A community-based survey on influenza and vaccination knowledge, perceptions and practices in Peru

Reinders, Stefan; Romero, Candice; Cárcamo, César; Tinoco, Yeny; Valderrama, Mariano J.; Rosa, Sayda La; Mallma, Patricia; Neyra, Joan; Soto, Giselle; Azziz‐Baumgartner, Eduardo; García, Patricia J.

doi:10.1016/j.vaccine.2019.11.016

Cited by 21 publications

(34 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consistent with prior studies, 7-9,30-34 healthcare provider recommendation was a strong predictor of influenza vaccine receipt among women in Lima, further supported by data from 2016 where 50 of 54 pregnant women interviewed in three different regions of Peru, agreed that doctor's recommendation for influenza vaccination was very important to them. 19 Although we did not ask whether women in our study received an offer of influenza vaccination, 80% of those vaccinated received the vaccine at study hospitals, which is consistent with other studies that suggest provider offer and availability of vaccine are important in a pregnant woman's decision to receive vaccine. 7,[35][36][37] Our findings highlight potential opportunities to increase influenza vaccine uptake among pregnant women by providing education and training to health-care providers regarding the benefits and safety of vaccinating pregnant women and by making influenza vaccine accessible in the antenatal care setting.…”

Section: Discussionsupporting

confidence: 82%

What do pregnant women think about influenza disease and vaccination practices in selected countries

Arriola

Suntarattiwong

Dawood

et al. 2021

Human Vaccines & Immunotherapeutics

Self Cite

View full text Add to dashboard Cite

Introduction:We evaluated knowledge, attitudes, and practices (KAP) related to influenza and influenza vaccination among pregnant women in three selected countries. Methods: During 2017, pregnant women seeking antenatal care at hospitals at participating sites were enrolled. We described characteristics and responses to KAP questions. We also evaluated predictors associated with influenza vaccination during pregnancy at sites with substantial influenza vaccine uptake by multivariable logistic regression. Results: Overall, 4,648 pregnant women completed the survey. There were substantial differences among the three survey populations; only 8% of the women in Nagpur had heard of influenza, compared to 90% in Lima and 96% in Bangkok (p-value<0.01). Despite significant differences in sociodemographic characteristics in the three populations, most participants across sites who were aware of influenza prior to study enrollment believe they and their infants are at risk of influenza and related complications and believe influenza vaccination is safe and effective. Half of women in Lima had verified receipt of influenza vaccine compared to <5% in Bangkok and Nagpur (p < .05). For further analysis conducted among women in Lima only, household income above the poverty line (aOR: 1.38; 95%CI: 1.01, 1.88), having 8+ antenatal visits, compared to 0-4 (aOR: 2.41; 95%CI: 1.39, 2.87, respectively), having 0 children, compared to 2+ (aOR: 1.96; 95%CIs: 1.23, 3.12), and vaccination recommended by a health-care provider (aOR: 8.25; 95%CI: 6.11, 11.14) were strongly associated with receipt of influenza vaccine during pregnancy. Conclusions: Our findings identify opportunities for targeted interventions to improve influenza vaccine uptake among pregnant women in these settings.

show abstract

Section: Discussionsupporting

confidence: 82%

What do pregnant women think about influenza disease and vaccination practices in selected countries

Arriola

Suntarattiwong

Dawood

et al. 2021

Human Vaccines & Immunotherapeutics

Self Cite

View full text Add to dashboard Cite

show abstract

“…Reinders and colleagues found confidence as the most prevalent reason for not being vaccinated, specifically "being afraid of vaccination and its effects". They also found greater vaccination rates among persons who most perceived the severity of influenza [16]. We found confidence to be the hesitancy factor most associated to vaccination uptake, particularly among older adults and pregnant women, with complacency being more important among adults with risk factors.…”

Section: Discussionmentioning

confidence: 58%

Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates

González-Block

Calderón

Pelcastre‐Villafuerte

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

Introduction Influenza morbidity and mortality are significant in the countries of South America, yet influenza vaccination is as low as 56.7% among pregnant women, reaching 76.7% of adults with chronic diseases. This article measures the relative values for the vaccination hesitancy indicators of confidence, complacency and convenience by risk-groups in urban areas of five countries of South America with contrasting vaccination rates, analyzing their association with sociodemographic variables and self-reported immunization status. Methods An exit survey was applied to 640 individuals per country in Brazil, Chile, Paraguay, Peru and Uruguay, distributed equally across risk groups of older adults, adults with risk factors, children ≤6 and pregnant women. Indicators were constructed for vaccine confidence, complacency and convenience. Analysis of variance and multiple logistic analysis was undertaken. Results Adults with risk factors are somewhat more confident of the influenza vaccine yet also more complacent. Convenience is higher for mothers of minors. Children and older adults report higher levels of vaccination. The 3Cs are more different across countries than across risk groups, with values for Chile higher for confidence and those for Uruguay the lowest. Complacency is lower in Brazil and higher in Uruguay. Results suggest that confidence and complacency affect vaccination rates across risk groups and countries. Conclusions Influenza vaccine confidence, complacency and convenience have to be bolstered to improve effective coverage across all risk groups in the urban areas of the countries studied. The role played by country contextual and national vaccination programs has to be further researched in relation to effective coverage of influenza vaccine.

show abstract

“…They also found greater vaccination rates among persons who perceived the severity of influenza. 11 The WHO study consisted of a world-wide systematic review of influenza vaccination intention and behavior between 2005 and 2016 and identified important barriers to vaccination against influenza in all risk groups. The most frequent reasons for influenza vaccine hesitancy were due to low-perceived risk of the disease, lack of confidence in the authorities, and low-perceived safety of the vaccine.…”

Section: Discussionmentioning

confidence: 99%

“…However, the age and insurance protection in the surveyed population is close to those observed in other more representative sources of information. 11 Another limitation of the study was its focus on the general population high-risk groups, excluding the observation of hesitancy among health workers. This group warrants to be the object of research given the importance of their protection as front-line workers, and the role they play in promoting vaccination among the general population.…”

Section: Discussionmentioning

confidence: 99%

“…10 This situation requires an analysis of the barriers and drivers of influenza vaccine supply and demand, and particularly of the social factors affecting the acceptance of influenza vaccination. 11 The decision-making process followed by the population to get vaccinated is immersed in a specific social context of beliefs and perceptions as well as considerations of the availability of the vaccine and its costs. 12 The World Health Organization's Strategic Advisory Group of Experts proposed the concept of vaccine hesitancy with the objective of analyzing the social factors that lead either to a delay in the acceptance or to the rejection of vaccines despite the availability of vaccination services.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The importance of confidence, complacency, and convenience for influenza vaccination among key risk groups in large urban areas of Peru

González-Block

Laguna

Rodríguez-Zea

et al. 2020

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

Influenza vaccination has been available under Peru's national immunization program since 2008, but vaccination coverage has decreased lately. Surveys and focus groups were conducted among four risk groups (pregnant women, mothers of children aged <6 years, adults with risk factors, and adults aged ≥65 years) to identify factors affecting influenza vaccine hesitancy in Peru. The 3Cs model (Confidence, Complacency, and Convenience) was used as a conceptual framework for the study. Most pregnant women and mothers of young children (70.0%), but less than half (46.3%) of older adults and adults with risk factors were vaccinated against influenza. Vaccine confidence and complacency were positively associated with educational level. Complacency was the most deficient of the 3Cs. Pregnant women and mothers were the most informed and least complacent among risk groups. Focus groups revealed the misconceptions behind the high level of complacency observed, including the perception of influenza risk and the role assigned to vaccination in preventing the disease. Interviews with officials identified that most strategies are directed to vaccination availability and hence to convenience, with opportunities for strategies to improve vaccination uptake and community engagement. The results highlight the importance of implementing in Peru communication strategies to increase perceptions of vaccine safety and effectiveness thus improving confidence and reducing complacency. The establishment of explicit incentives should also be considered to increase vaccination uptake, particularly to health personnel.

show abstract

A community-based survey on influenza and vaccination knowledge, perceptions and practices in Peru

Cited by 21 publications

References 26 publications

What do pregnant women think about influenza disease and vaccination practices in selected countries

What do pregnant women think about influenza disease and vaccination practices in selected countries

Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates

The importance of confidence, complacency, and convenience for influenza vaccination among key risk groups in large urban areas of Peru

Contact Info

Product

Resources

About