Evidence map›Paper›PMID 29317900›Full record

ArticleJournal of infection prevention2017

Knowledge, attitudes and practices related to tetanus toxoid vaccination in women of childbearing age: A cross-sectional study in peri-urban settlements of Karachi, Pakistan.

Yasir Shafiq, Asif Raza Khowaja, Mohammad Tahir Yousafzai, Syed Asad Ali, Anita Zaidi, Ali Faisal Saleem

Open access · greenAbstract read
In one paragraph

Article in Journal of infection prevention, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yasir ShafiqDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Asif Raza KhowajaDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Mohammad Tahir YousafzaiDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Syed Asad AliDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Anita ZaidiDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Ali Faisal SaleemDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Aga Khan University · PK

Funding

Pediatric Infectious Diseases, Enteric Health and Malnutrition in Pakistan (PIDEMP) Research Training ProgramD43TW007585 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI ALI, SYED ASAD, MOORE, SEAN RYAN · 2006 to 2024
$3.7M
FIC NIH HHS D43 TW007585
6 · The paper itself

Abstract

backgoundA higher incidence of neonatal tetanus implies failure of the vaccination program in Pakistan.

objectivesThe objective of this study was to assess knowledge, attitudes and practices related to tetanus toxoid (TT) vaccine in women of childbearing age.

methodsWe performed a cross-sectional survey in peri-urban Karachi, Pakistan, among women of childbearing age, stratified into three mutually exclusive groups as: married pregnant; married non-pregnant; and unmarried. Descriptive and inferential analyses were performed to estimate vaccine coverage and knowledge attributes.

resultsA total of 450 women participated, of which the largest proportion were married and non-pregnant (n = 185/450, 41%). Over 50% of women (n = 258/450) had not received TT vaccine. Most unmarried women (n = 139, 97%) were unvaccinated. Non-vaccination predictors included: women aged <25 years without any formal education (adjusted odds ratio [OR], 2.1; 95% confidence interval [CI], 1.0-4.4), lack of knowledge about free vaccination (adjusted OR, 4.0; 95% CI, 1.64-10.20), poor knowledge of tetanus disease/vaccination (adjusted OR, 4.6; 95%, 2.2-9.6), living with extended family (adjusted OR, 2.0; 95% CI, 1.04-3.96); family non-supporting vaccination (adjusted OR, 5.7; 95% CI, 2.3-13.9); and husband/other family member deciding upon issues related to women's health (adjusted OR, 2.9; 95% CI, 1.3-6.6).

conclusionLow coverage of TT vaccine is largely influenced by poor knowledge, family structure and family decision-making in the local communities of Pakistan.

Indexed as

Maternal and neonatal tetanustetanus immunisationwomen of childbearing age

Identifiers

PMID29317900
PMCPMC5753936
OpenAlexW2589948957

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.