Knowledge, attitudes and practices on influenza vaccine 1 during pregnancy in Quito, Ecuador.
Background: Vaccination is the most effective way to prevent infection and severe 27 outcomes caused by influenza viruses in pregnant women and their children. In 28 Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. 29 Objective: The aim of this study was to assess t...
| Autor Principal: | Erazo Verduga, Carlos Espartaco |
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| Formato: | masterThesis |
| Idioma: | en_US |
| Publicado: |
PUCE
2018
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| Materias: | |
| Acceso en línea: |
http://repositorio.puce.edu.ec/handle/22000/14685 |
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| Sumario: |
Background: Vaccination is the most effective way to prevent infection and severe 27 outcomes caused by influenza viruses in pregnant women and their children. In 28 Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. 29
Objective: The aim of this study was to assess the knowledge, attitudes, practices, and 30 factors associated with the uptake of the influenza vaccination in women in Quito-31 Ecuador during pregnancy. 32
Methods: A cross-sectional study enrolled 842 women who delivered at three main 33 public gynecological-obstetric units of the Metropolitan District of Quito. A 34 questionnaire regarding demographics, antenatal care, risk conditions and knowledge, 35 attitudes and practices related to influenza vaccination was administered. We examined 36 factors associated with vaccination using log-binomial regression models. 37
Results: A low vaccination rate (36.6%) against influenza was observed among 38 pregnant women. The factors associated with vaccination included the 39 recommendations from health providers (adjusted PR: 15.84; CI 95% 9.62-26.10), 40 belief in the security of the influenza vaccine (adjusted PR: 1.53; CI 95% 1.03-2.37) and 41 antenatal care (adjusted PR: 1.21; CI 95% 1.01-1.47). The most common reasons for not 42 vaccinating included the lack of recommendation from health care providers (73.9%) 43 and lack of access to vaccine (9.0%). 44 Conclusions: Our results show that recommendations by a health provider and 45 antenatal care affected vaccination coverage, reflecting their importance for vaccination 46 campaign success. Therefore, health educational programs aimed to pregnant women 47 and antenatal care providers have the most potential to increase influenza vaccination 48 rates. It is necessary develop further studies to understand the barriers for health care 49 providers regarding influenza vaccination in Ecuador. |
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