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Knowledge, Attitude and Practice of Pregnant Women towards Varicella and Their Children’s Varicella Vaccination: Evidence from Three Distrcits in Zhejiang Province, China

Author

Listed:
  • Yu Hu

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, No. 3399 Binsheng Road, Binjiang District, Hangzhou 310051, China)

  • Yaping Chen

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, No. 3399 Binsheng Road, Binjiang District, Hangzhou 310051, China)

  • Ying Wang

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, No. 3399 Binsheng Road, Binjiang District, Hangzhou 310051, China)

  • Hui Liang

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, No. 3399 Binsheng Road, Binjiang District, Hangzhou 310051, China)

Abstract

Background : The objectives of this study were to examine the knowledge, attitudes and practice (KAP) towards varicella and varicella vaccine (VarV) vaccination among pregnant women in three distrcits in Zhejiang Province, China. Methods : From 1 January to 31 March 2014, pregnant women with ≥12 gestational weeks were recruited and received a self-administrated questionnaire. The first dose of VarV (VarV1) vaccination status of children from present pregnancy was extracted at 24 months of age from Zhejiang provincial immunization information system (ZJIIS). Three variables was defined as the main outcomes, which included: (1) knowing about both the availability of VarV and the number of doses required; (2) positive attitude towards the utility of varicella vaccination; (3) the vaccination coverage of VarV1, which meant the proportion of children having received the VarV1. Counts and proportions were used to describe the socio-demographic characteristics of study participants, and their relationship with study outcomes were tested using chi-square tests in univariate analysis and logistic regression in multivariable analysis. Results : A total of 629 pregnant women participated in this study. The majority of the participants (68.0%) answered correctly about the transmission route of varicella. The proportion of participants who heard about varicella vaccination was 76.5% and 66.8% knew that VarV was currently available. Only 13.5% of the participants answered correctly that the complete VarV series needed two doses. Age, immigration status, education level, household income, and number of children of the pregnant women were significant predictors of the KAP regarding the VarV vaccination. Conclusions : The current survey indicated that optimal KAP levels and coverage on VarV vaccination were observed in three districts of Zhejiang Province. Health education programs on varicella and VarV vaccination directed towards both pre-natal and post-natal women are needed, which will result in a better attitude on vaccination of VarV and in a high coverage of VarV.

Suggested Citation

  • Yu Hu & Yaping Chen & Ying Wang & Hui Liang, 2017. "Knowledge, Attitude and Practice of Pregnant Women towards Varicella and Their Children’s Varicella Vaccination: Evidence from Three Distrcits in Zhejiang Province, China," IJERPH, MDPI, vol. 14(10), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1110-:d:113025
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    References listed on IDEAS

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    1. Yu Hu & Qian Li & Enfu Chen & Yaping Chen & Xiaohua Qi, 2013. "Determinants of Childhood Immunization Uptake among Socio-Economically Disadvantaged Migrants in East China," IJERPH, MDPI, vol. 10(7), pages 1-12, July.
    2. Racine, Andrew D. & Joyce, Theodore J., 2007. "Maternal education, child immunizations, and public policy: Evidence from the US National Immunization Survey," Social Science & Medicine, Elsevier, vol. 65(8), pages 1765-1772, October.
    3. Yu Hu & Yaping Chen & Bing Zhang & Qian Li, 2016. "An Evaluation of Voluntary Varicella Vaccination Coverage in Zhejiang Province, East China," IJERPH, MDPI, vol. 13(6), pages 1-10, June.
    4. Anderson, L.M. & Wood, D.L. & Sherbourne, C.D., 1997. "Maternal acculturation and childhood immunization levels among children in Latino families in Los Angeles," American Journal of Public Health, American Public Health Association, vol. 87(12), pages 2018-2021.
    5. Yu Hu & Yaping Chen, 2017. "Evaluating Childhood Vaccination Coverage of NIP Vaccines: Coverage Survey versus Zhejiang Provincial Immunization Information System," IJERPH, MDPI, vol. 14(7), pages 1-8, July.
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    1. Hua Zhu & Han Zhao & Rong Ou & Qing Zeng & Ling Hu & Hongfang Qiu & Manoj Sharma & Mengliang Ye, 2020. "Spatiotemporal Epidemiology of Varicella in Chongqing, China, 2014–2018," IJERPH, MDPI, vol. 17(2), pages 1-13, January.

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