Willingness to receive influenza vaccination during pregnancy and associated factors among pregnant women in Taiwan

Chang, Ya‐Wen; Tsai, Shiow-Meei; Lin, Pao-Chen; Chou, Fan‐Hao

doi:10.1111/phn.12600

Cited by 12 publications

(16 citation statements)

References 27 publications

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“…This situation may be attributed to the particularity of their work. Participants who had been vaccinated against influenza in the past were more willing to receive the SARS-CoV-2 vaccine, thereby suggesting that a secure vaccination experience of the viral vaccine was sufficient to make participants confident about being vaccinated, which was consistent with a previous research [17].…”

Section: Discussionsupporting

confidence: 85%

Willingness to Receive SARS-CoV-2 Vaccination and Associated Factors among Chinese Adults: A Cross Sectional Survey

Gan

Chen

et al. 2021

IJERPH

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Vaccination is a key strategy to prevent the pandemic caused by the coronavirus disease 2019 (COVID-19). This study aims to investigate the willingness of Chinese adults to be vaccinated against COVID-19 and further explore the factors that may affect their willingness. We used a self-design anonymous questionnaire to conduct an online survey via the Sojump. A total of 1009 valid questionnaires were analyzed. The age of the participants ranged from 18 to 74. Among them, 609 (60.4%, 95%CI: 57.4–63.4%) were willing to receive the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine. Logistic regression analysis results showed that the age of 30-49 (OR = 2.042, 95%CI: 1.098–3.799), universities and colleges education (OR = 1.873, 95% CI = 1.016–3.451), master degree or above education (OR = 1.885, 95%CI = 1.367–2.599), previous influenza vaccination history (OR = 2.176, 95%CI: 1.474–3.211), trust in the effectiveness of the vaccine (OR = 6.419, 95%CI: 3.717–11.086), and close attention to the latest news of the vaccine (OR = 1.601, 95%CI: 1.046–2.449) were facilitative factors that affected their willingness to be vaccinated. More than half of the adults in China would be willing to receive a SARS-CoV-2 vaccine. Middle-aged people with higher education, those who had been vaccinated against influenza, and those who believed that COVID-19 vaccine was effective and paid close attention to it were more willing to be vaccinated. Our findings can provide reference for the implementation of vaccination and the prevention of COVID-19 in China. More studies are needed after the vaccine is launched.

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Section: Discussionsupporting

confidence: 85%

Willingness to Receive SARS-CoV-2 Vaccination and Associated Factors among Chinese Adults: A Cross Sectional Survey

Gan

Chen

et al. 2021

IJERPH

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“…This may result from pregnant women’s higher level of perceived susceptibility and severity than the general population, for fearing that influenza infection during the COVID-19 period was harmful to both their health and their fetus. The acceptance rate of our study during the COVID-19 pandemic was also higher than the acceptance rate of influenza infection among pregnant women in Taiwan in 2018 (64.5%) [ 18 ] and that in Thailand in 2015 (41.8%) [ 24 ], indicating that women may address higher attention and awareness to their and their fetus’ health during the global pandemic that has caused global public health emergency and massive impact on social economy. Only 8.3% of the pregnant women in our survey had a history of influenza vaccination.…”

Section: Discussionmentioning

confidence: 62%

“…PASS software 14.0 (NCSS LLC., Kaysville, U.T., USA) was used to calculate the sample size. According to extant literature, the rate of influenza vaccination among pregnant women in Taiwan province in our country was 64.5% [ 18 ]. Set the alpha as 0.05, the confidence interval width as 0.1p, the sample size was 352 for each province when using the exact (Clopper-Pearson) method for calculation.…”

Section: Methodsmentioning

confidence: 99%

“…Thus, accounting the addition health benefit of influenza vaccination in the context of COVID-19 mentioning above, along with pregnant women’s vulnerability to influenza, it is of great significance for pregnant women to receive timely influenza vaccination during influenza seasons during COVID-19 pandemic period. However, due to pregnant women’s lack of relevant knowledge [ 18 , 19 ], fear of potential adverse events [ 20 ] uncertainty regarding the safety of vaccine [ 18 ] and insufficient recommendations [ 21 , 22 ], pregnant women are often unwilling to receive seasonal influenza vaccination. Influenza hesitancy serves as an obstacle to vaccination.…”

Section: Introductionmentioning

confidence: 99%

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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

Wang

Tao

Han

et al. 2021

BMC Pregnancy Childbirth

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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.

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“…It reflects people's vaccination intention and behavior, and it supports the design and evaluation of tailored interventions that aim to improve vaccination coverage (14). A growing literature has shown that the concerns regarding the safety of rapidly developed vaccines (11), mistrust in biomedical research (15), lack of relevant knowledge (16,17), fear of adverse events (18), and lack of recommendations (19) contribute to COVID-19 and influenza vaccine hesitancy. During the COVID-19 pandemic, it is critical to initiate targeted measures to address vaccine hesitancy and improve vaccine acceptance, to promote vaccination on a large scale.…”

Section: Introductionmentioning

confidence: 95%

Comparison of Vaccine Acceptance Between COVID-19 and Seasonal Influenza Among Women in China: A National Online Survey Based on Health Belief Model

2021

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Background: Influenza could circulate in parallel with COVID-19. Studies focusing on the comparison of vaccine acceptance between COVID-19 and seasonal influenza are lacking. The aim of the study was to assess and compare vaccine acceptance of COVID-19 and influenza among reproductive women in China, in order to better understand and address factors associated with vaccine acceptance and to provide guidance for targeted measures to promote vaccination.Methods: A national anonymous cross-sectional survey on COVID-19 and influenza vaccine acceptance among reproductive women aged 18–49 years in China was conducted online based on health belief model, a model widely used to evaluate health beliefs. Sociodemographic characteristics, health status, knowledge, attitude, and health beliefs related to COVID-19 and influenza infection and vaccination were retrieved. Pearson's χ2 test was used to compare the vaccine acceptance by the factors mentioned above. Multivariable logistic regression was used to assess the adjusted associations of factors related to vaccine acceptance. Paired t-test was used to compare scores of health beliefs between influenza and COVID-19 vaccinations.Results: COVID-19 vaccine acceptance rate among reproductive women was 90.3% (95% CI 89.2–91.3%), which was significantly higher than influenza vaccine acceptance rate (85.5%, 95% CI: 84.2–86.7%). Influenza and COVID-19 vaccine acceptance both had the trends to decrease with age (all p < 0.05). Living in the western region, young age, a high level of knowledge scores on disease and vaccines, a high level of perceived susceptibility, a high level of cues to action, and a low level of perceived barriers were positively associated with both COVID-19 and influenza vaccine acceptance (all p < 0.05), while influenza vaccination history was additionally associated with influenza vaccine acceptance (p < 0.05).Conclusions: Our findings suggest that tailored public health measures are needed to improve reproductive women's knowledge of COVID-19, influenza, and vaccines to alleviate women's vaccine hesitancy and expand vaccine uptake.

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Willingness to receive influenza vaccination during pregnancy and associated factors among pregnant women in Taiwan

Cited by 12 publications

References 27 publications

Willingness to Receive SARS-CoV-2 Vaccination and Associated Factors among Chinese Adults: A Cross Sectional Survey

Willingness to Receive SARS-CoV-2 Vaccination and Associated Factors among Chinese Adults: A Cross Sectional Survey

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

Comparison of Vaccine Acceptance Between COVID-19 and Seasonal Influenza Among Women in China: A National Online Survey Based on Health Belief Model

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