Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study
Pregnant women are at increased risk of influenza-related complications. However, the rate of influenza vaccination among pregnant women in Taiwan is low. By analyzing real-world data in this study, we investigated the factors associated with influenza vaccination during pregnancy in Taiwan. This st...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-01-01
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| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.1177/00469580241229635 |
| _version_ | 1797338658477441024 |
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| author | Kuang-Hua Huang PhD Wan-Ting Xie MS Jiun-Yi Wang PhD Te-Feng Yeh PhD Tung-Han Tsai MHA Yu-Chia Chang PhD |
| author_facet | Kuang-Hua Huang PhD Wan-Ting Xie MS Jiun-Yi Wang PhD Te-Feng Yeh PhD Tung-Han Tsai MHA Yu-Chia Chang PhD |
| author_sort | Kuang-Hua Huang PhD |
| collection | DOAJ |
| description | Pregnant women are at increased risk of influenza-related complications. However, the rate of influenza vaccination among pregnant women in Taiwan is low. By analyzing real-world data in this study, we investigated the factors associated with influenza vaccination during pregnancy in Taiwan. This study was a cross-sectional study. We collected real-world data from 2 databases in Taiwan: the Birth Certificate Database and the National Health Insurance Research Database. The study population was pregnant between October 2014 and December 2016 in Taiwan. The multivariate logistic regression was performed to identify factors associated with influenza vaccination, including maternal sociodemographics, trimester, comorbidities, and health-care utilization. The vaccination rate of among pregnant women was 8.2%. Factors significantly associated with a high likelihood of influenza vaccination were age between 30 and 34 years (odds ratio [OR]: 1.14; 95% confidence interval [CI]: 1.10-1.19), second trimester (OR: 1.80; 95% CI: 1.75-1.85), income equal to or exceeding NT$ 38 201 (OR: 1.92; 95% CI: 1.86-1.99), hypertension (OR: 1.16; 95% CI: 1.05-1.29), cardiovascular disease (OR: 1.29; 95% CI: 1.17-1.42), autoimmune disease (OR: 1.47; 95% CI: 1.38-1.58), and chronic pulmonary disease (OR: 1.24; 95% CI: 1.18-1.31). A low level of urbanization, at least 1 hospitalization in the previous year, and the presence of pregnancy complications (eg, gestational diabetes, preeclampsia, and placenta previa) were associated with a lower likelihood rate of influenza vaccination. The influenza vaccination rate among pregnant women in Taiwan was low. Age, gestational age, income level, urbanization level, hypertension, cardiovascular disease, autoimmune disease, chronic pulmonary disease, and pregnancy complications may be associated with influenza vaccination among pregnant women. |
| first_indexed | 2024-03-08T09:34:29Z |
| format | Article |
| id | doaj.art-0819c8c06cc94d21b7f655a4ad5cb19c |
| institution | Directory Open Access Journal |
| issn | 0046-9580 1945-7243 |
| language | English |
| last_indexed | 2024-03-08T09:34:29Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj.art-0819c8c06cc94d21b7f655a4ad5cb19c2024-01-30T10:03:48ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432024-01-016110.1177/00469580241229635Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based StudyKuang-Hua Huang PhD0Wan-Ting Xie MS1Jiun-Yi Wang PhD2Te-Feng Yeh PhD3Tung-Han Tsai MHA4Yu-Chia Chang PhD5Department of Health Services Administration, China Medical University, Taichung, TaiwanDepartment of Healthcare Administration, Asia University, Taichung, TaiwanDepartment of Medical Research, China Medical University Hospital, China Medical University, Taichung, TaiwanDepartment of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, TaiwanDepartment of Health Services Administration, China Medical University, Taichung, TaiwanDepartment of Long Term Care, National Quemoy University, Kinmen County, TaiwanPregnant women are at increased risk of influenza-related complications. However, the rate of influenza vaccination among pregnant women in Taiwan is low. By analyzing real-world data in this study, we investigated the factors associated with influenza vaccination during pregnancy in Taiwan. This study was a cross-sectional study. We collected real-world data from 2 databases in Taiwan: the Birth Certificate Database and the National Health Insurance Research Database. The study population was pregnant between October 2014 and December 2016 in Taiwan. The multivariate logistic regression was performed to identify factors associated with influenza vaccination, including maternal sociodemographics, trimester, comorbidities, and health-care utilization. The vaccination rate of among pregnant women was 8.2%. Factors significantly associated with a high likelihood of influenza vaccination were age between 30 and 34 years (odds ratio [OR]: 1.14; 95% confidence interval [CI]: 1.10-1.19), second trimester (OR: 1.80; 95% CI: 1.75-1.85), income equal to or exceeding NT$ 38 201 (OR: 1.92; 95% CI: 1.86-1.99), hypertension (OR: 1.16; 95% CI: 1.05-1.29), cardiovascular disease (OR: 1.29; 95% CI: 1.17-1.42), autoimmune disease (OR: 1.47; 95% CI: 1.38-1.58), and chronic pulmonary disease (OR: 1.24; 95% CI: 1.18-1.31). A low level of urbanization, at least 1 hospitalization in the previous year, and the presence of pregnancy complications (eg, gestational diabetes, preeclampsia, and placenta previa) were associated with a lower likelihood rate of influenza vaccination. The influenza vaccination rate among pregnant women in Taiwan was low. Age, gestational age, income level, urbanization level, hypertension, cardiovascular disease, autoimmune disease, chronic pulmonary disease, and pregnancy complications may be associated with influenza vaccination among pregnant women.https://doi.org/10.1177/00469580241229635 |
| spellingShingle | Kuang-Hua Huang PhD Wan-Ting Xie MS Jiun-Yi Wang PhD Te-Feng Yeh PhD Tung-Han Tsai MHA Yu-Chia Chang PhD Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study |
| title_full | Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study |
| title_fullStr | Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study |
| title_full_unstemmed | Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study |
| title_short | Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study |
| title_sort | factors associated with influenza vaccination during pregnancy a real world evidence based study |
| url | https://doi.org/10.1177/00469580241229635 |
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