Influenza Vaccine Coverage Rate and Related Factors on Pregnant Women

Mi-Jung Kim; Seung-Youn Lee; Kwang-Soo Lee; Aerum Kim; Dongwook Son; Moon-Hyun Chung; Shin-Goo Park; Ji-Hyun Park; Byung-Ik Lee; Jin-Soo Lee

doi:10.3947/ic.2009.41.6.349

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Kim, Lee, Lee, Kim, Son, Chung, Park, Park, Lee, and Lee: Influenza Vaccine Coverage Rate and Related Factors on Pregnant Women

Original Article

Infection and Chemotherapy

Infection and Chemotherapy 2009; 41(6): 349-354.

Published online: 31 December 2009

DOI: https://doi.org/10.3947/ic.2009.41.6.349

Influenza Vaccine Coverage Rate and Related Factors on Pregnant Women

Mi-Jung Kim, M.D.¹, Seung-Youn Lee, M.D.¹, Kwang-Soo Lee, M.D.¹, Aerum Kim, M.D.¹, Dongwook Son, M.D.¹, Moon-Hyun Chung, M.D.¹, Shin-Goo Park, M.D.², Ji-Hyun Park, M.D.³, Byung-Ik Lee, M.D.³, Jin-Soo Lee, M.D.¹

¹Department of Internal Medicine, School of Medicine, Inha University, Incheon, Korea.

²Department of Occupational Medicine, School of Medicine, Inha University, Incheon, Korea.

³Department of Obstetrics and Gynecology, School of Medicine, Inha University, Incheon, Korea.

Corresponding author: Jin-Soo Lee, M.D. Department of Internal Medicine, School of Medicine, Inha University, 7-206, Sinheung-dong 3-ga, Jung-gu, Incheon 400-711, Korea. Tel: +82-32-890-3616, Fax: +82-32-882-6578, ljinsoo@inha.ac.kr

Received 13 October 2009 Accepted 17 September 2009

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background

During seasonal influenza epidemics and previous pandemics, pregnant women have been at increased risk for complications related to influenza infection. Although influenza vaccination has been widely recommended to pregnant women and immunocompromised hosts, the vaccination rate is presumed to be low in pregnant women. This study was aimed to evaluate the vaccination rate and factors associated with Influenza vaccination among pregnant women, who are at high risk for developing complications from the influenza.

Materials and Methods

This study was carried out by telephone survey from April, 2007 to August, 2007. Women who were in their second trimester of pregnancy or above,- during October, 2006 and February, 2007, the recommended vaccination period, and had given birth at Inha University Hospital were selected as the study population. Immunization status, general understanding, and factors associated with vaccination were evaluated.

Results

Among a total of 506 eligible pregnant women, 227 (44.8%) responded to the questionnaires. The influenza vaccination rate among the pregnant women was only 4% (9/227). Major reasons for not receiving vaccination were first, not awaring the necessity of immunization during pregnancy (48.5%, 110/227) and second, misunderstanding that it is prohibited during pregnancy (36.1%, 82/227). The major factors that influenced the compliance of vaccination were correct understanding and doctor's recommendation on the influenza immunization during pregnancy.

Conclusions

The influenza vaccine coverage on pregnant women was very low and the awareness of influenza vaccination during pregnancy in general was inaccurate. Shift in perception is required and this can be achieved by educating the pregnant women on the safety and efficacy of vaccination. In addition, doctors' active encouragement to vaccination is highly recommended.

Keywords: Influenza vaccine, Immunization rate, Pregnant women, Vaccination

Figures and Tables

Table 1

The Questionnaire on the Understanding of Influenza Vaccination

Table 2

The Major Reasons for Not Having Received Vaccination

Table 3

The Associated Factors to Receive Vnaccination

^*χ² test, Fisher's exact test

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