{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:14Z","timestamp":1791186914733,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Tetanus\u2010toxoid\u2010containing vaccines protect mothers and newborns, but cumulative uptake may decline at higher dose thresholds. We assessed knowledge, attitudes, self\u2010reported tetanus\u2010toxoid\u2010containing vaccine uptake, and factors associated with receipt of at least three doses among women aged 15\u201344 years in Ifakara Town, Tanzania.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community\u2010based analytical cross\u2010sectional study included 383 women aged 15\u201344 years; electronic records were submitted between September 14, 2025, and January 6, 2026. Participants were selected through multistage sampling and completed an interviewer\u2010administered questionnaire. The primary outcome was self\u2010reported receipt of at least three tetanus\u2010toxoid\u2010containing vaccine doses. Participant\u2010level data were reanalyzed using multivariable logistic regression. The parity\u2010adjusted complete\u2010case model included 382 women; Firth bias\u2010reduced regression assessed sparse\u2010data sensitivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Almost all participants had heard of tetanus vaccination (97.7%) and reported ever receiving it (97.4%). Self\u2010reported uptake was 80.7% for at least two doses, 66.6% for at least three doses, 38.4% for at least four doses, and 24.5% for five doses. Good knowledge was reported for 66.1%, and 74.4% had a positive attitude score. In the parity\u2010adjusted model, the odds of reporting at least three doses were higher for ages 26\u201335 years (aOR 2.89, 95% CI 1.34\u20136.20) and 36\u201344 years (aOR 5.89, 95% CI 1.66\u201320.96), healthcare\u2010provider information (aOR 2.06, 95% CI 1.07\u20133.97), and parous status (aOR 15.94, 95% CI 6.84\u201337.14). Education, knowledge, and reported access barriers were not independently associated after parity adjustment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Initial contact with tetanus vaccination services was high, but self\u2010reported uptake declined at higher dose thresholds. Age and parity probably reflect cumulative opportunities for vaccination, rather than causal effects. Dose\u2010history review, provider\u2010led counseling, and access support may improve cumulative uptake.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73262","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T07:08:24Z","timestamp":1789369704000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitudes, and Self\u2010Reported Tetanus\u2010Toxoid\u2010Containing Vaccine Uptake Among Women Aged 15\u201344 Years in Ifakara Town, Tanzania: A Community\u2010Based Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"given":"Dorothea R.","family":"Mhina","sequence":"first","affiliation":[{"name":"Department of Microbiology and Immunology, Faculty of Medicine St. Francis University College of Health and Allied Sciences Ifakara Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7841-339X","authenticated-orcid":false,"given":"Zacharia L.","family":"Laizer","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, School of Diagnostic Medicine Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onesmo Tisiani","family":"Hilari","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, Faculty of Medicine St. Francis University College of Health and Allied Sciences Ifakara Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byamungu Zephrine","family":"Petro","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory Sciences, Institute of Allied Health Sciences St. Francis University College of Health and Allied Sciences Ifakara Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2117-9520","authenticated-orcid":false,"given":"Samweli Y.","family":"Bahati","sequence":"additional","affiliation":[{"name":"Department of Omics and Computational Biology AfroBiomics Co. Ltd. Dar es Salaam Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2453-5993","authenticated-orcid":false,"given":"Reuben S.","family":"Maghembe","sequence":"additional","affiliation":[{"name":"Department of Microbiology and Immunology, Faculty of Medicine St. Francis University College of Health and Allied Sciences Ifakara Tanzania"},{"name":"Department of Omics and Computational Biology AfroBiomics Co. Ltd. Dar es Salaam Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.2174\/18749445-v16-e230111-2022-161"},{"key":"e_1_2_18_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2017.02.034"},{"key":"e_1_2_18_4_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7328a1"},{"key":"e_1_2_18_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0296174"},{"key":"e_1_2_18_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2024.2320501"},{"key":"e_1_2_18_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265906"},{"key":"e_1_2_18_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines12040431"},{"key":"e_1_2_18_9_1","doi-asserted-by":"publisher","DOI":"10.17352\/jgro.000104"},{"key":"e_1_2_18_10_1","doi-asserted-by":"publisher","DOI":"10.33425\/2639-8494.1038"},{"key":"e_1_2_18_11_1","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v22i4.36"},{"key":"e_1_2_18_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.980850"},{"key":"e_1_2_18_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijans.2025.100969"},{"key":"e_1_2_18_14_1","doi-asserted-by":"publisher","DOI":"10.33425\/2833-034X.1017"},{"key":"e_1_2_18_15_1","volume-title":"2022 Population and Housing Census","author":"National Bureau of Statistics","year":"2022"},{"key":"e_1_2_18_16_1","doi-asserted-by":"publisher","DOI":"10.9734\/ajmah\/2019\/v17i430171"},{"key":"e_1_2_18_17_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.53004.2"},{"key":"e_1_2_18_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines13060610"},{"key":"e_1_2_18_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0243071"},{"key":"e_1_2_18_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2025.2602981"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73262","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.73262","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:39:14Z","timestamp":1791185954000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.73262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/hsr2.73262"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.73262","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73262"}}