Factors Associated with Intention to Receive Influenza and Tetanus, Diphtheria, and Acellular Pertussis (Tdap) Vaccines during Pregnancy: A Focus on Vaccine Hesitancy and Perceptions of Disease Severity and Vaccine Safety.

作者: Allison T. Chamberlain, MS , Katherine Seib, MSPH , Kevin A. Ault, MD , Walter A. Orenstein, MD , Paula M. Frew, PhD

DOI: 10.1371/CURRENTS.OUTBREAKS.D37B61BCEEBAE5A7A06D40A301CFA819

关键词:

摘要: BACKGROUND Improving influenza and tetanus, diphtheria acellular pertussis (Tdap) vaccine coverage among pregnant women is needed. PURPOSE To assess factors associated with intention to receive and/or Tdap vaccinations during pregnancy a focus on perceptions of disease severity safety. METHODS Participants were 325 in Georgia recruited from December 2012 - April 2013 who had not yet received 2012/2013 or while pregnant. Women completed survey assessing vaccination history, likelihood receiving antenatal vaccines, knowledge, attitudes beliefs about influenza, pertussis, their vaccines. RESULTS Seventy-three percent 81% believed respectively, would be serious 87% 92% infants. Perception for infant was strongly an before delivery (p=0.004). Despite themselves infants, only 34% 44% intended respectively. Forty-six low safety regarding the pregnancy, compared perceived as safe, unsafe less likely intend (48% vs. 20%; p < 0.001) (53% 33%; vaccinations. CONCLUSIONS Results this baseline suggest that remain unvaccinated against within first three months putative season may aware risks pose many reluctant vaccines antenatally. improve uptake obstetric setting, our findings support development evidence-based promotion interventions which emphasize mention infancy.

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