Knowledge,attitudes and practices about vaccine-preventable diseases and vaccinations of children among pregnant women in Greece |
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| Affiliation: | 1. Directorate for Epidemiological Surveillance and Interventions of Infectious Diseases, National Public Health Organization, Athens, Greece;2. First Department of Obstetrics and Gynecology, University of Athens, Alexandra General Hospital, Athens, Greece;3. Department of Database Design, Statistics and Data Management, National Public Health Organization, Athens, Greece;4. Neonatal Department, Elena Venizelou Maternity Hospital, Athens, Greece;5. First Department of Pediatrics, University of Athens, Aghia Sophia Children Hospital, Athens, Greece;1. ThinkWell, Washington, DC, USA;2. Harvard T.H. Chan School of Public Health, Department of Global Health and Population, Boston, MA, USA;3. Ifakara Health Institute, Dar es Salaam, Tanzania;4. Immunization and Vaccines Development (IVD), Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania;5. Genesis Analytics, Johannesburg, South Africa;1. The Committee on Immunization and Infectious Diseases, Japan Pediatric Society, Japan;2. Department of Nursing, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;3. Department of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;4. Department of Pediatrics, St. Marianna University School of Medicine, Kanagawa, Japan;5. Mine Pediatric Clinic, Saitama, Japan;6. Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan;7. Division of Infectious Diseases, National Center for Child Health and Development, Tokyo, Japan;8. Department of Infectious Diseases, Medical Mycology Research Center, Chiba University, Chiba, Japan;9. Department of Neonatology, Japanese Red Cross Nagoya Daiichi Hospital, Aichi, Japan;10. Department of Pediatric Neurology, Fukuoka Children''s Hospital, Fukuoka, Japan;11. Infectious Disease Center and Department of Clinical Research, National Hospital Organization Mie Hospital, Mie, Japan;12. Department of Pediatrics, Sapporo Medical University School of Medicine, Hokkaido, Japan;13. Fujioka Pediatrics, Osaka, Japan;14. Fukuoka Welfare Center for the Disabled, Fukuoka, Japan;15. Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan;p. Department of Pediatrics, University Faculty of Medicine, Oita, Japan;q. Department of Pediatrics, Kawasaki Medical School, Okayama, Japan;r. Department of Pediatrics, Fujita Health University School of Medicine, Aichi, Japan;s. Department of Infectious Diseases, Keio University School of Medicine, Tokyo, Japan;t. Department of Pediatrics, University of Occupational and Environmental Health, Fukuoka, Japan;u. Department of Pediatrics, Asahikawa Medical University, Hokkaido, Japan;v. Department of Pediatrics, Nagasaki University, Nagasaki, Japan;w. Kawasaki City Institute for Public Health, Kanagawa, Japan;x. Department of Pediatrics, Fukushima Medical University, Fukushima, Japan;y. Division of Basic Nursing, Fukuoka Nursing College, Fukuoka, Japan;1. Center for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, 1000 N Oak Ave, ML2, Marshfield, WI 54449, United States;2. Institute for Health Research, Kaiser Permanente Colorado, 10065 E Harvard Ave #300, Denver, CO 80231, United States;3. Vaccine Study Center, Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612, United States;4. Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Ave, Portland, OR 97227, United States;5. Immunization Safety Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS V18-4, Atlanta, GA 30333, United States;1. Department of Epidemiology, Health Sciences, Faculty of Social Sciences, University of Tampere, Tampere, Finland;2. Department of Health Security, National Institute for Health and Welfare (THL), Helsinki, Finland;3. Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK;4. Society for Applied Studies, Vellore, Tamil Nadu, India;5. Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India;6. Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India;1. Department of Work & Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD Maastricht, the Netherlands;2. TNO Child Health, Netherlands Organization for Applied Scientific Research, P.O. Box 3005, 2316 ZL Leiden, the Netherlands;3. Center for Infectious Disease Control, Epidemiology and Surveillance, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, the Netherlands;4. Radboud University Medical Centre (UMC), P.O. Box 9101, 6500 HB Nijmegen, the Netherlands;5. Department of Persuasive Communication, Communication Science, University of Amsterdam, 1001 NH, Amsterdam;1. Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333, USA;2. Abt Associates Inc., 55 Wheeler St., Cambridge, MA 02118, USA |
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| Abstract: | Vaccine hesitancy has been recognized by the World Health Organization as one of ten threats to public health globally in 2019. Pregnant women constitute an extremely important group for the study of knowledge and attitudes towards pediatric vaccinations. This is a cross-sectional survey conducted in two maternity hospitals in Athens. A standardized questionnaire was used. A total of 814 pregnant women with a mean age of 33.1 years and a mean gestational age of 24.4 weeks were studied. Overall, 717 (89%) of 804 pregnant women reported that they intend to vaccinate their baby in accordance with the National Vaccination Program, 7 (1%) that they do not, while 80 (10%) reported that they have not decided yet. The women provided a mean of 11.4 correct replies out of 14 questions about vaccine-preventable diseases and vaccines (mean knowledge score: 81.5%). A pediatrician has been recognized as the source for information about vaccines in most cases (611/809, 75.5%), while in 215 (26.6%) the internet was also used. Overall, pregnant women trusted physicians about information for vaccines (“very much trusted” in 55.9% and “quite trusted” in 40% of cases). Lastly, 642 (81%) women agreed with the statement “vaccinations should be mandatory for school entry” while 70 (9%) women agreed with the statement “parents should have the right to refuse their children vaccinations”. A multivariate analysis found that a gestational age of ≤20 weeks (OR = 2.33, CIs: 1.27–4.28, p-value = 0.006), having another child (OR = 4.44, CIs: 2.30–8.58, p-value < 0.001), a history of influenza vaccination (OR = 2.54, CIs = 1.37–4.71, p-value = 0.003), and a higher knowledge score about vaccine-preventable diseases and vaccines (OR = 1.33, CIs: 1.23–1.45, p-value < 0.001) were significantly associated with an increased probability to get their child vaccinated in accordance with the National Vaccination Program. |
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| Keywords: | Pediatric vaccines Pregnant women Hesitancy Knowledge Attitudes Practices |
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