title: Intention to accept Bordetella pertussis booster vaccine during pregnancy in Mexico City.
abstract: OBJECTIVE
  Adult booster vaccination against pertussis can help prevent severe infections in young infants. We examined influences on intention to accept pertussis booster vaccination among pregnant women in Mexico City.
  
  
  METHODS
  We conducted a cross-sectional survey, recruiting convenience samples of pregnant women receiving prenatal care from three public healthcare centers between March and May 2012. Our primary outcome was intention to accept pertussis vaccination during pregnancy. We examined socio-demographic factors, vaccination history, pertussis knowledge, perceptions of vaccine information sources, and other potential influences on vaccine decision-making.
  
  
  RESULTS
  A total of 402 pregnant women agreed to participate, of which 387 (96%) provided their intention to accept or decline pertussis vaccination. Among respondents, 57% intended to accept a pertussis booster vaccine if offered, but only 16% had ever heard of pertussis, and only 2% knew someone who had contracted this disease. Over 80% of respondents would accept pertussis vaccination if recommended by an obstetrician-gynecologist. The most frequently selected reasons to refuse pertussis vaccination were concerns that the vaccine might harm the unborn baby or pregnant woman. In multivariate analysis, rating doctors and nurses as good sources of vaccine information, and having ever heard of pertussis, were independently associated with intention to accept pertussis vaccination.
  
  
  CONCLUSIONS
  Promoting patient awareness about pertussis disease and vaccine safety, and encouraging general practitioners, nurses and obstetricians to recommend pertussis booster vaccine, may increase vaccine uptake among pregnant women.
authors.affiliation: Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA.
authors.forename: Aiden Kennedy
authors.initials: AK
authors.lastname: Varan
authors.affiliation: National Center for Child and Adolescent Health, Ministry of Health, Francisco de P. Miranda 177, Lomas de Plateros, Álvaro Obregón, 01600 Mexico City, Mexico.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Esteves-Jaramillo
authors.affiliation: National Center for Child and Adolescent Health, Ministry of Health, Francisco de P. Miranda 177, Lomas de Plateros, Álvaro Obregón, 01600 Mexico City, Mexico.
authors.forename: Vesta
authors.initials: V
authors.lastname: Richardson
authors.affiliation: National Center for Child and Adolescent Health, Ministry of Health, Francisco de P. Miranda 177, Lomas de Plateros, Álvaro Obregón, 01600 Mexico City, Mexico.
authors.forename: Marcelino
authors.initials: M
authors.lastname: Esparza-Aguilar
authors.affiliation: Sanofi Pasteur, Avenida Universidad 1738, Colonia Coyoacán, 04000 Mexico City, Mexico.
authors.forename: Patricia
authors.initials: P
authors.lastname: Cervantes-Powell
authors.affiliation: Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA; Emory University School of Medicine, 1648 Pierce Drive NE, Atlanta, GA 30322, USA. Electronic address: somer@emory.edu.
authors.forename: Saad B
authors.initials: SB
authors.lastname: Omer
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007117:Immunization, Secondary / Q000706:statistics & numerical data*; D033182:Intention; D008800:Mexico; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D010567:Pertussis Vaccine; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology; D014611:Vaccination / Q000523:psychology*; D014917:Whooping Cough / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D010567:Pertussis Vaccine
keywords: Mexico; Pertussis; Pregnancy; Tdap; Vaccine acceptance