Influenza vaccine: uptake low in minority pregnant women

  • Arnold LD & al.
  • Vaccine
  • 27 Mar 2019

  • International Clinical Digest
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Takeaway

  • Non-Hispanic black women ≥18 years have the lowest odds for receiving influenza vaccination before/during pregnancy compared with non-Hispanic white peers.
  • Race/ethnicity is significantly associated with health care provider recommendations for influenza vaccine.

Why this matters

  • Target influenza vaccine recommendations, efforts to overcome vaccine hesitancy to non-Hispanic black, Asian pregnant women.

Key results

  • 131,743 women.
  • Compared with non-Hispanic whites, Asian women had 34% lower odds for provider recommendations (aOR, 0.66; 95% CI, 0.61-0.72), non-Hispanic black women had 19% lower odds for a provider recommendation (aOR, 0.81; 95% CI, 0.75-0.86), 30% lower odds for receiving an influenza vaccine during pregnancy (aOR, 0.7; 95% CI, 0.65-0.74).
  • Compared with non-Hispanic whites, odds of provider recommendations increased for younger mothers (≤17 years) for all racial/ethnic groups.
  • Asian, non-Hispanic black mothers, ages 18-34 years, had 35% (aOR, 0.65; 95% CI, 0.59-0.72), 19% (aOR, 0.81; 95% CI, 0.75-0.88) lower odds, respectively, for an influenza recommendation.
  • Asian, black women ≥35 years, 34% (aOR, 0.66; 95% CI, 0.55-0.80), 29% (aOR, 0.71; 95% CI, 0.59-0.84) lower odds, respectively, for recommendation vs non-Hispanic whites.

Study design

  • Cross-sectional, secondary analysis evaluating maternal influenza vaccine uptake by race, the potential role of provider recommendations, 2012-2015.
  • Funding: None disclosed.

Limitations

  • Selection bias.
  • Bias toward the null.
  • Secondary analysis.

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