Willingness to receive influenza vaccination during pregnancy and associated factors among pregnant women in Taiwan.
OBJECTIVE
This study was aimed to assess the willingness to receive prenatal influenza vaccine and explore its associated factors among pregnant women in Taiwan.


DESIGN AND SAMPLE
The study population included pregnant women who received prenatal care from five private hospitals/clinics during 2017-2018 influenza season.


MEASUREMENTS
Collected data, including demographics, health-relevant factors, as well as knowledge and attitudes regarding influenza and its vaccine, were analyzed using chi-square tests, Fisher's exact test, and multivariate logistic regression analysis.


RESULTS
A total of 498 pregnant women completed the questionnaires, 321 (64.5%) intended to receive prenatal influenza vaccine. Among those who were unwilling to be vaccinated, most (88%) had concerns about the adverse events of the vaccine. Four factors were independently associated with willingness, including hospital/clinic (aOR=6.57, 95% CI=1.96-22.04), previous influenza vaccination history (aOR=9.44, 95% CI=5.63-15.83), knowledge (aOR=2.64, 95% CI=1.25-5.55) about, and attitude (aOR=5.99, 95% CI=2.40-14.92) toward influenza vaccination.


CONCLUSIONS
Pregnant women with insufficient knowledge, negative attitudes, or no experience of influenza vaccination, and in remote areas were less willing to receive maternal influenza vaccine. The adverse events and uncertainty regarding the safety of vaccines were the most important factors. The health-care providers should promote or explain risks and benefits of maternal influenza vaccination during prenatal care or outpatient consultation.
['Chang|Ya-Wen|YW|', 'Tsai|Shiow-Meei|SM|', 'Lin|Pao-Chen|PC|', 'Chou|Fan-Hao|FH|0000-0002-1756-5054']
D000328:Adult D003430:Cross-Sectional Studies D005260:Female D019538:Health Care Surveys D007722:Health Knowledge, Attitudes, Practice D016304:Hospitals, Private D006801:Humans D007252:Influenza Vaccines D007251:Influenza, Human D010342:Patient Acceptance of Health Care D011247:Pregnancy D011251:Pregnancy Complications, Infectious D037841:Pregnant Women D011295:Prenatal Care D012307:Risk Factors D012621:Seasons D013624:Taiwan D014611:Vaccination D055815:Young Adult
willingness influenza vaccine vaccination pregnant women knowledge attitude