Do Thai Physicians Recommend Seasonal Influenza Vaccines to Pregnant Women? A Cross-Sectional Survey of Physicians’ Perspectives and Practices in Thailand

Physicians play a major role in influencing acceptance and uptake of vaccines. However, little is known about physicians' perspectives on influenza vaccination of pregnant women in Thailand, for whom vaccine coverage is estimated at <1%. In 2013, a self-administered questionnaire on physicia...

Celý popis

Uloženo v:

Podrobná bibliografie
Vydáno v:	PloS one Ročník 12; číslo 1; s. e0169221
Hlavní autoři:	Praphasiri, Prabda, Ditsungneon, Darunee, Greenbaum, Adena, Dawood, Fatimah S., Yoocharoen, Pornsak, Stone, Deborah M., Olsen, Sonja J., Lindblade, Kim A., Muangchana, Charung
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Public Library of Science 18.01.2017 Public Library of Science (PLoS)
Témata:	Adult Aged Attitude of Health Personnel Attitudes Biology and Life Sciences Cross-Sectional Studies Female Health aspects Health care Health Knowledge, Attitudes, Practice Hospitals - statistics & numerical data Humans Immunization Influenza Influenza vaccines Influenza Vaccines - administration & dosage Influenza Vaccines - immunology Influenza, Human - prevention & control Male Medical personnel Medicine and Health Sciences Middle Aged People and Places Physicians Practice Practice Patterns, Physicians' - statistics & numerical data Pregnancy Pregnancy Complications, Infectious - prevention & control Pregnant Women Public health Regression analysis Surveys and Questionnaires Thailand Vaccination - statistics & numerical data Vaccine efficacy Vaccines Womens health Young Adult Thailand
ISSN:	1932-6203, 1932-6203
On-line přístup:	Získat plný text
Tagy:	Přidat tag Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!

Popis
Shrnutí:	Physicians play a major role in influencing acceptance and uptake of vaccines. However, little is known about physicians' perspectives on influenza vaccination of pregnant women in Thailand, for whom vaccine coverage is estimated at <1%. In 2013, a self-administered questionnaire on physicians' perceptions, attitudes and practices related to influenza vaccination for pregnant women was distributed to 1,134 hospitals with an antenatal care clinic (ANC) in Thailand. At each hospital, one physician working at the ANC completed the survey. Predictors of routine recommendation of influenza vaccine were analyzed utilizing log-binomial regression. A total of 580 (51%) complete responses were received from physicians practicing at ANCs. A favorable attitude towards vaccination was expressed by 436 (75%) physicians, however only 142 (25%) reported routinely recommending influenza vaccine to pregnant women in their current practice. Physicians were more likely to recommend influenza vaccine routinely when they had more than three years of practice (prevalence ratio [PR] 1.9, 95% CI 1.2-2.3), had treated pregnant women for influenza (PR 1.8, 95% CI 1.3-2.7), perceived the influenza vaccine to be effective (moderate level: PR 1.6, 95% CI 1.1-2.4; high level: PR 1.9, 95% CI 1.3-2.9) and were aware of the Ministry of Public Health's (MOPH) recommendation of influenza vaccination in pregnancy (PR 1.3, 95% CI 1.1-1.7). Vaccine not being available, perception that policy was ambiguous and lack of awareness of MOPH recommendations were the most commonly cited barriers to routine recommendation of influenza vaccine. Despite a national policy to vaccinate pregnant women for influenza, only 25% of Thai physicians working in ANCs routinely recommend vaccination. Strategies are needed to increase vaccine availability and free vaccine services, address clinician concerns over vaccine effectiveness and expand healthcare provider awareness of MOPH recommendations.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Conceptualization: PP AG FSD PY SJO KAL CM.Data curation: PP DD KAL.Formal analysis: PP DD KAL DMS.Funding acquisition: CM.Investigation: PP PY CM.Methodology: PP DD AG FSD KAL CM PY.Project administration: PP DD PY CM.Resources: CM, KAL.Supervision: SJO KAL.Validation: PP DD CM.Visualization: PP DD KAL FSD.Writing – original draft: PP DD AG DMS.Writing – review & editing: PP FSD SJO KAL PY CM. Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0169221