Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study

Human Vaccines & Immunotherapeutics
Sushena KrishnaswamyMichelle Giles

Abstract

The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5-21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18-70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5-15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16-56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arri...Continue Reading

References

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Citations

Jun 5, 2018·Human Vaccines & Immunotherapeutics·Alessia D'AlessandroItalo Francesco Angelillo
Nov 27, 2018·Journal of Travel Medicine·Anita E Heywood, Rogelio López-Vélez
Jan 25, 2019·Human Vaccines & Immunotherapeutics·Sushena KrishnaswamyMichelle L Giles
Feb 27, 2020·Australian and New Zealand Journal of Public Health·Khai Lin KongMichelle L Giles
Mar 25, 2020·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Drew MoirJoanne Said
Jan 21, 2021·International Journal of Environmental Research and Public Health·Thi Thu Le PhamKatharine Gibson
Jun 7, 2021·Best Practice & Research. Clinical Obstetrics & Gynaecology·Eliana CastilloNoni MacDonald
Oct 13, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Taylor L FussRebecca B Perkins

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