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Knowledge and Willingness toward Vaccination among Pregnant Women: Comparison between Pertussis and Influenza

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  • Feng Jiang

    (Institute of Expanded Programme on Immunization, Guizhou Provincial Center for Disease Control and Prevention, Guiyang 550004, China)

  • Ning Tang

    (Institute of Expanded Programme on Immunization, Guizhou Provincial Center for Disease Control and Prevention, Guiyang 550004, China)

  • Yuanxue Gao

    (Institute of Expanded Programme on Immunization, Guizhou Provincial Center for Disease Control and Prevention, Guiyang 550004, China)

  • Jun Feng

    (Institute of Expanded Programme on Immunization, Guizhou Provincial Center for Disease Control and Prevention, Guiyang 550004, China)

  • Ying Wang

    (School of Public Health, Fudan University, Shanghai 200032, China)

  • Bin Qu

    (Zunyi Prefectural Center for Disease Control and Prevention, Zunyi 563000, China)

Abstract

Background: Our study sought to characterize the knowledge and willingness levels regarding vaccinations against pertussis and seasonal influenza (influenza) among pregnant women in Guizhou province, China, which have previously been unclear. Methods: In total, 11 hospitals that carried out obstetrics and antenatal examination services were randomly included in the target organizations, and 564 questionnaires completed by the pregnant women were collected and analyzed in Guizhou province. The questionnaires contained questions addressing awareness and knowledge of pertussis and influenza, willingness to be vaccinated at different life stages, and the basic statuses of subjects. A two-paired McNemar test was used to compare the knowledge levels on pertussis and influenza. A Friedman test was used to compare the willingness to be vaccinated at different life stages. To explore the factors influencing knowledge levels, a chi-square test and binary logistic regression were used with stepwise backward regression. Results: In total, 11.9 percent of the pregnant women had received influenza vaccines in the year prior to their pregnancy in Guizhou province. The pregnant women had poorer knowledge of pertussis than of influenza. Given a vaccine was available, the willingness of pregnant women to partake in the following vaccination-related actions could be ranked, from highest to lowest: free vaccination of babies, recommend vaccination to family members, postpartum vaccination, vaccination of babies at mothers’ expense, and vaccination during pregnancy. Knowledge levels played different roles in the women’s willingness to receive vaccinations at different life stages. Common knowledge of pertussis and influenza played a limited role in the willingness to receive maternal vaccinations. Among the pregnant women, the factors influencing the low levels of pertussis knowledge were occupation as nonmedical-institution staff, lower educational level, pregnancy stage past the first trimester, and not bearing children; for influenza, the factors were occupation as nonmedical-institution staff, lower educational level, denial of pregnancy-induced disease, and lower monthly household income per capita. Conclusions: Pregnant women have poorer levels of knowledge on pertussis than influenza, whereas there was no significant difference in their willingness to be vaccinated against these conditions. Health education on pertussis should be strengthened and we called for vaccines given at birth.

Suggested Citation

  • Feng Jiang & Ning Tang & Yuanxue Gao & Jun Feng & Ying Wang & Bin Qu, 2022. "Knowledge and Willingness toward Vaccination among Pregnant Women: Comparison between Pertussis and Influenza," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14082-:d:956374
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    References listed on IDEAS

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    1. María Isabel Fernández-Cano & Antonia Arreciado Marañón & Azahara Reyes-Lacalle & Maria Feijoo-Cid & Josep Maria Manresa-Domínguez & Laura Montero-Pons & Rosa Maria Cabedo-Ferreiro & Pere Toran-Monser, 2022. "Influenza and Pertussis Maternal Vaccination Coverage and Influencing Factors in Spain: A Study Based on Primary Care Records Registry," IJERPH, MDPI, vol. 19(7), pages 1-13, April.
    2. Antonia Arreciado Marañón & María Isabel Fernández-Cano & Laura Montero-Pons & Maria Feijoo-Cid & Azahara Reyes-Lacalle & Rosa María Cabedo-Ferreiro & Josep Maria Manresa-Domínguez & Gemma Falguera-Pu, 2022. "Knowledge, Perceptions, Attitudes and Practices of Midwives Regarding Maternal Influenza and Pertussis Vaccination: A Qualitative Study," IJERPH, MDPI, vol. 19(14), pages 1-17, July.
    3. Yu Hu & Ying Wang & Hui Liang & Yaping Chen, 2017. "Seasonal Influenza Vaccine Acceptance among Pregnant Women in Zhejiang Province, China: Evidence Based on Health Belief Model," IJERPH, MDPI, vol. 14(12), pages 1-9, December.
    4. Rivero-Santana, Amado & Cuéllar-Pompa, Leticia & Sánchez-Gómez, Luis M. & Perestelo-Pérez, Lilisbeth & Serrano-Aguilar, Pedro, 2014. "Effectiveness and cost-effectiveness of different immunization strategies against whooping cough to reduce child morbidity and mortality," Health Policy, Elsevier, vol. 115(1), pages 82-91.
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