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Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya
BACKGROUND: Influenza vaccination during pregnancy benefits mothers and children. Kenya and other low- and middle-income countries have no official influenza vaccination policies to date but are moving towards issuing such policies. Understanding determinants of influenza vaccine uptake during pregn...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526973/ https://www.ncbi.nlm.nih.gov/pubmed/32893035 http://dx.doi.org/10.1016/j.vaccine.2020.08.015 |
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author | Otieno, Nancy A. Nyawanda, Bryan Otiato, Fredrick Adero, Maxwel Wairimu, Winnie N. Atito, Raphael Wilson, Andrew D. Gonzalez-Casanova, Ines Malik, Fauzia A. Verani, Jennifer R. Widdowson, Marc-Alain Omer, Saad B. Chaves, Sandra S. |
author_facet | Otieno, Nancy A. Nyawanda, Bryan Otiato, Fredrick Adero, Maxwel Wairimu, Winnie N. Atito, Raphael Wilson, Andrew D. Gonzalez-Casanova, Ines Malik, Fauzia A. Verani, Jennifer R. Widdowson, Marc-Alain Omer, Saad B. Chaves, Sandra S. |
author_sort | Otieno, Nancy A. |
collection | PubMed |
description | BACKGROUND: Influenza vaccination during pregnancy benefits mothers and children. Kenya and other low- and middle-income countries have no official influenza vaccination policies to date but are moving towards issuing such policies. Understanding determinants of influenza vaccine uptake during pregnancy in these settings is important to inform policy decisions and vaccination rollout. METHODS: We interviewed a convenience sample of women at antenatal care facilities in four counties (Nairobi, Mombasa, Marsabit, Siaya) in Kenya. We described knowledge and attitudes regarding influenza vaccination and assessed factors associated with willingness to receive influenza vaccine. RESULTS: We enrolled 507 pregnant women, median age was 26 years (range 15–43). Almost half (n = 240) had primary or no education. Overall, 369 (72.8%) women had heard of influenza. Among those, 288 (78.1%) believed that a pregnant woman would be protected if vaccinated, 252 (68.3%) thought it was safe to receive a vaccine while pregnant, and 223 (60.4%) believed a baby would be protected if mother was vaccinated. If given opportunity, 309 (83.7%) pregnant women were willing to receive the vaccine. Factors associated with willingness to receive influenza vaccine were mothers’ belief in protective effect (OR 3.87; 95% CI 1.56, 9.59) and safety (OR 5.32; 95% CI 2.35, 12.01) of influenza vaccines during pregnancy. CONCLUSION: Approximately one third of pregnant women interviewed had never heard of influenza. Willingness to receive influenza vaccine was high among women who had heard about influenza. If the Kenyan government recommends influenza vaccine for pregnant women, mitigation of safety concerns and education on the benefits of vaccination could be the most effective strategies to improve vaccine acceptance. |
format | Online Article Text |
id | pubmed-7526973 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-75269732020-10-07 Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya Otieno, Nancy A. Nyawanda, Bryan Otiato, Fredrick Adero, Maxwel Wairimu, Winnie N. Atito, Raphael Wilson, Andrew D. Gonzalez-Casanova, Ines Malik, Fauzia A. Verani, Jennifer R. Widdowson, Marc-Alain Omer, Saad B. Chaves, Sandra S. Vaccine Article BACKGROUND: Influenza vaccination during pregnancy benefits mothers and children. Kenya and other low- and middle-income countries have no official influenza vaccination policies to date but are moving towards issuing such policies. Understanding determinants of influenza vaccine uptake during pregnancy in these settings is important to inform policy decisions and vaccination rollout. METHODS: We interviewed a convenience sample of women at antenatal care facilities in four counties (Nairobi, Mombasa, Marsabit, Siaya) in Kenya. We described knowledge and attitudes regarding influenza vaccination and assessed factors associated with willingness to receive influenza vaccine. RESULTS: We enrolled 507 pregnant women, median age was 26 years (range 15–43). Almost half (n = 240) had primary or no education. Overall, 369 (72.8%) women had heard of influenza. Among those, 288 (78.1%) believed that a pregnant woman would be protected if vaccinated, 252 (68.3%) thought it was safe to receive a vaccine while pregnant, and 223 (60.4%) believed a baby would be protected if mother was vaccinated. If given opportunity, 309 (83.7%) pregnant women were willing to receive the vaccine. Factors associated with willingness to receive influenza vaccine were mothers’ belief in protective effect (OR 3.87; 95% CI 1.56, 9.59) and safety (OR 5.32; 95% CI 2.35, 12.01) of influenza vaccines during pregnancy. CONCLUSION: Approximately one third of pregnant women interviewed had never heard of influenza. Willingness to receive influenza vaccine was high among women who had heard about influenza. If the Kenyan government recommends influenza vaccine for pregnant women, mitigation of safety concerns and education on the benefits of vaccination could be the most effective strategies to improve vaccine acceptance. Elsevier Science 2020-10-07 /pmc/articles/PMC7526973/ /pubmed/32893035 http://dx.doi.org/10.1016/j.vaccine.2020.08.015 Text en © 2020 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Otieno, Nancy A. Nyawanda, Bryan Otiato, Fredrick Adero, Maxwel Wairimu, Winnie N. Atito, Raphael Wilson, Andrew D. Gonzalez-Casanova, Ines Malik, Fauzia A. Verani, Jennifer R. Widdowson, Marc-Alain Omer, Saad B. Chaves, Sandra S. Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya |
title | Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya |
title_full | Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya |
title_fullStr | Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya |
title_full_unstemmed | Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya |
title_short | Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya |
title_sort | knowledge and attitudes towards influenza and influenza vaccination among pregnant women in kenya |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526973/ https://www.ncbi.nlm.nih.gov/pubmed/32893035 http://dx.doi.org/10.1016/j.vaccine.2020.08.015 |
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