Knowledge, attitudes and practices on influenza vaccination during pregnancy in Quito, Ecuador

被引:16
作者
Erazo, Carlos E. [1 ]
Erazo, Carlos, V [2 ]
Grijalva, Mario J. [1 ,3 ]
Moncayo, Ana L. [1 ]
机构
[1] Pontificia Univ Catolica Ecuador, Fac Ciencias Exactas & Nat, Ctr Invest Salud Amer Latina CISeAL, Escuela Ciencias Biol, Quito 17012184, Ecuador
[2] Pontificia Univ Catolica Ecuador, Fac Med, Quito 17012184, Ecuador
[3] Ohio Univ, Heritage Coll Osteopath Med, Infect & Trop Dis Inst, Dept Biomed Sci, Athens, OH 45701 USA
基金
美国国家卫生研究院;
关键词
Influenza; Influenza vaccination; Pregnant women; Health providers; Ecuador; SEASONAL INFLUENZA; VIRUS INFECTION; CARE PROVIDERS; MATERNAL IMMUNIZATION; WOMEN; BELIEFS; BEHAVIORS; COVERAGE;
D O I
10.1186/s12889-020-10061-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundVaccination is the most effective way to prevent infection and severe outcomes caused by influenza viruses in pregnant women and their children. In Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. The aim of this study was to assess the knowledge, attitudes, and practices (KAP) of pregnant women toward influenza vaccination in Quito-Ecuador.MethodsA cross-sectional study enrolled 842 women who delivered at three main public gynecological-obstetric units of the Metropolitan District of Quito. A questionnaire regarding demographics, antenatal care, risk conditions and knowledge, attitudes and practices related to influenza vaccination was administered. We examined factors associated with vaccination using log-binomial regression models.ResultsA low vaccination rate (36.6%) against influenza was observed among pregnant women. The factors associated with vaccination included the recommendations from health providers (adjusted PR: 15.84; CI 95% 9.62-26.10), belief in the safety of the influenza vaccine (adjusted PR: 1.53; CI 95% 1.03-2.37) and antenatal care (adjusted PR: 1.21; CI 95% 1.01-1.47). The most common reasons for not vaccinating included the lack of recommendation from health care providers (73.9%) and lack of access to vaccine (9.0%).ConclusionsHealth educational programs aimed at pregnant women and antenatal care providers have the most potential to increase influenza vaccination rates. Further studies are needed to understand the barriers of health care providers regarding influenza vaccination in Ecuador.
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页数:11
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  • [1] Enablers and barriers of maternal and neonatal immunization programs in Latin America
    Alvarez, Alba Maria Ropero
    Vilajeliu, Alba
    Magarinos, Mirta
    Jauregui, Barbara
    Guzman, Lely
    Whittembury, Alvaro
    Cain, Emilia
    Garcia, Odalys
    Montesanos, Raul
    Matus, Cuauhtemoc Ruiz
    [J]. VACCINE, 2021, 39 : B34 - B43
  • [2] [Anonymous], 2012, Wkly Epidemiol Rec, V87, P461
  • [3] [Anonymous], 2008, STOP TB PARTNERSHIP
  • [4] Factors associated with a successful expansion of influenza vaccination among pregnant women in Nicaragua
    Arriola, Carmen S.
    Vasconez, Nancy
    Thompson, Mark
    Mirza, Sara
    Moen, Ann C.
    Bresee, Joseph
    Talavera, Ivy
    Ropero, Alba Maria
    [J]. VACCINE, 2016, 34 (08) : 1086 - 1090
  • [5] Reasons for low influenza vaccination coverage among adults in Puerto Rico, influenza season 2013-2014
    Arriola, Carmen S.
    Mercado-Crespo, Melissa C.
    Rivera, Brenda
    Serrano-Rodriguez, Ruby
    Macklin, Nora
    Rivera, Angel
    Graitcer, Samuel
    Lacen, Mayra
    Bridges, Carolyn B.
    Kennedy, Erin D.
    [J]. VACCINE, 2015, 33 (32) : 3829 - 3835
  • [6] Determinants of influenza vaccination uptake in pregnancy: a large single-Centre cohort study
    Bartolo, Stephanie
    Deliege, Emilie
    Mancel, Ophelie
    Dufour, Philippe
    Vanderstichele, Sophie
    Roumilhac, Marielle
    Hammou, Yamina
    Carpentier, Sophie
    Dessein, Rodrigue
    Subtill, Damien
    Faure, Karine
    [J]. BMC PREGNANCY AND CHILDBIRTH, 2019, 19 (01)
  • [7] Acceptability of maternal immunization against influenza: the critical role of obstetricians
    Blanchard-Rohner, Geraldine
    Meier, Sara
    Ryser, Joelle
    Schaller, Diane
    Combescure, Christophe
    Yudin, Mark H.
    Burton-Jeangros, Claudine
    de Tejada, Begona Martinez
    Siegrist, Claire-Anne
    [J]. JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2012, 25 (09) : 1800 - 1809
  • [8] Failure of the vaccination campaign against A(H1N1) influenza in pregnant women in France: Results from a national survey
    Blondel, Beatrice
    Mahjoub, Nada
    Drewniak, Nicolas
    Launay, Odile
    Goffinet, Francois
    [J]. VACCINE, 2012, 30 (38) : 5661 - 5665
  • [9] Cross-sectional study on factors associated with influenza vaccine uptake and pertussis vaccination status among pregnant women in Germany
    Boedeker, Birte
    Walter, Dietmar
    Reiter, Sabine
    Wichmann, Ole
    [J]. VACCINE, 2014, 32 (33) : 4131 - 4139
  • [10] Comparison between cohorts vaccinated and unvaccinated against influenza and pneumococcal infection
    Christenson, B
    Lundbergh, P
    [J]. EPIDEMIOLOGY AND INFECTION, 2002, 129 (03) : 515 - 524