Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado
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 surv...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-05-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2020.1717130 |
| _version_ | 1797677371270103040 |
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| author | Matthew Z. Dudley Rupali J. Limaye Saad B. Omer Sean T. O’Leary Mallory K. Ellingson Christine I. Spina Sarah E. Brewer Allison T. Chamberlain Robert A. Bednarczyk Fauzia Malik Paula M. Frew Daniel A. Salmon |
| author_facet | Matthew Z. Dudley Rupali J. Limaye Saad B. Omer Sean T. O’Leary Mallory K. Ellingson Christine I. Spina Sarah E. Brewer Allison T. Chamberlain Robert A. Bednarczyk Fauzia Malik Paula M. Frew Daniel A. Salmon |
| author_sort | Matthew Z. Dudley |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T22:43:13Z |
| format | Article |
| id | doaj.art-c57953be05c9426cb410d51f34af35cf |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T22:43:13Z |
| publishDate | 2020-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-c57953be05c9426cb410d51f34af35cf2023-09-22T08:45:35ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-05-011651109111710.1080/21645515.2020.17171301717130Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and ColoradoMatthew Z. Dudley0Rupali J. Limaye1Saad B. Omer2Sean T. O’Leary3Mallory K. Ellingson4Christine I. Spina5Sarah E. Brewer6Allison T. Chamberlain7Robert A. Bednarczyk8Fauzia Malik9Paula M. Frew10Daniel A. Salmon11Johns Hopkins University Bloomberg School of Public HealthJohns Hopkins University Bloomberg School of Public HealthYale School of Public Health, Yale UniversityUniversity of Colorado Anschutz Medical Campus and Children’s Hospital ColoradoYale School of Public Health, Yale UniversityUniversity of Colorado Anschutz Medical Campus and Children’s Hospital ColoradoUniversity of Colorado Anschutz Medical Campus and Children’s Hospital ColoradoRollins School of Public Health, Emory UniversityYale School of Public Health, Yale UniversityRollins School of Public Health, Emory UniversityUniversity of NevadaJohns Hopkins University Bloomberg School of Public HealthVaccine 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.http://dx.doi.org/10.1080/21645515.2020.1717130vaccinespregnancymaternal and child healthcocooningappreferraleducationsocial network |
| spellingShingle | Matthew Z. Dudley Rupali J. Limaye Saad B. Omer Sean T. O’Leary Mallory K. Ellingson Christine I. Spina Sarah E. Brewer Allison T. Chamberlain Robert A. Bednarczyk Fauzia Malik Paula M. Frew Daniel A. Salmon Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado Human Vaccines & Immunotherapeutics vaccines pregnancy maternal and child health cocooning app referral education social network |
| title | Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado |
| title_full | Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado |
| title_fullStr | Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado |
| title_full_unstemmed | Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado |
| title_short | Characterizing the vaccine knowledge, attitudes, beliefs, and intentions of pregnant women in Georgia and Colorado |
| title_sort | characterizing the vaccine knowledge attitudes beliefs and intentions of pregnant women in georgia and colorado |
| topic | vaccines pregnancy maternal and child health cocooning app referral education social network |
| url | http://dx.doi.org/10.1080/21645515.2020.1717130 |
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