ArticleBMC pregnancy and childbirth2021
Acceptance of seasonal influenza vaccination and associated factors among pregnant women in the context of COVID-19 pandemic in China: a multi-center cross-sectional study based on health belief model.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
- Maternal Vaccine Acceptance and Attitudes Before and After the COVID-19 Pandemic: A Narrative Literature Review.Vaccines · 2026Review
- Factors associated with willingness to receive influenza vaccination among adults in Shanghai, China: a study based on the health belief model.BMC public health · 2026Article
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- Factors influencing influenza vaccine hesitancy among cancer patients: a multicenter cross-sectional study based on the Health Belief Model.BMC infectious diseases · 2026Article
- Influenza vaccination coverage among pregnant women during the 2023-2024 influenza season in Turkiye, a cross sectional study.BMC pregnancy and childbirth · 2026Article
- Assessing barriers and facilitators of attitudes toward seasonal influenza vaccination among pregnant women using the Health Belief Model.Human vaccines & immunotherapeutics · 2025Article
- Predictors of Willingness to Receive Monkeypox Vaccine in Palestine: A Cross-Sectional Study.Vaccines · 2025Article
- Seasonal influenza vaccine knowledge and attitudes among pregnant women: a cross-sectional study in Palestine.BMC public health · 2025Article
- Acceptance of healthcare services based on the large language model in China: a national cross-sectional study.BMC public health · 2025Article
- Article
- Knowledge and attitudes of pregnant women about COVID-19 vaccination.Revista latino-americana de enfermagem · 2025Article
- Factors associated with pregnant women's willingness to receive maternal pertussis vaccination in Guizhou Province, China: An exploratory cross-sectional study.Human vaccines & immunotherapeutics · 2024Article
- Knowledge, attitudes, and perceptions of influenza vaccine among pregnant women in Minhang District, Shanghai.Human vaccines & immunotherapeutics · 2024Article
- Article
- Do self-rated health and previous vaccine uptake influence the willingness to accept MPOX vaccine during a public health emergency of concern? A cross-sectional study.PLOS global public health · 2024Article
- Assessing acceptability of the fourth dose against COVID-19 among Chinese adults: A population-based survey.Human vaccines & immunotherapeutics · 2023Article
- Knowledge, attitudes, and practices (KAP) toward seasonal influenza vaccine among college students under the COVID-19 pandemic in South China.Immunity, inflammation and disease · 2023Article
- Review
- Impact of the COVID-19 Pandemic on Influenza Vaccination and Associated Factors among Pregnant Women: A Cross-Sectional Study in Korea.Vaccines · 2023Article
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Authors and funding
11 authors.
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Abstract
backgroundSeasonal influenza can circulate in parallel with coronavirus disease (COVID-19) in winter. In the context of COVID-19 pandemic, the risk of co-infection and the burden it poses on healthcare system calls for timely influenza vaccination among pregnant women, who are the priority population recommended for vaccination. We aimed to evaluate the acceptance of influenza vaccination and associated factors among pregnant women during COVID-19 pandemic, provide evidence to improve influenza vaccination among pregnant women, help reduce the risk of infection and alleviate the burden of healthcare system for co-infected patients.
methodsWe conducted a multi-center cross-sectional study among pregnant women in China. Sociodemographic characteristics, health status, knowledge on influenza, attitude towards vaccination, and health beliefs were collected. Locally weighted scatterplot smoothing regression analysis was used to evaluate the trends in the acceptance of influenza vaccine. Logistic regression was applied to identify factors associated with vaccination acceptance.
resultsThe total acceptance rate was 76.5% (95%CI: 74.8-78.1%) among 2568 pregnant women enrolled. Only 8.3% of the participants had a history of seasonal influenza vaccination. In the logistic regression model, factors associated with the acceptance of influenza vaccine were western region, history of influenza vaccination, high knowledge of influenza infection and vaccination, high level of perceived susceptibility, perceived benefit, cues to action and low level of perceived barriers. Among 23.5% of the participants who had vaccine hesitancy, 48.0% of them were worried about side effect, 35.6% of them lacked confidence of vaccine safety.
conclusionsOur findings highlighted that tailored strategies and publicity for influenza vaccination in the context of COVID-19 pandemic are warranted to reduce pregnant women's concerns, improve their knowledge, expand vaccine uptake and alleviate pressure for healthcare system.
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