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Predictors for influenza vaccination among Thai pregnant woman: The role of physicians in increasing vaccine uptake

机译：泰国孕妇中流感疫苗接种的预测因子：医生在增加疫苗摄入中的作用

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Background Physician recommendation and attitudes and beliefs of pregnant women toward influenza and vaccination may influence vaccine uptake during pregnancy. We examined how physician recommendation and health beliefs of pregnant women may jointly affect influenza vaccination during pregnancy. Methods Thai pregnant women aged?≥18?years and?13 gestational weeks attending antenatal care (ANC) clinics, and ANC physicians were recruited during May‐August 2015. Women and physicians, linked using unique identifiers, provided data on demographic, health and work history, knowledge, attitudes, and beliefs toward influenza and vaccination, based on Health Belief Model constructs. Physicians also provided data on their practices in recommending influenza vaccination during pregnancy. Prevalence ratios for the association between knowledge, attitudes and beliefs of pregnant women, physician recommendation and documented receipt of vaccination within 30?days of the visit were calculated. Results Among 610 women, the median age was 27?years; 266 (44%) and 344 (56%) were in the second and third trimesters, respectively. Twenty‐one (3%) had pre‐existing conditions. Of 60 physicians with the median years of practice of 5; 17 (28%) reported frequently/usually/always recommending influenza vaccine to their pregnant patients, while 43 (72%) reported never/rarely/sometimes recommending the vaccine. Controlling for the pregnant women's knowledge and beliefs, pregnant women whose physician recommended influenza vaccination were 2.3 times (95% confidence interval 1.4‐3.8) more likely to get vaccinated. Conclusions In this study, physician recommendation was the only significant factor associated with influenza vaccine uptake among Thai pregnant women. Understanding physicians’ motivation/barrier to recommending influenza vaccination to pregnant women may increase coverage.
机译：背景技术内科医生对孕妇的建议以及对流感和疫苗接种的态度和信念可能会影响怀孕期间的疫苗摄入。我们研究了孕妇的医师推荐和健康信念如何共同影响怀孕期间的流感疫苗接种。方法在2015年5月至8月期间，招募年龄≥18岁且≥13个孕周的产前护理（ANC）诊所的泰国孕妇和ANC医师。使用唯一标识符链接的妇女和医师可提供人口统计学，健康状况数据以及基于“健康信念模型”构建的对流感和疫苗接种的工作历史，知识，态度和信念。医师还提供了有关建议在怀孕期间进行流感疫苗接种的做法的数据。计算出在访视后30天内，孕妇的知识，态度和信仰，医生的建议以及有记录的疫苗接种之间的关联患病率。结果610名女性中位年龄为27岁。妊娠中期和晚期分别为266（44％）和344（56％）。 21位（3％）患有先前的疾病。在60位医师中，有5年的中位执业年限; 17（28％）人经常/通常/总是向怀孕的孕妇推荐流感疫苗，而43（72％）人从未/很少/有时推荐使用流感疫苗。控制孕妇的知识和信念，其医师建议进行流感疫苗接种的孕妇接种疫苗的可能性是孕妇的2.3倍（95％置信区间1.4-3.8）。结论在这项研究中，医师的推荐是泰国孕妇中唯一与流感疫苗摄取有关的重要因素。了解医生向孕妇推荐接种流感疫苗的动机/障碍可能会增加覆盖面。

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