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Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy.

Identifieur interne : 000402 ( PubMed/Corpus ); précédent : 000401; suivant : 000403

Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy.

Auteurs : C Mary Healy ; Marcia A. Rench ; Diana P. Montesinos ; Nancy Ng ; Laurie S. Swaim

Source :

RBID : pubmed:26307234

English descriptors

Abstract

Tetanus, diphtheria and acellular pertussis (Tdap) and influenza vaccination is recommended during each pregnancy but uptake is suboptimal. We evaluated knowledge and acceptance of vaccination recommendations among pregnant women.

DOI: 10.1016/j.vaccine.2015.08.028
PubMed: 26307234

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pubmed:26307234

Le document en format XML

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<title xml:lang="en">Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy.</title>
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<name sortKey="Healy, C Mary" sort="Healy, C Mary" uniqKey="Healy C" first="C Mary" last="Healy">C Mary Healy</name>
<affiliation>
<nlm:affiliation>Department of Pediatrics, Infectious Diseases Section, Baylor College of Medicine, Houston, TX 77030, USA; Center for Vaccine Awareness and Research, Texas Children's Hospital, Houston, TX 77030, USA. Electronic address: chealy@bcm.edu.</nlm:affiliation>
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<name sortKey="Rench, Marcia A" sort="Rench, Marcia A" uniqKey="Rench M" first="Marcia A" last="Rench">Marcia A. Rench</name>
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<nlm:affiliation>Department of Pediatrics, Infectious Diseases Section, Baylor College of Medicine, Houston, TX 77030, USA.</nlm:affiliation>
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<name sortKey="Montesinos, Diana P" sort="Montesinos, Diana P" uniqKey="Montesinos D" first="Diana P" last="Montesinos">Diana P. Montesinos</name>
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<nlm:affiliation>Center for Vaccine Awareness and Research, Texas Children's Hospital, Houston, TX 77030, USA.</nlm:affiliation>
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<name sortKey="Ng, Nancy" sort="Ng, Nancy" uniqKey="Ng N" first="Nancy" last="Ng">Nancy Ng</name>
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<nlm:affiliation>Center for Vaccine Awareness and Research, Texas Children's Hospital, Houston, TX 77030, USA.</nlm:affiliation>
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<name sortKey="Swaim, Laurie S" sort="Swaim, Laurie S" uniqKey="Swaim L" first="Laurie S" last="Swaim">Laurie S. Swaim</name>
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<nlm:affiliation>Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030, USA.</nlm:affiliation>
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<nlm:affiliation>Center for Vaccine Awareness and Research, Texas Children's Hospital, Houston, TX 77030, USA.</nlm:affiliation>
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<name sortKey="Swaim, Laurie S" sort="Swaim, Laurie S" uniqKey="Swaim L" first="Laurie S" last="Swaim">Laurie S. Swaim</name>
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<term>Female</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Personnel</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Patient Acceptance of Health Care</term>
<term>Pregnancy</term>
<term>Risk Factors</term>
<term>Surveys and Questionnaires</term>
<term>Texas</term>
<term>Vaccination</term>
<term>Vaccines (immunology)</term>
<term>Young Adult</term>
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<keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en">
<term>Vaccines</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Texas</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Culture</term>
<term>Decision Making</term>
<term>Female</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Personnel</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Patient Acceptance of Health Care</term>
<term>Pregnancy</term>
<term>Risk Factors</term>
<term>Surveys and Questionnaires</term>
<term>Vaccination</term>
<term>Young Adult</term>
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<div type="abstract" xml:lang="en">Tetanus, diphtheria and acellular pertussis (Tdap) and influenza vaccination is recommended during each pregnancy but uptake is suboptimal. We evaluated knowledge and acceptance of vaccination recommendations among pregnant women.</div>
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<Volume>33</Volume>
<Issue>41</Issue>
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<Year>2015</Year>
<Month>Oct</Month>
<Day>05</Day>
</PubDate>
</JournalIssue>
<Title>Vaccine</Title>
<ISOAbbreviation>Vaccine</ISOAbbreviation>
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<ArticleTitle>Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy.</ArticleTitle>
<Pagination>
<MedlinePgn>5445-5451</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Tetanus, diphtheria and acellular pertussis (Tdap) and influenza vaccination is recommended during each pregnancy but uptake is suboptimal. We evaluated knowledge and acceptance of vaccination recommendations among pregnant women.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Prospective, convenience survey of pregnant women presenting for antenatal care at the Pavilion for Women, Texas Children's Hospital, Houston, and their healthcare providers.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">796 of 825 (96.5%) of women and 63 of 87 (72.4%) providers completed surveys. Mean age of pregnant women was 30.2 (18-45) years. Self-identified race/ethnicity was 45% white, 26% Hispanic, 13% black, 12% Asian and 4% other. Most women had college degrees (84%) and private health insurance (83%). Mean gestation was 28.5 weeks with 4.8%, 37.8% and 57.4%, in the 1st, 2nd and 3rd trimesters, respectively. Women used various sources for pregnancy information (personal contacts, providers, print, audiovisual and online media) but 89.1% cited a provider as their most trusted source, predominantly (85.8%) their physician. 668 (84%) knew vaccines are recommended during pregnancy, specifically influenza (77%) and Tdap (61%) vaccines. 659 (83%) were willing to receive vaccines if recommended by their physician. Factors impacting vaccination decisions included safety for baby, safety for mother and sufficient information, scoring 4.7, 4.5 and 4.2, respectively, on a 5-point scale; less important were additional visit time (2.6), cost (1.9) or needle phobia (1). Women surveyed in the 3rd trimester showed greater acceptance than those earlier in gestation (87% vs 78%; P0.003). Maternal education, ethnicity, insurance, multiple gestation or history of serious illness in a prior infant did not affect willingness to receive vaccines.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Pregnant women are willing to accept vaccination in pregnancy if recommended by their physician and if sufficient discussion of safety and rationale occurs. Strong physician recommendation, as reported for pediatric vaccination, is essential to optimizing uptake of vaccines during pregnancy.</AbstractText>
<CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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