Factors associated with maternal influenza immunization decision-making

Frew, Paula M.; Owens, Lauren; Saint-Victor, Diane S.; Benedict, Samantha; Zhang, Siyu; Omer, Saad B.

doi:10.4161/hv.32248

Cited by 34 publications

(27 citation statements)

References 57 publications

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“…When individuals perceived low pressure of significant others to get vaccinated, vaccine uptake was lower than when social pressure was high (HCP 4/117 [ 88 , 91 , 153 , 194 ]; Pregnant 1/35 [ 195 ]; Chronic 2/45 [ 196 , 197 ]; Public 10/191 [ 66 , 111 , 124 , 155 , 157 , 198 – 202 ]). In some studies the descriptive norm (the belief about what others do) was related to higher uptake (HCP 2/117 [ 203 , 204 ]; Pregnant 1/35 [ 134 ]).…”

Section: Resultsmentioning

confidence: 99%

“…Having a negative attitude towards the influenza vaccine was a major barrier to vaccine uptake (HCP 7/117 [ 153 , 161 , 227 – 231 ]; Pregnant 6/35 [ 92 , 232 – 236 ]; Chronic 4/45 [ 197 , 237 – 239 ]; Elderly 1/62 [ 222 ]; Public 17/191 [ 12 , 65 , 124 , 128 , 143 , 155 , 198 – 200 , 202 , 220 , 240 – 245 ]). Moreover, individuals who did not believe in the effectiveness of the vaccine showed lower vaccine uptake in every risk group (HCP 11/117 [ 44 , 46 , 48 , 75 , 86 , 130 , 161 , 190 , 194 , 211 , 246 ]; Pregnant 5/35 [ 76 , 116 , 195 , 235 , 247 ]; Chronic 4/45 [ 58 , 96 , 248 , 249 ]; Children 1/18 [ 250 ]; Elderly 1/62 [ 96 , 99 , 100 , 136 , 251 – 253 ]; Public 23/191 [ ...…”

Section: Resultsmentioning

confidence: 99%

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Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

et al. 2017

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BackgroundInfluenza vaccine hesitancy is a significant threat to global efforts to reduce the burden of seasonal and pandemic influenza. Potential barriers of influenza vaccination need to be identified to inform interventions to raise awareness, influenza vaccine acceptance and uptake.ObjectiveThis review aims to (1) identify relevant studies and extract individual barriers of seasonal and pandemic influenza vaccination for risk groups and the general public; and (2) map knowledge gaps in understanding influenza vaccine hesitancy to derive directions for further research and inform interventions in this area.MethodsThirteen databases covering the areas of Medicine, Bioscience, Psychology, Sociology and Public Health were searched for peer-reviewed articles published between the years 2005 and 2016. Following the PRISMA approach, 470 articles were selected and analyzed for significant barriers to influenza vaccine uptake or intention. The barriers for different risk groups and flu types were clustered according to a conceptual framework based on the Theory of Planned Behavior and discussed using the 4C model of reasons for non-vaccination.ResultsMost studies were conducted in the American and European region. Health care personnel (HCP) and the general public were the most studied populations, while parental decisions for children at high risk were under-represented. This study also identifies understudied concepts. A lack of confidence, inconvenience, calculation and complacency were identified to different extents as barriers to influenza vaccine uptake in risk groups.ConclusionMany different psychological, contextual, sociodemographic and physical barriers that are specific to certain risk groups were identified. While most sociodemographic and physical variables may be significantly related to influenza vaccine hesitancy, they cannot be used to explain its emergence or intensity. Psychological determinants were meaningfully related to uptake and should therefore be measured in a valid and comparable way. A compendium of measurements for future use is suggested as supporting information.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

et al. 2017

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“…[19][20][21][22] The first pregnancy may be a "teachable moment"a key opportunity to provide accurate information about both maternal and infant vaccinationssince one's vaccine attitudes and beliefs may not yet be fully solidified. 4,23,24 The vast majority of parents 25,26 and pregnant women [10][11][12][13][14][15] cite health-care providers as their most trusted source of vaccine information. However, many pregnant women do not receive information about infant vaccines directly from their obstetrician or midwife, instead relying on their social networks and internet searches.…”

Section: Introductionmentioning

confidence: 99%

Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado

Dudley

Limaye

Omer

et al. 2020

Human Vaccines & Immunotherapeutics

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Vaccine coverage for maternal vaccines is suboptimal; only about half of pregnant women received influenza and Tdap vaccines in 2018. We explored knowledge, attitudes, beliefs, intentions, and trust regarding maternal and infant vaccines among pregnant women. Between June 2017 and July 2018, we surveyed 2196 pregnant women recruited from geographically and socio-demographically diverse prenatal care practices in Georgia and Colorado (56% response rate). Fifty-six percent of pregnant women intended to receive both influenza and Tdap vaccines during pregnancy and 68% intended to vaccinate their baby with all recommended vaccines on time. Attitudinal constructs associated with intention to vaccinate include confidence in vaccine safety (ORs: 16-38) and efficacy (ORs: 4-19), perceived risk of vaccine-preventable diseases (ORs: 2-6), social norms (ORs: 4-10), and trust in sources of vaccine information. Women pregnant with their first child were less likely than women who had prior children to intend to vaccinate themselves and their children, more likely to be unsure about their intentions to receive both maternal and infant vaccines, and less likely to report feeling they had enough knowledge or information about vaccines and vaccine safety (p < .01). This demonstrates an opportunity for vaccine education to increase vaccine confidence and informed decision-making, especially among first-time pregnant women. ARTICLE HISTORY

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“…Research examining changes in knowledge, attitudes and beliefs about health-related behaviors suggest routine, extended exposure to an intervention is more effective than brief or single exposures. 25 If a woman was enrolled late in her pregnancy, she may have only been exposed to certain elements of the intervention package (e.g., the poster, brochure) a few times. Working under the assumption that women enrolled in their first trimester of gestation would have theoretically been exposed to the intervention materials more times, we attempted to assess the effect of repeated exposure on the impact of the intervention package.…”

Section: Discussionmentioning

confidence: 99%

Impact of a multi-component antenatal vaccine promotion package on improving knowledge, attitudes and beliefs about influenza and Tdap vaccination during pregnancy

Chamberlain

Seib

Ault

et al. 2016

Human Vaccines & Immunotherapeutics

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While exposure to the intervention package may have raised awareness that vaccinating close contacts can protect an infant, there is little evidence that the package changed women's attitudes and beliefs toward antenatal vaccination. Future research should ensure adequate exposure to the intervention and consider study design aspects including power to assess changes in secondary outcomes, discriminatory power of response options, and social desirability bias. This study is registered with clinicaltrials.gov, study ID NCT01761799.

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Factors associated with maternal influenza immunization decision-making

Cited by 34 publications

References 57 publications

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado

Impact of a multi-component antenatal vaccine promotion package on improving knowledge, attitudes and beliefs about influenza and Tdap vaccination during pregnancy

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