Influenza vaccine acceptance among pregnant women in urban slum areas, Karachi, Pakistan

Khan, Ahsan; Varan, Aiden K.; Esteves-Jaramillo, Alejandra; Siddiqui, Mariam; Sultana, Shazia; Ali, Asad; Zaidi, Anita K. M.; Omer, Saad B.

doi:10.1016/j.vaccine.2015.08.014

Cited by 27 publications

(36 citation statements)

References 11 publications

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“…This value is almost identical to the 21.6% found in the United States among pregnant minority women [47]. By contrast, higher values have been observed in the already mentioned survey in Thailand with 42% of the women who reported being willing to receive the seasonal influenza vaccine [26], in the United States 82.8% said they would be immunized if recommended by their physician [23], and in Pakistan 87% were willing to accept the vaccine [24]. …”

Section: Discussionsupporting

confidence: 64%

“…Similarly, in Australia 23% of women believed that the vaccination during pregnancy was not safe and 30% that it would not protect them [19]. A considerably higher level of knowledge has been observed in the United States with 77% pregnant women who were aware that the vaccine is recommended [23] and in Pakistan 75% acknowledged that the vaccine is safe for pregnant women [24]. …”

Section: Discussionmentioning

confidence: 99%

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Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Napolitano

Angelillo

2017

BMC Infect Dis

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BackgroundThe aims of this study were to assess the knowledge, attitudes, and behaviors towards seasonal influenza and its vaccination among pregnant women.MethodsA cross-sectional survey was carried out among a sample of women in the second or third trimester of pregnancy in Italy.ResultsThe 64.2% of the sample knew that the influenza is more dangerous for pregnant women. Women of older age, Italian, and who had a pregnancy at high-risk were more likely to have this knowledge. This knowledge was lower among women with none, primary or secondary school education. The majority of the respondents considered the vaccine not very useful during pregnancy. Those younger, unmarried, who knew that influenza is more dangerous for pregnant women, who knew that the vaccine could protect them, who reported a higher self-rated health status, and who had received information about influenza and its vaccination were more likely to have a positive attitude toward the usefulness of influenza vaccination in pregnancy. Women with secondary school education and with more than one child revealed a lower perception. Only 9.7% had received the vaccine and 21.4% of those unvaccinated would be willing to receive it. This positive attitude was higher among women with one child, who knew that the vaccine could protect them against the influenza, and who have a positive attitude toward the usefulness of the vaccination during pregnancy.ConclusionsHealth educational programs are needed to improve the knowledge about seasonal influenza and vaccination rate in pregnancy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-2138-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Napolitano

Angelillo

2017

BMC Infect Dis

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“…Nevertheless, our proposed model interestingly suggests that knowledge has no significant correlation with DV acceptance. Previous studies on dengue 13 and other diseases [32][33][34][35][36] also found that good knowledge regarding the disease was not associated with vaccine acceptance. Our model confirms that there is a robust correlation between attitude toward DF and DV acceptance.…”

Section: Correlations Among Associated Factorsmentioning

confidence: 92%

Dengue vaccine acceptance and willingness to pay

Harapan

Fajar

Sasmono

et al. 2016

Human Vaccines & Immunotherapeutics

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The introduction of new vaccines is accompanied by a variety of challenges. Among these, very important ones concern the questions whether the public is willing to accept and willing to purchase the vaccine. Here we discuss factors associated with these questions in the context of vaccines that are becoming available against dengue virus infection. We reviewed published studies available from PubMed and Embase, conducting a meta-analysis when possible and narrative review when the data did not qualify for meta-analysis. We found that attitude toward vaccination and socioeconomic level had significant associations with dengue vaccine acceptance. In addition, socioeconomic level, knowledge, attitude and practice regarding dengue fever, having personally experienced dengue fever and vaccine price were associated with willingness to pay for dengue vaccine. To improve acceptance and willingness to pay for dengue vaccine, well-designed introduction programs that address the associated factors in a contextspecific manner are essential.

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“…The formula used to estimate the sample size was as follows:

. The proportion of acceptance of SIV among pregnant women was assumed to be 80% according to an approximate estimate from a study conducted in Pakistan [ 11 ]. Furthermore, a p -value of 0.05, the desired precision of 5% and a design effect of 2 were also used for the sample size calculation.…”

Section: Methodsmentioning

confidence: 99%

Seasonal Influenza Vaccine Acceptance among Pregnant Women in Zhejiang Province, China: Evidence Based on Health Belief Model

Wang

Liang

et al. 2017

IJERPH

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Background: Reasons for acceptance of seasonal influenza vaccine (SIV) vaccination among pregnant women in China are poorly understood. We assessed the intention to accept SIV among pregnant women in Zhejiang province, by using a self-administrated structured questionnaire developed on the basis of health belief model (HBM). Methods: From 1 January to 31 March 2014, pregnant women with ≥12 gestational weeks who attended antenatal clinics (ANCs) at public hospitals in 6 out of 90 districts were surveyed using a self-administered questionnaire that covered knowledge, attitudes, and beliefs related to SIV vaccination and influenza infection. We examined the associations between the acceptance of SIV vaccination and the demographic factors and HBM constructs using the logistic regression model, calculating the adjusted odds ratio (AOR). Results: Of the 1252 participants, 76.28% were willing to receive the SIV vaccination during their current pregnancy. High levels of perceived susceptibility of influenza (AOR = 1.75 (95%CI: 1.36–2.08)), high levels of perceived severity of influenza (AOR = 1.62 (95%CI: 1.25–1.95)), high level of perceived benefits of vaccination (AOR = 1.97 (95%CI: 1.76–2.21)), and high levels of cues to action were positively associated with the acceptance of SIV vaccination among pregnant women (AOR = 2.03 (95%CI: 1.70–2.69)), while high level of perceived barriers of vaccination was a negative determinant (AOR = 0.76 (95%CI: 0.62–0.94)). Conclusions: Poor knowledge and negative attitude towards SIV were associated with the poor acceptance of SIV. Health providers’ recommendations were important to pregnant women’s acceptance of SIV. Health education and direct communication strategies on SIV vaccination and influenza infection are necessary to improve the acceptance of SIV vaccination among pregnant women.

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Influenza vaccine acceptance among pregnant women in urban slum areas, Karachi, Pakistan

Cited by 27 publications

References 11 publications

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Dengue vaccine acceptance and willingness to pay

Seasonal Influenza Vaccine Acceptance among Pregnant Women in Zhejiang Province, China: Evidence Based on Health Belief Model

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