Racial and ethnic disparities in influenza vaccination coverage among pregnant women in the United States: The contribution of vaccine-related attitudes

被引：2

作者：

Daley, Matthew F. ^{[1
,2
,13
]}

Reifler, Liza M. ^{[1
]}

Shoup, Jo Ann ^{[1
]}

Glanz, Jason M. ^{[1
,3
]}

Naleway, Allison L. ^{[4
]}

Nelson, Jennifer C. ^{[5
]}

Williams, Joshua T. B. ^{[6
]}

Mclean, Huong Q. ^{[7
]}

Vazquez-Benitez, Gabriela ^{[8
]}

Goddard, Kristin ^{[9
]}

Lewin, Bruno J. ^{[10
]}

Weintraub, Eric S. ^{[11
]}

Mcneil, Michael M. ^{[11
]}

Razzaghi, Hilda ^{[12
]}

Singleton, James A. ^{[12
]}

机构：

[1] Kaiser Permanente Colorado, Inst Hlth Res, Aurora, CO USA

[2] Univ Colorado, Sch Med, Dept Pediat, Aurora, CO USA

[3] Colorado Sch Publ Hlth, Dept Epidemiol, Aurora, CO USA

[4] Kaiser Permanente Ctr Hlth Res, Portland, OR USA

[5] Kaiser Permanente Washington Hlth Res Inst, Seattle, WA USA

[6] Denver Hlth & Hosp Author, Dept Gen Pediat, Denver, CO USA

[7] Marshfield Clin Res Inst, Marshfield, WI USA

[8] HealthPartners Inst, Minneapolis, MN USA

[9] Kaiser Permanente Vaccine Study Ctr, Oakland, CA USA

[10] Kaiser Permanente Southern Calif, Dept Res & Evaluat, Pasadena, CA USA

[11] CDCP, Natl Ctr Emerging & Zoonot Infect Dis, Immunizat Safety Off, Atlanta, GA USA

[12] CDCP, Natl Ctr Immunizat & Resp Dis, Atlanta, GA USA

[13] Kaiser Permanente Colorado, Inst Hlth Res, 2550 S Parker Rd,Suite 200, Aurora, CO 80014 USA

来源：

PREVENTIVE MEDICINE | 2023年 / 177卷

关键词：

Influenza vaccination; Pregnancy; Disparities; Attitudes; Coverage; Electronic health records; MIDDLE-INCOME COUNTRIES; RISK-FACTOR; SAFETY; OUTCOMES; IMMUNIZATION; DATALINK; SURVEILLANCE; BELIEFS; BURDEN;

D O I：

10.1016/j.ypmed.2023.107751

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Racial and ethnic disparities in influenza vaccination coverage among pregnant women in the United States have been documented. This study assessed the contribution of vaccine-related attitudes to coverage disparities.Methods: Surveys were conducted following the 2019-2020 and 2020-2021 influenza seasons in a US research network. Using electronic health record data to identify pregnant women, random samples were selected for surveying; non-Hispanic Black women and influenza-unvaccinated women were oversampled. Regression-based decomposition analyses were used to assess the contribution of vaccine-related attitudes to racial and ethnic differences in influenza vaccination. Data were combined across survey years, and analyses were weighted and accounted for survey design.Results: Survey response rate was 41.2% (721 of 1748) for 2019-2020 and 39.3% (706 of 1798) for 2020-2021. Self-reported influenza vaccination was higher among non-Hispanic White respondents (79.4% coverage, 95% CI 73.1%-85.7%) than Hispanic (66.2% coverage, 95% CI 52.5%-79.9%) and non-Hispanic Black (55.8% coverage, 95% CI 50.2%-61.4%) respondents. For all racial and ethnic groups, a high proportion (generally >80%) re-ported being seen for care, recommended for influenza vaccination, and offered vaccination. In decomposition analyses, vaccine-related attitudes (e.g., worry about vaccination causing influenza; concern about vaccine safety and effectiveness) explained a statistically significant portion of the observed racial and ethnic disparities in vaccination. Maternal age, education, and health status were not significant contributors after controlling for vaccine-related attitudes.Conclusions: In a setting with relatively high influenza vaccination coverage among pregnant women, racial and ethnic disparities in coverage were identified. Vaccine-related attitudes were associated with the disparities observed.

引用

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