title: Behaviors and perceptions regarding seasonal and H1N1 influenza vaccination during pregnancy.
abstract: We examined vaccination rates during pregnancy against both seasonal and pandemic H1N1 influenza and reasons for nonadherence to recommended guidelines during the 2009 through 2010 influenza season. Demographic and vaccination data were collected using a cross-sectional approach. Among 813 postpartum women, 520 (64%) reported receiving the seasonal influenza vaccination and 439 (54%) reported receiving the H1N1 influenza vaccination during pregnancy. Most received vaccinations at their obstetrician's office. Major reasons for not receiving vaccination were: not knowledgeable about the vaccine importance (25%), concerns for effects on fetal and maternal health (18% and 9%, respectively), and not knowledgeable about where to obtain vaccination (9%). Reported H1N1 influenza vaccination rates were significantly lower in blacks (37%) compared with non-Hispanic whites, Hispanics, and Asian/other (57%, 59%, and 58%, respectively; P < .0001). Subsequent campaigns for improving vaccination rates in pregnancy should focus on educating patients about vaccine importance and safety.
authors.affiliation: Section of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Colorado Denver, Aurora, CO, USA.
authors.forename: Barbra M
authors.initials: BM
authors.lastname: Fisher
authors.forename: Janice
authors.initials: J
authors.lastname: Scott
authors.forename: Jan
authors.initials: J
authors.lastname: Hart
authors.forename: Virginia D
authors.initials: VD
authors.lastname: Winn
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Gibbs
authors.forename: Anne M
authors.initials: AM
authors.lastname: Lynch
mesh_terms: D000328:Adult; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000276:immunology*; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D058873:Pandemics; D010349:Patient Compliance / Q000208:ethnology / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000517:prevention & control*; D037841:Pregnant People / Q000208:ethnology / Q000523:psychology; D012621:Seasons; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines