Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras.

Autor: Madewell ZJ; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala., Chacón-Fuentes R; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala., Jara J; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala., Mejía-Santos H; Unidad de Vigilancia de la Salud, Secretaría de Salud de Honduras, Tegucigalpa, Honduras., Molina IB; Programa Ampliado de Inmunizaciones, Secretaría de Salud de Honduras, Tegucigalpa, Honduras., Alvis-Estrada JP; Centro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala., Coello-Licona R; Vigilancia Epidemiológica, Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras., Montejo B; Vigilancia Epidemiológica, Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Feb 11; Vol. 16 (2), pp. e0246385. Date of Electronic Publication: 2021 Feb 11 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0246385
Abstrakt: Background: Influenza during pregnancy may cause serious neonatal outcomes including stillbirth, fetal distress, preterm birth, congenital abnormalities, and stunted growth. Pregnant women are the highest priority group for seasonal influenza vaccination, but low coverage has been repeatedly reported in this population. Understanding reasons for and for not receiving the seasonal influenza vaccine is needed to design communication strategies to increase vaccination coverage. This study aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccination among women giving birth in public maternity hospitals in Honduras.
Methods: From August 20-October 8, 2018, we conducted a cross-sectional KAP survey regarding seasonal influenza vaccinations to a sample of postpartum women who gave birth in maternity hospitals and clinics from the Ministry of Health of Honduras and Honduran Social Security Institute. We reported frequency distributions for demographics, KAP of influenza vaccine, and vaccination coverage. We used logistic regression to analyze unadjusted and adjusted associations between sociodemographic characteristics and influenza vaccination.
Results: We surveyed 842 postpartum women in 17 healthcare facilities. Of 534 postpartum women with term pregnancy and verified vaccinations, 417 (78.1%; 95% CI: 74.6-81.6%) were vaccinated for influenza. Factors associated with verified influenza vaccination included receipt of vaccination recommendations by a healthcare worker during prenatal check-ups (aOR: 16.46; 95% CI: 9.73-27.85), concurrent chronic disease (aOR: 5.00; 95% CI: 1.25-20.07), and influenza vaccination of other children in the household (aOR: 2.28; 95% CI: 1.19-4.39). The most cited reasons for vaccination were perceived benefits for both mother and infant and easy access. Reasons for non-vaccination were: vaccine was not offered and fear of side effects, harm to the infant, and needles or pain caused by injection.
Conclusion: Influenza vaccination was well received among postpartum women in Honduras. Increasing clinician recommendations for vaccination and assuring the vaccine is readily available to women during prenatal visits may increase vaccination rates.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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