- 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.
- 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.
- Cross-sectional, secondary analysis evaluating maternal influenza vaccine uptake by race, the potential role of provider recommendations, 2012-2015.
- Funding: None disclosed.
- Selection bias.
- Bias toward the null.
- Secondary analysis.