{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:42:35Z","timestamp":1790073755502,"version":"4.0.1"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T00:00:00Z","timestamp":1719878400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Centers for Disease Control and Prevention and Control","award":["CDC-RFA-IP16-1604"],"award-info":[{"award-number":["CDC-RFA-IP16-1604"]}]},{"name":"Centers for Disease Control and Prevention and Control","award":["CDC-RFA-IP16-1607"],"award-info":[{"award-number":["CDC-RFA-IP16-1607"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Vaccination is the most effective way to prevent influenza infection and adverse outcomes; despite global recommendations to vaccinate pregnant persons, access to influenza vaccines remains low. We explored knowledge, attitudes, and practices of pregnant persons to inform actions to improve vaccine uptake.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We pooled data from cross-sectional surveys assessing pregnant persons\u2019 attitudes toward influenza vaccines in 8 low- and middle-income countries. Countries used standard methods to measure attitudes and intents toward influenza vaccination. We stratified by presence\/absence of a national influenza vaccination program, income group, geographic region, and individual-level factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Our analysis included 8556 pregnant persons from 8 countries. Most pregnant persons (6323, 74%) were willing to receive influenza vaccine if it was offered for free. Willingness differed by presence of an existing influenza vaccination program; acceptance was higher in countries without programs (2383, 89%) than in those with programs (3940, 67%, P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Most pregnant persons in middle-income countries, regardless of influenza vaccination program status, were willing to be vaccinated against influenza if the vaccine was provided free of charge. National investments in influenza vaccination programs present an opportunity to avert illness both in pregnant persons themselves and in their newborn babies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/infdis\/jiae340","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T23:13:13Z","timestamp":1719961993000},"page":"e213-e224","source":"Crossref","is-referenced-by-count":8,"title":["Do Pregnant Persons Want Influenza Vaccines? Knowledge, Attitudes, Perceptions, and Practices Toward Influenza Vaccines in 8 Low- and Middle-Income Countries"],"prefix":"10.1093","volume":"231","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-1014","authenticated-orcid":false,"given":"Margaret","family":"McCarron","sequence":"first","affiliation":[{"name":"US Centers for Disease Control and Prevention , National Center for Immunization and Respiratory Diseases, Atlanta, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4580-2698","authenticated-orcid":false,"given":"Tat S","family":"Yau","sequence":"additional","affiliation":[{"name":"US Centers for Disease Control and Prevention , National Center for Immunization and Respiratory Diseases, Atlanta, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6588-4685","authenticated-orcid":false,"given":"Chelsey","family":"Griffin","sequence":"additional","affiliation":[{"name":"US Centers for Disease Control and Prevention , National Center for Immunization and Respiratory Diseases, Atlanta, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6726-6124","authenticated-orcid":false,"given":"Perrine","family":"Marcenac","sequence":"additional","affiliation":[{"name":"US Centers for Disease Control and Prevention , National Center for Immunization and Respiratory Diseases, Atlanta, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8757-8371","authenticated-orcid":false,"given":"Malembe S","family":"Ebama","sequence":"additional","affiliation":[{"name":"Task Force for Global Health , Decatur, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5018-9591","authenticated-orcid":false,"given":"Kathryn E","family":"Lafond","sequence":"additional","affiliation":[{"name":"US Centers for Disease Control and Prevention , National Center for Immunization and Respiratory Diseases, Atlanta, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9962-6588","authenticated-orcid":false,"given":"Ledor S","family":"Igboh","sequence":"additional","affiliation":[{"name":"US Centers for Disease Control and Prevention , National Center for Immunization and Respiratory Diseases, Atlanta, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2998-646X","authenticated-orcid":false,"given":"Lindsey M","family":"Duca","sequence":"additional","affiliation":[{"name":"US Centers for Disease Control and Prevention , National Center for Immunization and Respiratory Diseases, Atlanta, GA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0565-863X","authenticated-orcid":false,"given":"Silvia","family":"Bino","sequence":"additional","affiliation":[{"name":"Institute of Public Health , Control of Infectious Diseases Department, Tirana ,","place":["Albania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0056-452X","authenticated-orcid":false,"given":"Jihene","family":"Bettaieb","sequence":"additional","affiliation":[{"name":"Laboratory of Transmission Control and Immunobiology of Infection, Institut Pasteur de Tunis , Tunis ,","place":["Tunisia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Dhaouadi","sequence":"additional","affiliation":[{"name":"Ministry of Public Health, National Observatory of New and Emerging Diseases , Tunis 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,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5432-9915","authenticated-orcid":false,"given":"Daouda","family":"Coulibaly","sequence":"additional","affiliation":[{"name":"Ministry of Health and Public Hygiene, National Institute of Public Hygiene , Abidjan ,","place":["Cote d\u2019Ivoire"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3210-722X","authenticated-orcid":false,"given":"Julius J","family":"Lutwama","sequence":"additional","affiliation":[{"name":"National Influenza Center, Uganda Virus Research Institute , Entebbe ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4804-8612","authenticated-orcid":false,"given":"Alfred","family":"Douba","sequence":"additional","affiliation":[{"name":"Ministry of Health and Public Hygiene, National Institute of Public Hygiene , Abidjan ,","place":["Cote 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