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Predictors of tetanus, diphtheria, acellular pertussis and influenza vaccination during pregnancy among full-term deliveries in a medically underserved population

Vaccine Sep 01, 2019

Doraivelu K, et al. - Through a retrospective cohort study of 3,132 full-term (≥ 37 weeks gestation) deliveries between July 1, 2016, and June 30, 2018, at a single, safety-net institution, experts assessed predictors of vaccination among women who received tetanus, diphtheria, and acellular pertussis vaccination (Tdap), influenza vaccination, and Tdap and influenza vaccinations. A greater proportion of women received both vaccines in this study population, in comparison with the national rate of both Tdap and influenza vaccination. Vaccine uptake could be influenced by race/ethnicity, use of interpreter services, parity, preexisting comorbidities, and prenatal care adequacy. In this predominantly minority population, the lower rate of influenza vaccination vs Tdap vaccination implies that other factors, like vaccine hesitancy and mistrust, maybe differentially affecting influenza vaccination uptake. Prospective providers and public health strategies for vaccine promotion should include culturally relevant strategies that speak of vaccine-related beliefs and misconceptions.
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