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Racial and ethnic disparities in influenza vaccination coverage among pregnant women in the United States: The contribution of vaccine-related attitudes
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12 2023
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Source: Prev Med. 177:107751
Details:
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Alternative Title:Prev Med
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Personal Author:
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Description: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%) reported 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.
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Pubmed ID:37926397
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Pubmed Central ID:PMC10881081
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Volume:177
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