Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake
Maternal and childhood vaccine decision-making begins prenatally. Amongst pregnant Australian women we aimed to ascertain vaccine information received, maternal immunisation uptake and attitudes and concerns regarding childhood vaccination. We also aimed to determine any correlation between a) inten...
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| Veröffentlicht in: | Vaccine 2018-10, Vol.36 (44), p.6473-6479 |
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| creator | Danchin, M.H. Costa-Pinto, J. Attwell, K. Willaby, H. Wiley, K. Hoq, M. Leask, J. Perrett, K.P. O'Keefe, Jacinta Giles, M.L. Marshall, H. |
| description | Maternal and childhood vaccine decision-making begins prenatally. Amongst pregnant Australian women we aimed to ascertain vaccine information received, maternal immunisation uptake and attitudes and concerns regarding childhood vaccination. We also aimed to determine any correlation between a) intentions and concerns regarding childhood vaccination, (b) concerns about pregnancy vaccination, (c) socioeconomic status (SES) and (d) uptake of influenza and pertussis vaccines during pregnancy and routine vaccines during childhood.
Women attending public antenatal clinics were recruited in three Australian states. Surveys were completed on iPads. Follow-up phone surveys were done three to six months post delivery, and infant vaccination status obtained via the Australian Childhood Immunisation Register (ACIR).
Between October 2015 and March 2016, 975 (82%) of 1184 mothers consented and 406 (42%) agreed to a follow up survey, post delivery. First-time mothers (445; 49%) had significantly more vaccine concerns in pregnancy and only 73% had made a decision about childhood vaccination compared to 89% of mothers with existing children (p-value |
| doi_str_mv | 10.1016/j.vaccine.2017.08.003 |
| format | Article |
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Women attending public antenatal clinics were recruited in three Australian states. Surveys were completed on iPads. Follow-up phone surveys were done three to six months post delivery, and infant vaccination status obtained via the Australian Childhood Immunisation Register (ACIR).
Between October 2015 and March 2016, 975 (82%) of 1184 mothers consented and 406 (42%) agreed to a follow up survey, post delivery. First-time mothers (445; 49%) had significantly more vaccine concerns in pregnancy and only 73% had made a decision about childhood vaccination compared to 89% of mothers with existing children (p-value<0.001). 66% of mothers reported receiving enough information during pregnancy on childhood vaccination. In the post delivery survey, 46% and 82% of mothers reported receiving pregnancy influenza and pertussis vaccines respectively. The mother's degree of vaccine hesitancy and two attitudinal factors were correlated with vaccine uptake post delivery. There was no association between reported maternal vaccine uptake or SES and childhood vaccine uptake.
First time mothers are more vaccine hesitant and undecided about childhood vaccination, and only two thirds of all mothers believed they received enough information during pregnancy. New interventions to improve both education and communication on childhood and maternal vaccines, delivered by midwives and obstetricians in the Australian public hospital system, may reduce vaccine hesitancy for all mothers in pregnancy and post delivery, particularly first-time mothers.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2017.08.003</identifier><identifier>PMID: 28811050</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject><![CDATA[Attitude to Health ; Australia ; Childhood ; Childhood vaccination ; Children ; Correlation ; Decision Making ; Drug delivery systems ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Immunization ; Influenza ; Influenza Vaccines - administration & dosage ; Influenza, Human - prevention & control ; Intention ; Maternal vaccination ; Mothers - psychology ; Pertussis ; Pertussis Vaccine - administration & dosage ; Polls & surveys ; Pregnancy ; Pregnant Women - psychology ; Prenatal Care ; Public health ; Socioeconomic factors ; Socioeconomics ; Surveys and Questionnaires ; Vaccination - adverse effects ; Vaccination - psychology ; Vaccination - statistics & numerical data ; Vaccination Coverage ; Vaccine attitudes, behaviours and concerns ; Vaccine decision-making ; Vaccine uptake ; Vaccines ; Whooping Cough - prevention & control ; Womens health]]></subject><ispartof>Vaccine, 2018-10, Vol.36 (44), p.6473-6479</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Oct 22, 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-33ce8d4a8d7fe3b2a546eb94f1d544b9814282960650aaf636b5fde984cdbc123</citedby><cites>FETCH-LOGICAL-c420t-33ce8d4a8d7fe3b2a546eb94f1d544b9814282960650aaf636b5fde984cdbc123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0264410X17310691$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28811050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Danchin, M.H.</creatorcontrib><creatorcontrib>Costa-Pinto, J.</creatorcontrib><creatorcontrib>Attwell, K.</creatorcontrib><creatorcontrib>Willaby, H.</creatorcontrib><creatorcontrib>Wiley, K.</creatorcontrib><creatorcontrib>Hoq, M.</creatorcontrib><creatorcontrib>Leask, J.</creatorcontrib><creatorcontrib>Perrett, K.P.</creatorcontrib><creatorcontrib>O'Keefe, Jacinta</creatorcontrib><creatorcontrib>Giles, M.L.</creatorcontrib><creatorcontrib>Marshall, H.</creatorcontrib><title>Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>Maternal and childhood vaccine decision-making begins prenatally. Amongst pregnant Australian women we aimed to ascertain vaccine information received, maternal immunisation uptake and attitudes and concerns regarding childhood vaccination. We also aimed to determine any correlation between a) intentions and concerns regarding childhood vaccination, (b) concerns about pregnancy vaccination, (c) socioeconomic status (SES) and (d) uptake of influenza and pertussis vaccines during pregnancy and routine vaccines during childhood.
Women attending public antenatal clinics were recruited in three Australian states. Surveys were completed on iPads. Follow-up phone surveys were done three to six months post delivery, and infant vaccination status obtained via the Australian Childhood Immunisation Register (ACIR).
Between October 2015 and March 2016, 975 (82%) of 1184 mothers consented and 406 (42%) agreed to a follow up survey, post delivery. First-time mothers (445; 49%) had significantly more vaccine concerns in pregnancy and only 73% had made a decision about childhood vaccination compared to 89% of mothers with existing children (p-value<0.001). 66% of mothers reported receiving enough information during pregnancy on childhood vaccination. In the post delivery survey, 46% and 82% of mothers reported receiving pregnancy influenza and pertussis vaccines respectively. The mother's degree of vaccine hesitancy and two attitudinal factors were correlated with vaccine uptake post delivery. There was no association between reported maternal vaccine uptake or SES and childhood vaccine uptake.
First time mothers are more vaccine hesitant and undecided about childhood vaccination, and only two thirds of all mothers believed they received enough information during pregnancy. New interventions to improve both education and communication on childhood and maternal vaccines, delivered by midwives and obstetricians in the Australian public hospital system, may reduce vaccine hesitancy for all mothers in pregnancy and post delivery, particularly first-time mothers.</description><subject>Attitude to Health</subject><subject>Australia</subject><subject>Childhood</subject><subject>Childhood vaccination</subject><subject>Children</subject><subject>Correlation</subject><subject>Decision Making</subject><subject>Drug delivery systems</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Immunization</subject><subject>Influenza</subject><subject>Influenza Vaccines - administration & dosage</subject><subject>Influenza, Human - prevention & control</subject><subject>Intention</subject><subject>Maternal vaccination</subject><subject>Mothers - psychology</subject><subject>Pertussis</subject><subject>Pertussis Vaccine - administration & dosage</subject><subject>Polls & surveys</subject><subject>Pregnancy</subject><subject>Pregnant Women - psychology</subject><subject>Prenatal Care</subject><subject>Public health</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Surveys and Questionnaires</subject><subject>Vaccination - adverse effects</subject><subject>Vaccination - psychology</subject><subject>Vaccination - statistics & numerical data</subject><subject>Vaccination Coverage</subject><subject>Vaccine attitudes, behaviours and concerns</subject><subject>Vaccine decision-making</subject><subject>Vaccine uptake</subject><subject>Vaccines</subject><subject>Whooping Cough - prevention & control</subject><subject>Womens health</subject><issn>0264-410X</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1u1DAUhS0EokPhEUCW2HRBgu04GYcNQqPyI1XqBhA7y7FvZjxN7MF2WvVpeNU6SuiCDStLV985vvcchF5TUlJCm_fH8lZpbR2UjNBtSURJSPUEbajYVgWrqXiKNoQ1vOCU_DpDL2I8EkLqirbP0RkTglJSkw3683NxwQa0jda7YlQ31u1xB3vrIrYOnwLsnXL6_gPe-RBgUClzGUh3AA6va2DtnYbg4rusSeBmJmLlDB5VynM1rOSivrPpgOPURfg9ZRjrgx3MwXvz6DedkrqBl-hZr4YIr9b3HP34fPl997W4uv7ybffpqtCckVRUlQZhuBJm20PVMVXzBrqW99TUnHetoJwJ1jakqYlSfVM1Xd0baAXXptOUVefoYvE9BZ83ikmONmoYBuXAT1HSlrWiFULM6Nt_0KOf5gOjZJQ225x6W2WqXigdfIwBenkKdlThXlIi5wblUa6nyrlBSYTMDWbdm9V96kYwj6q_lWXg4wJAjuPWQpBRW8jZGxtAJ2m8_c8XDzj5swE</recordid><startdate>20181022</startdate><enddate>20181022</enddate><creator>Danchin, M.H.</creator><creator>Costa-Pinto, J.</creator><creator>Attwell, K.</creator><creator>Willaby, H.</creator><creator>Wiley, K.</creator><creator>Hoq, M.</creator><creator>Leask, J.</creator><creator>Perrett, K.P.</creator><creator>O'Keefe, Jacinta</creator><creator>Giles, M.L.</creator><creator>Marshall, H.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20181022</creationdate><title>Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake</title><author>Danchin, M.H. ; Costa-Pinto, J. ; Attwell, K. ; Willaby, H. ; Wiley, K. ; Hoq, M. ; Leask, J. ; Perrett, K.P. ; O'Keefe, Jacinta ; Giles, M.L. ; Marshall, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-33ce8d4a8d7fe3b2a546eb94f1d544b9814282960650aaf636b5fde984cdbc123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Attitude to Health</topic><topic>Australia</topic><topic>Childhood</topic><topic>Childhood vaccination</topic><topic>Children</topic><topic>Correlation</topic><topic>Decision Making</topic><topic>Drug delivery systems</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Immunization</topic><topic>Influenza</topic><topic>Influenza Vaccines - administration & dosage</topic><topic>Influenza, Human - prevention & control</topic><topic>Intention</topic><topic>Maternal vaccination</topic><topic>Mothers - psychology</topic><topic>Pertussis</topic><topic>Pertussis Vaccine - administration & dosage</topic><topic>Polls & surveys</topic><topic>Pregnancy</topic><topic>Pregnant Women - psychology</topic><topic>Prenatal Care</topic><topic>Public health</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Surveys and Questionnaires</topic><topic>Vaccination - adverse effects</topic><topic>Vaccination - psychology</topic><topic>Vaccination - statistics & numerical data</topic><topic>Vaccination Coverage</topic><topic>Vaccine attitudes, behaviours and concerns</topic><topic>Vaccine decision-making</topic><topic>Vaccine uptake</topic><topic>Vaccines</topic><topic>Whooping Cough - prevention & control</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Danchin, M.H.</creatorcontrib><creatorcontrib>Costa-Pinto, J.</creatorcontrib><creatorcontrib>Attwell, K.</creatorcontrib><creatorcontrib>Willaby, H.</creatorcontrib><creatorcontrib>Wiley, K.</creatorcontrib><creatorcontrib>Hoq, M.</creatorcontrib><creatorcontrib>Leask, J.</creatorcontrib><creatorcontrib>Perrett, K.P.</creatorcontrib><creatorcontrib>O'Keefe, Jacinta</creatorcontrib><creatorcontrib>Giles, M.L.</creatorcontrib><creatorcontrib>Marshall, H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Vaccine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Danchin, M.H.</au><au>Costa-Pinto, J.</au><au>Attwell, K.</au><au>Willaby, H.</au><au>Wiley, K.</au><au>Hoq, M.</au><au>Leask, J.</au><au>Perrett, K.P.</au><au>O'Keefe, Jacinta</au><au>Giles, M.L.</au><au>Marshall, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake</atitle><jtitle>Vaccine</jtitle><addtitle>Vaccine</addtitle><date>2018-10-22</date><risdate>2018</risdate><volume>36</volume><issue>44</issue><spage>6473</spage><epage>6479</epage><pages>6473-6479</pages><issn>0264-410X</issn><eissn>1873-2518</eissn><abstract>Maternal and childhood vaccine decision-making begins prenatally. Amongst pregnant Australian women we aimed to ascertain vaccine information received, maternal immunisation uptake and attitudes and concerns regarding childhood vaccination. We also aimed to determine any correlation between a) intentions and concerns regarding childhood vaccination, (b) concerns about pregnancy vaccination, (c) socioeconomic status (SES) and (d) uptake of influenza and pertussis vaccines during pregnancy and routine vaccines during childhood.
Women attending public antenatal clinics were recruited in three Australian states. Surveys were completed on iPads. Follow-up phone surveys were done three to six months post delivery, and infant vaccination status obtained via the Australian Childhood Immunisation Register (ACIR).
Between October 2015 and March 2016, 975 (82%) of 1184 mothers consented and 406 (42%) agreed to a follow up survey, post delivery. First-time mothers (445; 49%) had significantly more vaccine concerns in pregnancy and only 73% had made a decision about childhood vaccination compared to 89% of mothers with existing children (p-value<0.001). 66% of mothers reported receiving enough information during pregnancy on childhood vaccination. In the post delivery survey, 46% and 82% of mothers reported receiving pregnancy influenza and pertussis vaccines respectively. The mother's degree of vaccine hesitancy and two attitudinal factors were correlated with vaccine uptake post delivery. There was no association between reported maternal vaccine uptake or SES and childhood vaccine uptake.
First time mothers are more vaccine hesitant and undecided about childhood vaccination, and only two thirds of all mothers believed they received enough information during pregnancy. New interventions to improve both education and communication on childhood and maternal vaccines, delivered by midwives and obstetricians in the Australian public hospital system, may reduce vaccine hesitancy for all mothers in pregnancy and post delivery, particularly first-time mothers.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>28811050</pmid><doi>10.1016/j.vaccine.2017.08.003</doi><tpages>7</tpages></addata></record> |
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| ispartof | Vaccine, 2018-10, Vol.36 (44), p.6473-6479 |
| issn | 0264-410X 1873-2518 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Attitude to Health Australia Childhood Childhood vaccination Children Correlation Decision Making Drug delivery systems Female Health Knowledge, Attitudes, Practice Humans Immunization Influenza Influenza Vaccines - administration & dosage Influenza, Human - prevention & control Intention Maternal vaccination Mothers - psychology Pertussis Pertussis Vaccine - administration & dosage Polls & surveys Pregnancy Pregnant Women - psychology Prenatal Care Public health Socioeconomic factors Socioeconomics Surveys and Questionnaires Vaccination - adverse effects Vaccination - psychology Vaccination - statistics & numerical data Vaccination Coverage Vaccine attitudes, behaviours and concerns Vaccine decision-making Vaccine uptake Vaccines Whooping Cough - prevention & control Womens health |
| title | Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake |
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