Media influence influenza, pertussis vaccine uptake in pregnancy

  • Wilcox CR & al.
  • Vaccine
  • 29 Nov 2018

  • curated by Liz Scherer
  • Clinical Essentials
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Takeaway

  • Maternal uptake of influenza/pertussis vaccine is influenced in part by media portrayals.
  • Health care practitioners (HCPs) should focus on child health benefit to encourage vaccination.

Why this matters

  • Vaccination rates remain suboptimal.
  • Address negative messages.
  • Use data to counteract inaccurate information.

Key results

  • 203 articles, 12 themes.
    • Influenza articles: positive focus on protecting self or fetus, or positive vaccine safety/efficacy.
    • Pertussis articles: positive mention of vaccine need in context of recent area infections/mortality.
    • 5% (7/135) pertussis pieces were negative; 2 criticized efficacy, 1 efficacy/safety.
  • 314 pregnant women, 204 HCPs.
  • Influenza vaccine uptake: 38% (n=118/310), 40% (n=123), 22% (n=69) were vaccinated, intending to, or not intending, respectively.
  • Pertussis: 56% (n=168/302), 36% (n=109), 8.3% (n=25) were vaccinated, intending to, or not intending, respectively.
  • Influenza: 19% (n=58), 8% (n=24), 73% (n=218) pregnant women, respectively, believed the vaccine benefited the mother, baby, or both equally vs 51% (n=101), 3% (n=5), 47% (n=93) HCPs, respectively.
  • Pertussis: 3% (n=8), 57% (n=172), 41%, respectively, responded mother, baby, or both equally vs 2% (n=4), 71% (n=141), 27% (n=54) of HCPs.

Study design

  • Mixed-methods study characterizing online portrayal of maternal influenza/pertussis vaccination and HCP/patient perception of vaccine target.
  • Funding: British Paediatric Allergy Immunity and Infection Group.

Limitations

  • Inconsistent data retrieval.
  • Nongeneralizable.
  • Self-report bias.

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