenza vaccination in the context of COVID-19 pandemic are warranted to reduce pregnant women's concerns, improve their knowledge, expand vaccine uptake and alleviate pressure for healthcare system. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/34732157/Acceptance_of_seasonal_influenza_vaccination_and_associated_factors_among_pregnant_women_in_the_context_of_COVID_19_pandemic_in_China:_a_multi_center_cross_sectional_study_based_on_health_belief_model_ DB - PRIME DP - Unbound Medicine ER -