Predictors of tetanus, diphtheria, acellular pertussis and influenza vaccination during pregnancy among full-term deliveries in a medically underserved population

Doraivelu, Kamini; Boulet, Sheree L.; Biswas, Hope H.; Adams, Jenna C; Haddad, Lisa; Jamieson, Denise J.

doi:10.1016/j.vaccine.2019.08.044

Cited by 21 publications

(16 citation statements)

References 36 publications

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“…In a study of 113,730 live births in Minnesota, inadequate prenatal care was associated with decreased Tdap uptake in pregnant women (Barber et al, 2017 ). Similar findings were reported in a study of 3132 pregnant women attending a large public hospital in Atlanta, Georgia (Doraivelu et al, 2019 ). In a nationally representative sample of 13,543 women who gave birth in France, the H1N1 vaccination rate was much lower in women with inadequate prenatal care however inadequate care was not found to be independently associated with vaccine uptake when adjusted for other socio-demographic factors (Blondel et al, 2012 ).…”

Section: Resultssupporting

confidence: 89%

Understanding Barriers and Facilitators to Maternal Immunization: A Systematic Narrative Synthesis of the Published Literature

Geoghegan

Shuster

Butler

et al. 2022

Matern Child Health J

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Introduction Vaccines are being developed against Group B Streptococcus and respiratory syncytial virus. These vaccines are designed to be given to pregnant women to protect infants; thus, their success depends on uptake in this population. Maternal immunization programs have struggled to achieve target coverage rates. This systematic narrative synthesis aims to define the most important barriers and facilitators for maternal immunization and to identify priority areas for future research. Methods A search strategy was developed in Medline and adapted according to the requirements of additional search engines. Two reviewers independently reviewed the studies, using pre-specified inclusion and exclusion criteria. Results sections of included studies were coded, and thematic analysis was used to identify prominent themes. Results 321 studies were included in the final review. Most studies came from North America (37%), Europe (26%) or East Asia, Australia and New Zealand (22%). Low-and middle-income countries were under-represented. Five percent of studies came from Sub-Saharan Africa, and 2% came from South Asia. The prominent factors impacting maternal immunization were provider recommendation, perceived risks and benefits of maternal vaccines for the infant, race, birthplace, and access to healthcare. Few studies explored reasons behind racial and socioeconomic disparities in maternal immunization rates. Discussion A strong provider recommendation, equitable access to prenatal care and messaging that focuses on vaccine safety and infant benefits emerged as the key components for optimising vaccine uptake among pregnant women. Research among healthcare providers, minority groups and in low- and-middle-income countries was lacking. In anticipation of the expansion of maternal immunization programmes, focused research is needed to address these gaps and inform a successful public health strategy. Supplementary Information The online version contains supplementary material available at 10.1007/s10995-022-03508-0.

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Section: Resultssupporting

confidence: 89%

Understanding Barriers and Facilitators to Maternal Immunization: A Systematic Narrative Synthesis of the Published Literature

Geoghegan

Shuster

Butler

et al. 2022

Matern Child Health J

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“…[30][31][32][33][34][35][36] The articles were published from 2010 to 2020. Eleven articles were from the USA, 30,32,35,41,45,46,48,59,60,65,66 six from Australia, [49][50][51]53,61,63 four from France, 31,43,47,57 two from Canada, 56,62 two from the UK 40,55 and one each from Belgium, 54 Brazil, 33 Greece, 44 Hong Kong, 64 Ireland, 52 Japan, 42 Nicaragua, 58 Singapore 34 and Spain. 36 The main characteristics of the included studies are summarized in Tables 1 and S2.…”

Section: Re Sultsmentioning

confidence: 99%

Sociodemographic and health‐related determinants of seasonal influenza vaccination in pregnancy: A systematic review and meta‐analysis of the evidence since 2000

Okoli

Reddy

Al-Yousif

et al. 2021

Acta Obstet Gynecol Scand

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Introduction: Vaccination is considered to be the most practical and effective preventative measure against influenza. It is highly recommended for population subgroups most at risk of developing complications, including pregnant women. However, seasonal influenza vaccine uptake remains suboptimal among pregnant women, even in jurisdictions with universal vaccination. We summarized the evidence on the determinants of seasonal influenza vaccine uptake during pregnancy to better understand factors that influence vaccine uptake among pregnant women. Material and methods:We systematically searched MEDLINE, Embase and CINAHL from January 2000 to February 2020 for publications in English reporting on sociodemographic and/or health-related determinants of seasonal influenza vaccine uptake during pregnancy. Two reviewers independently included studies. One reviewer extracted data and assessed study quality, and another reviewer checked extracted data and study quality assessments for errors. Disagreements were resolved through consensus, or a third reviewer. We meta-analyzed using the inverse variance, randomeffects method, and reported the odds ratios (OR) and 95% confidence intervals (CI).Results: From 1663 retrieved citations, we included 36 studies. The following factors were associated with increased seasonal influenza vaccine uptake: Older age (20

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“…Women were more likely to have received the Tdap vaccine antepartum if their provider recommended it, they received written information about it, and the vaccine was available in the office. Prior studies have shown similar results with both influenza and Tdap vaccines during pregnancy (Wong et al, 2015 , Housey et al, 2014 , Goldfarb et al, 2014 , Ahluwalia et al, 2014 , Wales et al, 2019 , Dorivelu et al, 2019 , Zhou et al, 2019 , O’Leary et al, 2015 , Kriss et al, 2019 , Strassburg et al, 2018 , Psarris et al, 2019 , Lutz et al, 2018 , Kriss et al, 2019 , Lindley et al, 2019 ).…”

Section: Discussionmentioning

confidence: 68%

“…Prior studies have shown that rates of vaccination vary by individuals’ beliefs about vaccines, healthcare, provider actions, and demographic factors, specifically race, socioeconomic status, language, and insurance status (Wong et al, 2015 , Housey et al, 2014 , Goldfarb et al, 2014 , Ahluwalia et al, 2014 , Wales et al, 2019 , Dorivelu et al, 2019 , Zhou et al, 2019 , O’Leary et al, 2015 , Kriss et al, 2019 ). Many studies point to provider action as the most important predictor of Tdap vaccination uptake (Kriss et al, 2019 ; Lindley et al, 2019 ; Lutz et al, 2018 ; Psarris et al, 2019 ; Strassburg et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Maternal Antepartum Tdap Vaccination

Bernstein

Tong-Miller

Cleary

et al. 2022

Matern Child Health J

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Introduction Antepartum Tdap remains low despite national recommendations. This prospective observational study aims to identify factors associated with lower antepartum Tdap rates. Methods Maternal demographics, personal health beliefs, Tdap vaccination status, and recall of in-office obstetric provider actions were collected from a convenience sample of postpartum women in a New York metropolitan hospital. Bivariate and multivariable logistic regression were used to identify significant factors and adjusted odds ratios (OR) for recorded Tdap; OR > 1 reflects elements with increased odds of not receiving antepartum Tdap, while OR < 1 demonstrates increased odds of receipt. Results Surveys were collected (n = 1682) from a study population demographically similar to New York City and more diverse in race/ethnicity than the national population. Demographic analysis showed Hispanic women less likely than white, non-Hispanic women to vaccinate (OR 2.44, CI 1.54–3.88). Health beliefs associated with non-receipt of antepartum Tdap included “It is dangerous for pregnant women to get vaccines” (OR 1.68, CI 1.01–2.77), and “I worry about the safety of the Tdap vaccine” (OR 1.59, CI 1.12–2.24). Obstetric provider actions associated with vaccination included receiving an OB recommendation (OR 0.39, CI 0.23–0.65), getting written information about Tdap (OR 0.44, CI 0.30–0.64), and having Tdap offered in office (OR 0.24, CI 0.15–0.37). Health beliefs associated with antepartum Tdap included “I generally do what my OB/GYN provider recommends” (OR 0.49, CI 0.30–0.80), and “Pregnant women should get the Tdap (pertussis) vaccine” (OR 0.17, CI 0.09–0.33). Discussion Maternal race/ethnicity, personal health beliefs, and obstetric provider actions predict antepartum Tdap.

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Predictors of tetanus, diphtheria, acellular pertussis and influenza vaccination during pregnancy among full-term deliveries in a medically underserved population

Cited by 21 publications

References 36 publications

Understanding Barriers and Facilitators to Maternal Immunization: A Systematic Narrative Synthesis of the Published Literature

Understanding Barriers and Facilitators to Maternal Immunization: A Systematic Narrative Synthesis of the Published Literature

Sociodemographic and health‐related determinants of seasonal influenza vaccination in pregnancy: A systematic review and meta‐analysis of the evidence since 2000

Factors Influencing Maternal Antepartum Tdap Vaccination

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