A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy

Cox, Elizabeth; Sanchez, Magali; Taylor, Katherine; Baxter, Carly; Crary, Isabelle; Every, Emma; Futa, Brianne A; Waldorf, Kristina M. Adams

doi:10.3390/vaccines11071248

Cited by 4 publications

(3 citation statements)

References 76 publications

(124 reference statements)

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“…Our study findings align with a major pillar of vaccine acceptance in pregnancy, namely the need for sufficient information to make this complex decision. We have recently described the first conceptual model to break down the complex decision-making underlying vaccine uptake in pregnancy which we called the "5-P model" [15]. The 5-P model highlights the following factors as key to decision-making: (1) perceived information sufficiency, (2) protection of pregnancy (harm avoidance), (3) provider-patient relationship, (4) perceived vaccine benefit, and (5) perceived disease susceptibility and severity.…”

Section: Study Findings In the Context Of Literaturementioning

confidence: 99%

“…Pregnant women had higher rates of mortality and morbidity from COVID-19, which mainly occurred in unvaccinated people [1][2][3][4][5][6][7][8][9]. Many factors contributed to high vaccine hesitancy within pregnant populations including vaccine disinformation that implied vaccination negatively impacts fertility and/or fetal development [10][11][12][13][14][15]. Major threats to pandemic preparedness are vaccine hesitancy and the lack of knowledge related to factors driving vaccine acceptance within vulnerable groups and specific sociodemographic and racial/ethnic groups [16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People

Sanchez,

Martel,

Cox

et al. 2023

Vaccines

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The coronavirus disease 2019 (COVID-19) pandemic exposed the vulnerability of pregnant women to excess morbidity and mortality, as well as the disproportionate disease burden in certain racial, ethnic, and sociodemographic groups. Vaccine hesitancy represents a major threat to public health, and crafting messages that reach vulnerable groups and address their intersectionality remains a weakness for pandemic preparedness. We sought to investigate factors that influenced vaccine acceptance and social media ad response in a mixed-methods study of Spanish-speaking women living in the rural Western United States who were pregnant or recently pregnant between November 2022 and June 2023. Direct interviews were translated, transcribed, and coded, while the ad ratings were analyzed using linear mixed models. Participants most favorably rated ads that featured doctors and text-heavy content describing benefits of vaccination. Qualitative data illustrated how information from trusted medical providers along with generational and cultural history of vaccine acceptance positively impacted perspectives on vaccination. Immigration status had varying influences on vaccination perspectives. Future vaccination campaigns targeting Spanish-speaking pregnant individuals in rural communities should use medical providers as ad messengers and dispel fears that vaccine acceptance may lead to problems with immigration status.

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Section: Study Findings In the Context Of Literaturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People

Sanchez,

Martel,

Cox

et al. 2023

Vaccines

Self Cite

View full text Add to dashboard Cite

show abstract

“…Additional possible explanations include lack of education of healthcare workers. In general, the most important factor for a woman to decide to get vaccinated during pregnancy is to have a clear recommendation from a healthcare professional Pregnancy is an intense period of information seeking in which pregnant women are acutely aware of the influence of their health decisions on their fetuses; the sensitivity of this decision increases vulnerability to misinformation [13].…”

Section: Factors Affecting the Choice Of Vaccinationmentioning

confidence: 99%

Factors affecting the choice of vaccination during pregnancy

Chrysoula Taskou,

Anastasia Bothou,

Aikaterini Lykeridou

2023

World J. Adv. Res. Rev.

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Maternal immunization has been reviewed and proven to be quite beneficial in reducing sickness in pregnant women and neonates, Nevertheless, such programs have had limited uptake in some countries. Despite the numerous advantages that vaccines bring to humanity, people may harbor anti-vaccine beliefs for a variety of reasons, including a lack of knowledge about vaccines, worry, and fear. The purpose of this literature review was to determine the spectrum of concerns, trust, and access difficulties that influence the choice of vaccination during pregnancy.

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Is It Safe for Me to Get It? Factors Influencing COVID-19 Vaccination Decision-Making among Postpartum Women Who Are Black and Hispanic in Deep South

Zhang,

Byrd,

Qiao

et al. 2024

J. Racial and Ethnic Health Disparities

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Background COVID-19 vaccination is vital for ending the pandemic, yet safety concerns persist among pregnant and postpartum women, especially those who are Black and Hispanic. This study aims to explore factors that influence postpartum women’s vaccination decision-making during pregnancy and postpartum through women’s lived experiences and maternal care providers’ (MCPs) observations. Methods From January to August 2022, we conducted semi-structured interviews with postpartum women who are Black and Hispanic and with MCPs. Participants were recruited from obstetric and pediatric clinics in South Carolina and had given birth in 2021. Thematic analysis was employed for data analysis. Results The study involved 19 Black and 20 Hispanic women, along with 9 MCPs, and revealed both barriers and facilitators to COVID-19 vaccination. The factors that influence pregnant and postpartum women’s decision about COVID-19 vaccine uptake included: 1) awareness of health threats associated with COVID-19 vaccines, 2) vaccine availability and accessibility, 3) vaccine-related knowledge and exposure to misinformation, 4) concerns regarding pre-existing health conditions and potential side effects of COVID-19 vaccines, 5) emotional factors associated with vaccination decision-making processes, 6) concerns about the well-being of infants, 7) cultural perspectives, and 8) encouragement by trusted supporters. Conclusion The findings suggest that reliable information, social support, and trusted MCPs’ advice can motivate COVID-19 vaccination among pregnant and postpartum women who are Black and Hispanic. However, barriers such as misinformation, mistrust in the health care system, and fears of potential side effects impede vaccination uptake. Future interventions should address these barriers, consider health disparities, involve trusted MCPs, and initiate conversations about vaccines to promote vaccination among these populations.

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A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy

Cited by 4 publications

References 76 publications

Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People

Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People

Factors affecting the choice of vaccination during pregnancy

Is It Safe for Me to Get It? Factors Influencing COVID-19 Vaccination Decision-Making among Postpartum Women Who Are Black and Hispanic in Deep South

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