Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand

Darunee Ditsungnoen, Adena Greenbaum, Prabda Praphasiri, Fatimah S. Dawood, Mark G. Thompson, Pornsak Yoocharoen, Kim A. Lindblade, Sonja J. Olsen, Charung Muangchana

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)2141-2146
Number of pages6
JournalVaccine
Volume34
Issue number18
DOIs
StatePublished - Apr 19 2016
Externally publishedYes

Fingerprint

Infectious Pregnancy Complications
middle-aged adults
Patient Acceptance of Health Care
Health Knowledge, Attitudes, Practice
human influenza
Influenza Vaccines
pregnant women
Thailand
young adults
influenza
Human Influenza
Pregnant Women
Young Adult
Vaccination
vaccination
pregnancy
vaccines
Pregnancy
Cues
Vaccines

Keywords

  • Pregnant women
  • Seasonal influenza vaccine
  • Thailand

ASJC Scopus subject areas

  • Molecular Medicine
  • Immunology and Microbiology(all)
  • veterinary(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Ditsungnoen, D., Greenbaum, A., Praphasiri, P., Dawood, F. S., Thompson, M. G., Yoocharoen, P., ... Muangchana, C. (2016). Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand. Vaccine, 34(18), 2141-2146. https://doi.org/10.1016/j.vaccine.2016.01.056

Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand. / Ditsungnoen, Darunee; Greenbaum, Adena; Praphasiri, Prabda; Dawood, Fatimah S.; Thompson, Mark G.; Yoocharoen, Pornsak; Lindblade, Kim A.; Olsen, Sonja J.; Muangchana, Charung.

In: Vaccine, Vol. 34, No. 18, 19.04.2016, p. 2141-2146.

Research output: Contribution to journalArticle

Ditsungnoen, D, Greenbaum, A, Praphasiri, P, Dawood, FS, Thompson, MG, Yoocharoen, P, Lindblade, KA, Olsen, SJ & Muangchana, C 2016, 'Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand', Vaccine, vol. 34, no. 18, pp. 2141-2146. https://doi.org/10.1016/j.vaccine.2016.01.056
Ditsungnoen, Darunee ; Greenbaum, Adena ; Praphasiri, Prabda ; Dawood, Fatimah S. ; Thompson, Mark G. ; Yoocharoen, Pornsak ; Lindblade, Kim A. ; Olsen, Sonja J. ; Muangchana, Charung. / Knowledge, attitudes and beliefs related to seasonal influenza vaccine among pregnant women in Thailand. In: Vaccine. 2016 ; Vol. 34, No. 18. pp. 2141-2146.
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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.",
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AU - Thompson, Mark G.

AU - Yoocharoen, Pornsak

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