Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.

<h4>Background</h4>Seasonal influenza vaccination uptake among young children in Thailand is low despite national recommendation for vaccination. We implemented a knowledge, attitude/perception, and practice survey to understand determinants of influenza vaccination in children aged six...

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Autores principales:	Chareeya Thanee, Wanitchaya Kittikraisak, Chalinthorn Sinthuwattanawibool, Koonkoaw Roekworachai, Arunee Klinklom, Katesiree Kornsitthikul, Suwadee Jirasakpisarn, Ussanee Srirompotong, Malinee Chittaganpitch, Fatimah S Dawood, Piyarat Suntarattiwong, Joshua A Mott, Tawee Chotpitayasunondh
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/69fc0f7b2b134d7d8cdacf23fd88daa0
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spelling	oai:doaj.org-article:69fc0f7b2b134d7d8cdacf23fd88daa02021-12-02T20:10:00ZKnowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.1932-620310.1371/journal.pone.0253561https://doaj.org/article/69fc0f7b2b134d7d8cdacf23fd88daa02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253561https://doaj.org/toc/1932-6203<h4>Background</h4>Seasonal influenza vaccination uptake among young children in Thailand is low despite national recommendation for vaccination. We implemented a knowledge, attitude/perception, and practice survey to understand determinants of influenza vaccination in children aged six months to two years.<h4>Methods</h4>Using a cross-sectional design, we interviewed caregivers of 700 children in seven hospitals using a structured questionnaire to collect information on caregivers' and children's demographic characteristics, and caregivers' knowledge of influenza illness and national vaccine recommendation, attitude/perception toward influenza vaccine, and information sources. We verified children's influenza vaccination status against medical records (vaccinated vs. unvaccinated). Logistic regression was used to examine factors independently associated with children receiving influenza vaccination in the 2018 season using the dataset restricted to only children's parents. Variables associated with vaccination at p-value ≤0.20 were included in subsequent multivariable logistic models. Significant independent determinants of children's influenza vaccination and collinearity of covariates were assessed. The final model was constructed using a stepwise backward elimination approach with variables significant at p-value <0.05 retained in the model.<h4>Results</h4>During August 2018-February 2019, 700 children's caregivers completed the questionnaire; 61 (9%) were caregivers of vaccinated children. Caregivers of the vaccinated children were statistically more likely to have higher education (61% vs. 38%; p-value<0.01) and to know of influenza illness (93% vs. 76%; p-value = 0.03) than those of the unvaccinated group. Factors associated with children receiving influenza vaccination were identifying healthcare providers as a primary source of information about influenza illness for parents (adjusted odds ratio [aOR], 2.8; 95% confidence interval [CI], 1.3-6.0), parents' strongly agreeing with the national recommendation for influenza vaccination in young children (aOR, 2.9; 95% CI, 1.5-5.9), using health insurance provided by the government or parent's employer for children's doctor visits (aOR, 2.6; 95% CI, 1.1-6.6), and the children's history of receiving influenza vaccination in the 2017 season or earlier (aOR, 3.2; 95% CI, 1.4-7.8).<h4>Conclusion</h4>The majority of caregivers of children in this study had knowledge of influenza illness and influenza vaccine. Caregivers reported various sources of information regarding influenza illness and the vaccine, but healthcare providers remained the most trusted source. Children's history of influenza vaccination in prior season(s) was the strongest determinant of children being vaccinated for influenza in the current season.Chareeya ThaneeWanitchaya KittikraisakChalinthorn SinthuwattanawiboolKoonkoaw RoekworachaiArunee KlinklomKatesiree KornsitthikulSuwadee JirasakpisarnUssanee SrirompotongMalinee ChittaganpitchFatimah S DawoodPiyarat SuntarattiwongJoshua A MottTawee ChotpitayasunondhPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253561 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chareeya Thanee Wanitchaya Kittikraisak Chalinthorn Sinthuwattanawibool Koonkoaw Roekworachai Arunee Klinklom Katesiree Kornsitthikul Suwadee Jirasakpisarn Ussanee Srirompotong Malinee Chittaganpitch Fatimah S Dawood Piyarat Suntarattiwong Joshua A Mott Tawee Chotpitayasunondh Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.
description	<h4>Background</h4>Seasonal influenza vaccination uptake among young children in Thailand is low despite national recommendation for vaccination. We implemented a knowledge, attitude/perception, and practice survey to understand determinants of influenza vaccination in children aged six months to two years.<h4>Methods</h4>Using a cross-sectional design, we interviewed caregivers of 700 children in seven hospitals using a structured questionnaire to collect information on caregivers' and children's demographic characteristics, and caregivers' knowledge of influenza illness and national vaccine recommendation, attitude/perception toward influenza vaccine, and information sources. We verified children's influenza vaccination status against medical records (vaccinated vs. unvaccinated). Logistic regression was used to examine factors independently associated with children receiving influenza vaccination in the 2018 season using the dataset restricted to only children's parents. Variables associated with vaccination at p-value ≤0.20 were included in subsequent multivariable logistic models. Significant independent determinants of children's influenza vaccination and collinearity of covariates were assessed. The final model was constructed using a stepwise backward elimination approach with variables significant at p-value <0.05 retained in the model.<h4>Results</h4>During August 2018-February 2019, 700 children's caregivers completed the questionnaire; 61 (9%) were caregivers of vaccinated children. Caregivers of the vaccinated children were statistically more likely to have higher education (61% vs. 38%; p-value<0.01) and to know of influenza illness (93% vs. 76%; p-value = 0.03) than those of the unvaccinated group. Factors associated with children receiving influenza vaccination were identifying healthcare providers as a primary source of information about influenza illness for parents (adjusted odds ratio [aOR], 2.8; 95% confidence interval [CI], 1.3-6.0), parents' strongly agreeing with the national recommendation for influenza vaccination in young children (aOR, 2.9; 95% CI, 1.5-5.9), using health insurance provided by the government or parent's employer for children's doctor visits (aOR, 2.6; 95% CI, 1.1-6.6), and the children's history of receiving influenza vaccination in the 2017 season or earlier (aOR, 3.2; 95% CI, 1.4-7.8).<h4>Conclusion</h4>The majority of caregivers of children in this study had knowledge of influenza illness and influenza vaccine. Caregivers reported various sources of information regarding influenza illness and the vaccine, but healthcare providers remained the most trusted source. Children's history of influenza vaccination in prior season(s) was the strongest determinant of children being vaccinated for influenza in the current season.
format	article
author	Chareeya Thanee Wanitchaya Kittikraisak Chalinthorn Sinthuwattanawibool Koonkoaw Roekworachai Arunee Klinklom Katesiree Kornsitthikul Suwadee Jirasakpisarn Ussanee Srirompotong Malinee Chittaganpitch Fatimah S Dawood Piyarat Suntarattiwong Joshua A Mott Tawee Chotpitayasunondh
author_facet	Chareeya Thanee Wanitchaya Kittikraisak Chalinthorn Sinthuwattanawibool Koonkoaw Roekworachai Arunee Klinklom Katesiree Kornsitthikul Suwadee Jirasakpisarn Ussanee Srirompotong Malinee Chittaganpitch Fatimah S Dawood Piyarat Suntarattiwong Joshua A Mott Tawee Chotpitayasunondh
author_sort	Chareeya Thanee
title	Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.
title_short	Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.
title_full	Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.
title_fullStr	Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.
title_full_unstemmed	Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.
title_sort	knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young thai children: a cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/69fc0f7b2b134d7d8cdacf23fd88daa0
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Knowledge, attitude/perception, and practice related to seasonal influenza vaccination among caregivers of young Thai children: A cross-sectional study.

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