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Determinants of 2009 A/H1N1 Influenza Vaccination Among Pregnant Women in Hong Kong

Abstract  

During the 2009–2010 A/H1N1 influenza pandemic, pregnant women infected with the virus experienced excess morbidity and mortality
when compared with other groups. Once a vaccine was available, pregnant women were a priority group for vaccination. Only
a few studies have reported on the uptake of 2009 A/H1N1 influenza vaccine among pregnant women during the pandemic and none
were from Asia. The purpose of this study was to examine factors associated with 2009 A/H1N1 influenza vaccine uptake among
pregnant women in Hong Kong. Using a multi-center, cross-sectional design, we recruited 549 postpartum women from four post-natal
wards in Hong Kong over a 4-month period during the second wave of the A/H1N1 influenza pandemic in the winter and spring
of 2010. Only 6.2% (n = 34) of participants had received the 2009 A/H1N1 influenza vaccine and 4.9% (n = 27) had received
the seasonal influenza vaccine. The most common reasons for not receiving the 2009 A/H1N1 vaccine were fear of causing harm
to themselves or their fetus. A high knowledge level (OR = 19.06; 95% CI 5.55, 65.48), more positive attitudes (OR = 3.52;
95% CI 1.37, 9.07), and having a family member who had the 2009 A/H1N1 influenza vaccine (OR = 7.69; 95% CI 2.92, 20.19) were
independently and positively associated with vaccination. Study results show an unacceptably low uptake of the pandemic A/H1N1
influenza vaccine among pregnant women in Hong Kong. Interventions to increase influenza vaccine knowledge and uptake among
this group should be a priority for future pandemic planning and seasonal vaccination campaigns.

  • Content Type Journal Article
  • Pages 1-10
  • DOI 10.1007/s10995-011-0943-1
  • Authors
    • Marie Tarrant, School of Nursing, Li Ka Shing Faculty of Medicine, 4/F, William M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong
    • Kendra M. Wu, School of Public Health, Li Ka Shing Faculty of Medicine, 21 Sassoon Road, Pokfulam, Hong Kong
    • Carol Yuet Sheung Yuen, School of Nursing, Li Ka Shing Faculty of Medicine, 4/F, William M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong
    • Ka Lun Cheung, School of Nursing, Li Ka Shing Faculty of Medicine, 4/F, William M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong
    • Vincci Hiu Sze Chan, School of Nursing, Li Ka Shing Faculty of Medicine, 4/F, William M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong
    • Journal Maternal and Child Health Journal
    • Online ISSN 1573-6628
    • Print ISSN 1092-7875
Posted in: Journal Article Abstracts on 02/03/2012 | Link to this post on IFP |
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