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Vulnerable Groups Within a Vulnerable Population: Awareness of the A(H1N1)pdm09 Pandemic and Willingness to Be Vaccinated Among Pregnant Women in Ivory Coast

Identifieur interne : 000720 ( Pmc/Corpus ); précédent : 000719; suivant : 000721

Vulnerable Groups Within a Vulnerable Population: Awareness of the A(H1N1)pdm09 Pandemic and Willingness to Be Vaccinated Among Pregnant Women in Ivory Coast

Auteurs : Damus P. Kouassi ; Daouda Coulibaly ; Lydia Foster ; Hervé Kadjo ; Talla N'Zussuouo ; Youssouf Traoré ; Djibril Chérif ; Anderson K. N'Gattia ; Mark G. Thompson

Source :

RBID : PMC:3572881

Abstract

Background. Because little is known about attitudes toward influenza and influenza vaccine among pregnant women in West Africa, before local distribution of A(H1N1)pdm09 vaccine in Ivory Coast we assessed knowledge of the pandemic and acceptance of the A(H1N1)pdm09 vaccine in a diverse population of pregnant women.

Methods. A cross-sectional intercept survey of 411 pregnant women in 4 prenatal care settings was conducted during 15–28 February 2010 in Abidjan, Ivory Coast.

Results. The majority (64.5%) of pregnant women said they had heard of the influenza pandemic, and of these, the majority (61.3%) were aware of the A(H1N1)pdm09 vaccine. However, awareness varied significantly by clinical setting, education level, and access to media (P < .001 for all comparisons). After adjustment for other sociodemographic factors, college-educated women were 16.8 (95% confidence interval [CI], 3.3–85.2) times as likely as women without formal education to be aware of the pandemic. After controlling for both education and demographic characteristics, women with televisions were 5 times as likely as women without television to be aware of the pandemic (adjusted odds ratio [aOR], 4.94; 95% CI, 1.34–18.17). Of those aware of the influenza pandemic, 69.8% said they would accept the A(H1N1)pdm09 vaccine while they were pregnant. Although awareness was highest in private prenatal care clinics, compared with public outpatient clinics (90.6% vs 37.5%), acceptance of vaccine was significantly lower in private settings, compared with public outpatient settings (57.3% vs 87.2%; P < .001 for each comparison).

Conclusions. Gaps in knowledge about the influenza pandemic and vaccine highlight the challenges of pandemic preparedness in poorer countries, where substantial disparities in education and media access are evident.


Url:
DOI: 10.1093/infdis/jis532
PubMed: 23169956
PubMed Central: 3572881

Links to Exploration step

PMC:3572881

Le document en format XML

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<name sortKey="Kouassi, Damus P" sort="Kouassi, Damus P" uniqKey="Kouassi D" first="Damus P." last="Kouassi">Damus P. Kouassi</name>
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<name sortKey="Traore, Youssouf" sort="Traore, Youssouf" uniqKey="Traore Y" first="Youssouf" last="Traoré">Youssouf Traoré</name>
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<name sortKey="N Gattia, Anderson K" sort="N Gattia, Anderson K" uniqKey="N Gattia A" first="Anderson K." last="N'Gattia">Anderson K. N'Gattia</name>
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<name sortKey="Thompson, Mark G" sort="Thompson, Mark G" uniqKey="Thompson M" first="Mark G." last="Thompson">Mark G. Thompson</name>
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<addr-line>Influenza Division</addr-line>
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<title xml:lang="en" level="a" type="main">Vulnerable Groups Within a Vulnerable Population: Awareness of the A(H1N1)pdm09 Pandemic and Willingness to Be Vaccinated Among Pregnant Women in Ivory Coast</title>
<author>
<name sortKey="Kouassi, Damus P" sort="Kouassi, Damus P" uniqKey="Kouassi D" first="Damus P." last="Kouassi">Damus P. Kouassi</name>
<affiliation>
<nlm:aff id="af1">
<addr-line>Epidemics Surveillance</addr-line>
,
<institution>National Institute of Public Hygiene</institution>
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<author>
<name sortKey="Coulibaly, Daouda" sort="Coulibaly, Daouda" uniqKey="Coulibaly D" first="Daouda" last="Coulibaly">Daouda Coulibaly</name>
<affiliation>
<nlm:aff id="af1">
<addr-line>Epidemics Surveillance</addr-line>
,
<institution>National Institute of Public Hygiene</institution>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Foster, Lydia" sort="Foster, Lydia" uniqKey="Foster L" first="Lydia" last="Foster">Lydia Foster</name>
<affiliation>
<nlm:aff id="af3">
<addr-line>Influenza Division</addr-line>
,
<institution>Centers for Disease Control and Prevention</institution>
,
<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kadjo, Herve" sort="Kadjo, Herve" uniqKey="Kadjo H" first="Hervé" last="Kadjo">Hervé Kadjo</name>
<affiliation>
<nlm:aff id="af2">
<addr-line>Respiratory Virus Unit, Department of Epidemic Virus and National Influenza Center</addr-line>
,
<institution>Pasteur Institute</institution>
,
<addr-line>Abidjan</addr-line>
,
<country>Côte d'Ivoire</country>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="N Zussuouo, Talla" sort="N Zussuouo, Talla" uniqKey="N Zussuouo T" first="Talla" last="N'Zussuouo">Talla N'Zussuouo</name>
<affiliation>
<nlm:aff id="af3">
<addr-line>Influenza Division</addr-line>
,
<institution>Centers for Disease Control and Prevention</institution>
,
<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="af4">
<addr-line>US Naval Medical Research Unit No. 3, Cairo, Egypt</addr-line>
</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="af5">
<addr-line>Noguchi Memorial Institute for Medical Research,</addr-line>
<institution>University of Ghana</institution>
,
<addr-line>Legon</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Traore, Youssouf" sort="Traore, Youssouf" uniqKey="Traore Y" first="Youssouf" last="Traoré">Youssouf Traoré</name>
<affiliation>
<nlm:aff id="af1">
<addr-line>Epidemics Surveillance</addr-line>
,
<institution>National Institute of Public Hygiene</institution>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cherif, Djibril" sort="Cherif, Djibril" uniqKey="Cherif D" first="Djibril" last="Chérif">Djibril Chérif</name>
<affiliation>
<nlm:aff id="af1">
<addr-line>Epidemics Surveillance</addr-line>
,
<institution>National Institute of Public Hygiene</institution>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="N Gattia, Anderson K" sort="N Gattia, Anderson K" uniqKey="N Gattia A" first="Anderson K." last="N'Gattia">Anderson K. N'Gattia</name>
<affiliation>
<nlm:aff id="af1">
<addr-line>Epidemics Surveillance</addr-line>
,
<institution>National Institute of Public Hygiene</institution>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thompson, Mark G" sort="Thompson, Mark G" uniqKey="Thompson M" first="Mark G." last="Thompson">Mark G. Thompson</name>
<affiliation>
<nlm:aff id="af3">
<addr-line>Influenza Division</addr-line>
,
<institution>Centers for Disease Control and Prevention</institution>
,
<addr-line>Atlanta, Georgia</addr-line>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The Journal of Infectious Diseases</title>
<idno type="ISSN">0022-1899</idno>
<idno type="eISSN">1537-6613</idno>
<imprint>
<date when="2012">2012</date>
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<front>
<div type="abstract" xml:lang="en">
<p>
<bold>
<italic>Background.</italic>
</bold>
 Because little is known about attitudes toward influenza and influenza vaccine among pregnant women in West Africa, before local distribution of A(H1N1)pdm09 vaccine in Ivory Coast we assessed knowledge of the pandemic and acceptance of the A(H1N1)pdm09 vaccine in a diverse population of pregnant women.</p>
<p>
<bold>
<italic>Methods.</italic>
</bold>
 A cross-sectional intercept survey of 411 pregnant women in 4 prenatal care settings was conducted during 15–28 February 2010 in Abidjan, Ivory Coast.</p>
<p>
<bold>
<italic>Results.</italic>
</bold>
 The majority (64.5%) of pregnant women said they had heard of the influenza pandemic, and of these, the majority (61.3%) were aware of the A(H1N1)pdm09 vaccine. However, awareness varied significantly by clinical setting, education level, and access to media (
<italic>P</italic>
 < .001 for all comparisons). After adjustment for other sociodemographic factors, college-educated women were 16.8 (95% confidence interval [CI], 3.3–85.2) times as likely as women without formal education to be aware of the pandemic. After controlling for both education and demographic characteristics, women with televisions were 5 times as likely as women without television to be aware of the pandemic (adjusted odds ratio [aOR], 4.94; 95% CI, 1.34–18.17). Of those aware of the influenza pandemic, 69.8% said they would accept the A(H1N1)pdm09 vaccine while they were pregnant. Although awareness was highest in private prenatal care clinics, compared with public outpatient clinics (90.6% vs 37.5%), acceptance of vaccine was significantly lower in private settings, compared with public outpatient settings (57.3% vs 87.2%;
<italic>P</italic>
 < .001 for each comparison).</p>
<p>
<bold>
<italic>Conclusions.</italic>
</bold>
 Gaps in knowledge about the influenza pandemic and vaccine highlight the challenges of pandemic preparedness in poorer countries, where substantial disparities in education and media access are evident.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Infect. Dis</journal-id>
<journal-id journal-id-type="publisher-id">jid</journal-id>
<journal-id journal-id-type="hwp">jinfdis</journal-id>
<journal-title-group>
<journal-title>The Journal of Infectious Diseases</journal-title>
</journal-title-group>
<issn pub-type="ppub">0022-1899</issn>
<issn pub-type="epub">1537-6613</issn>
<publisher>
<publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23169956</article-id>
<article-id pub-id-type="pmc">3572881</article-id>
<article-id pub-id-type="doi">10.1093/infdis/jis532</article-id>
<article-id pub-id-type="publisher-id">jis532</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>West Africa</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Vulnerable Groups Within a Vulnerable Population: Awareness of the A(H1N1)pdm09 Pandemic and Willingness to Be Vaccinated Among Pregnant Women in Ivory Coast</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Kouassi</surname>
<given-names>Damus P.</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Coulibaly</surname>
<given-names>Daouda</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Foster</surname>
<given-names>Lydia</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kadjo</surname>
<given-names>Hervé</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>N'Zussuouo</surname>
<given-names>Talla</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
<xref ref-type="aff" rid="af4">4</xref>
<xref ref-type="aff" rid="af5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Traoré</surname>
<given-names>Youssouf</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chérif</surname>
<given-names>Djibril</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>N'gattia</surname>
<given-names>Anderson K.</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thompson</surname>
<given-names>Mark G.</given-names>
</name>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
</contrib-group>
<aff id="af1">
<label>1</label>
<addr-line>Epidemics Surveillance</addr-line>
,
<institution>National Institute of Public Hygiene</institution>
</aff>
<aff id="af2">
<label>2</label>
<addr-line>Respiratory Virus Unit, Department of Epidemic Virus and National Influenza Center</addr-line>
,
<institution>Pasteur Institute</institution>
,
<addr-line>Abidjan</addr-line>
,
<country>Côte d'Ivoire</country>
</aff>
<aff id="af3">
<label>3</label>
<addr-line>Influenza Division</addr-line>
,
<institution>Centers for Disease Control and Prevention</institution>
,
<addr-line>Atlanta, Georgia</addr-line>
</aff>
<aff id="af4">
<label>4</label>
<addr-line>US Naval Medical Research Unit No. 3, Cairo, Egypt</addr-line>
</aff>
<aff id="af5">
<label>5</label>
<addr-line>Noguchi Memorial Institute for Medical Research,</addr-line>
<institution>University of Ghana</institution>
,
<addr-line>Legon</addr-line>
</aff>
<author-notes>
<fn>
<p>Presented in part: 3rd National Annual Meeting of the Sentinel Surveillance Network of Influenza, Grand Bassam, Cote d'Ivoire, 11–12 June 2010.</p>
</fn>
<corresp>Correspondence: Damus P. Kouassi, MD, National Institute of Public Hygiene, P.O. Box V14 Abidjan, Cote d'Ivoire (
<email>paquindamus@yahoo.fr</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub">
<day>15</day>
<month>12</month>
<year>2012</year>
</pub-date>
<volume>206</volume>
<issue>Suppl 1</issue>
<issue-title>Influenza in Africa</issue-title>
<fpage>S114</fpage>
<lpage>S120</lpage>
<permissions>
<copyright-statement>© The Author 2012. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail:
<email>journals.permissions@oup.com</email>
.</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="jis532.pdf"></self-uri>
<abstract>
<p>
<bold>
<italic>Background.</italic>
</bold>
 Because little is known about attitudes toward influenza and influenza vaccine among pregnant women in West Africa, before local distribution of A(H1N1)pdm09 vaccine in Ivory Coast we assessed knowledge of the pandemic and acceptance of the A(H1N1)pdm09 vaccine in a diverse population of pregnant women.</p>
<p>
<bold>
<italic>Methods.</italic>
</bold>
 A cross-sectional intercept survey of 411 pregnant women in 4 prenatal care settings was conducted during 15–28 February 2010 in Abidjan, Ivory Coast.</p>
<p>
<bold>
<italic>Results.</italic>
</bold>
 The majority (64.5%) of pregnant women said they had heard of the influenza pandemic, and of these, the majority (61.3%) were aware of the A(H1N1)pdm09 vaccine. However, awareness varied significantly by clinical setting, education level, and access to media (
<italic>P</italic>
 < .001 for all comparisons). After adjustment for other sociodemographic factors, college-educated women were 16.8 (95% confidence interval [CI], 3.3–85.2) times as likely as women without formal education to be aware of the pandemic. After controlling for both education and demographic characteristics, women with televisions were 5 times as likely as women without television to be aware of the pandemic (adjusted odds ratio [aOR], 4.94; 95% CI, 1.34–18.17). Of those aware of the influenza pandemic, 69.8% said they would accept the A(H1N1)pdm09 vaccine while they were pregnant. Although awareness was highest in private prenatal care clinics, compared with public outpatient clinics (90.6% vs 37.5%), acceptance of vaccine was significantly lower in private settings, compared with public outpatient settings (57.3% vs 87.2%;
<italic>P</italic>
 < .001 for each comparison).</p>
<p>
<bold>
<italic>Conclusions.</italic>
</bold>
 Gaps in knowledge about the influenza pandemic and vaccine highlight the challenges of pandemic preparedness in poorer countries, where substantial disparities in education and media access are evident.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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