Evidence map›Paper›PMID 32893035›Full record

ArticleVaccine2020

Knowledge and attitudes towards influenza and influenza vaccination among pregnant women in Kenya.

Nancy A Otieno, Bryan Nyawanda, Fredrick Otiato, Maxwel Adero, Winnie N Wairimu, Raphael Atito, Andrew D Wilson, Ines Gonzalez-Casanova, Fauzia A Malik, Jennifer R Verani and 3 more

Abstract read
In one paragraph

Article in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Nancy A OtienoKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya. Electronic address: Notieno@kemricdc.org.
Bryan NyawandaKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
Fredrick OtiatoKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
Maxwel AderoKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
Winnie N WairimuKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
Raphael AtitoKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
Andrew D WilsonEmory University Rollins School of Public Health, Hubert Department of Global Health, Atlanta, GA, USA.
Ines Gonzalez-CasanovaEmory University Rollins School of Public Health, Hubert Department of Global Health, Atlanta, GA, USA.
Fauzia A MalikEmory University Rollins School of Public Health, Hubert Department of Global Health, Atlanta, GA, USA.
Jennifer R VeraniCenters for Disease Control and Prevention, Division of Global Health Protection, Kenya.
Marc-Alain WiddowsonCenters for Disease Control and Prevention, Division of Global Health Protection, Kenya.
Saad B OmerEmory University Rollins School of Public Health, Hubert Department of Global Health, Atlanta, GA, USA.
Sandra S ChavesCenters for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Kenya.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundInfluenza vaccination during pregnancy benefits mothers and children. Kenya and other low- and middle-income countries have no official influenza vaccination policies to date but are moving towards issuing such policies. Understanding determinants of influenza vaccine uptake during pregnancy in these settings is important to inform policy decisions and vaccination rollout.

methodsWe interviewed a convenience sample of women at antenatal care facilities in four counties (Nairobi, Mombasa, Marsabit, Siaya) in Kenya. We described knowledge and attitudes regarding influenza vaccination and assessed factors associated with willingness to receive influenza vaccine.

resultsWe enrolled 507 pregnant women, median age was 26 years (range 15-43). Almost half (n = 240) had primary or no education. Overall, 369 (72.8%) women had heard of influenza. Among those, 288 (78.1%) believed that a pregnant woman would be protected if vaccinated, 252 (68.3%) thought it was safe to receive a vaccine while pregnant, and 223 (60.4%) believed a baby would be protected if mother was vaccinated. If given opportunity, 309 (83.7%) pregnant women were willing to receive the vaccine. Factors associated with willingness to receive influenza vaccine were mothers' belief in protective effect (OR 3.87; 95% CI 1.56, 9.59) and safety (OR 5.32; 95% CI 2.35, 12.01) of influenza vaccines during pregnancy.

conclusionApproximately one third of pregnant women interviewed had never heard of influenza. Willingness to receive influenza vaccine was high among women who had heard about influenza. If the Kenyan government recommends influenza vaccine for pregnant women, mitigation of safety concerns and education on the benefits of vaccination could be the most effective strategies to improve vaccine acceptance.

Indexed as

Influenza, HumanInfluenza VaccinesPregnancy Complications, InfectiousAdolescentAdultChildCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansKenyaPatient Acceptance of Health CarePregnancyPregnant PeopleVaccinationYoung AdultInfluenza VaccinesAttitudesInfluenza vaccineKnowledgePregnant women

Identifiers

PMID32893035
PMCPMC7526973

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.