title: Predictors of H1N1 vaccination in pregnancy.
abstract: The purpose of this review was to determine factors that influence a pregnant woman's acceptance of the H1N1 vaccine with the use of the Health Belief Model (HBM). A self-administered questionnaire based on the HBM was used in a cross-sectional study of postpartum women during the 2009 H1N1 epidemic. Overall, 212 postpartum women were approached and agreed to participate; of these women, 25.5% had received an H1N1 vaccination. Perceived barriers to vaccination (P = .001) and perceived severity of infection (P = .018) were independent predictors of vaccination. The total predictive utility of the full model that incorporated HBM dimensions, age, race, care provider, and education level was moderate (area under the curve, -0.86). The addressing of perceived barriers (such as fear of side-effects), an explanation of the safety of the vaccine for the fetus, and the stressing of complications that are associated with H1N1 infection in pregnancy may increase the rate of vaccination.
authors.affiliation: Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, USA. Dmitry.Fridman@gmail.com
authors.forename: Dmitry
authors.initials: D
authors.lastname: Fridman
authors.forename: Eric
authors.initials: E
authors.lastname: Steinberg
authors.forename: Erum
authors.initials: E
authors.lastname: Azhar
authors.forename: Jeremy
authors.initials: J
authors.lastname: Weedon
authors.forename: Tracey E
authors.initials: TE
authors.lastname: Wilson
authors.forename: Howard
authors.initials: H
authors.lastname: Minkoff
mesh_terms: D005260:Female; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000276:immunology*; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008960:Models, Psychological; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D037841:Pregnant People / Q000523:psychology*; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines