Characterizing the Vaccine Knowledge, Attitudes, Beliefs, and Intentions of Pregnant Women in Georgia and Colorado

Authors

• Matthew Z. Dudley, Johns Hopkins University
• Rupali J. Limaye, Johns Hopkins University
• Saad B. Omer, Yale University
• Sean T. O’Leary, University of Colorado
• Mallory K. Ellingson, Yale University
• Christine I. Spina, University of Nevada, Las Vegas
• Sarah E. Brewer, University of Colorado
• Allison T. Chamberlain, Emory University
• Robert A. Bednarczyk, Yale University
• Fauzia Malik, Emory University
• Paula M. Frew, University of Nevada, Las VegasFollow
• Daniel A. Salmon, Johns Hopkins University

Document Type

Article

Publication Date

2-20-2020

Publication Title

Human Vaccines & Immunotherapeutics

First page number:

1109

Last page number:

1117

Abstract

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.

Keywords

Vaccines; Pregnancy; Maternal and Child Health; Cocooning; App; Referral; Education; Social Network

Disciplines

Medicine and Health Sciences | Public Health

File Format

PDF

File Size

1300 KB

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Repository Citation

Dudley, M. Z., Limaye, R. J., Omer, S. B., O’Leary, S. T., Ellingson, M. K., Spina, C. I., Brewer, S. E., Chamberlain, A. T., Bednarczyk, R. A., Malik, F., Frew, P. M., Salmon, D. A. (2020). Characterizing the Vaccine Knowledge, Attitudes, Beliefs, and Intentions of Pregnant Women in Georgia and Colorado. Human Vaccines & Immunotherapeutics 1109-1117.
http://dx.doi.org/10.1080/21645515.2020.1717130