ArticleHuman vaccines & immunotherapeutics2016
Tdap vaccine attitudes and utilization among pregnant women from a high-risk population.
Article in Human vaccines & immunotherapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Factors influencing vaccine uptake during pregnancy: A systematic literature review.Human vaccines & immunotherapeutics · 2026Pooled it
- Vaccine uptake and barriers to vaccination among at-risk adult populations in the US.Human vaccines & immunotherapeutics · 2022Pooled it
- Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis.PloS one · 2020Pooled it
- Efficacy and safety of pertussis vaccination for pregnant women - a systematic review of randomised controlled trials and observational studies.BMC pregnancy and childbirth · 2017Pooled it
- Influenza and Pertussis Vaccination During Pregnancy: A Systematic Review of Vaccination Rates and Vaccination Determinants.Vaccines · 2026Review
- Association of Vaccination in Pregnancy With Newborn Hepatitis B Vaccine Receipt.The Permanente journal · 2025Article
- The relationship between vaccine hesitancy and health literacy in pregnant women: a cross-sectional study.BMC women's health · 2024Article
- Vaccination during pregnancy by race/ethnicity: a focus on American Indians/Alaska Natives.AJOG global reports · 2024Article
- Factors in COVID-19 vaccine uptake in five racial/ethnic Colorado communities: A report from the Colorado CEAL project.PloS one · 2024Article
- Vaccine hesitancy and knowledge regarding maternal immunization among reproductive age women in central Italy: a cross sectional study.Frontiers in global women's health · 2023Article
- Pertussis and influenza immunization: perceived attitude and decision of postpartum patients.BMC pregnancy and childbirth · 2022Article
- Models of determinants of COVID-19 vaccine hesitancy in non-pregnant and pregnant population: Review of current literature".Human vaccines & immunotherapeutics · 2022Review
- Article
- Barriers and Facilitators Associated With Vaccine Acceptance and Uptake Among Pregnant Women in High Income Countries: A Mini-Review.Frontiers in immunology · 2021Review
- Public willingness to adhere to COVID-19 precautionary measures in Sudan: an application of the Health Belief Model.The Pan African medical journal · 2021Article
- Characterizing mothers and children at risk of being under-immunized in India: A latent class analysis approach.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020Article
- Knowledge and health beliefs of reproductive-age women in Alexandria about tetanus toxoid immunization.The Journal of the Egyptian Public Health Association · 2020Article
- Article
- Understanding barriers and predictors of maternal immunization: Identifying gaps through an exploratory literature review.Vaccine · 2018Review
- Clinician perspectives on strategies to improve patient maternal immunization acceptability in obstetrics and gynecology practice settings.Human vaccines & immunotherapeutics · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
Infants infected with Bordatella pertussis experience high morbidity and significant mortality. Vaccinating pregnant mothers with the tetanus-diphtheria-acellular pertussis (Tdap) vaccine is a recommended strategy for preventing infant pertussis. This is especially important for mothers living in poverty and from racial and ethnic minority populations as these groups are at increased risk of having a pertussis-affected infant. Using the Health Belief Model as a framework, we surveyed a convenience sample of pregnant mothers representing these high-risk populations to understand factors associated with Tdap vaccine uptake during their pregnancy. Among the 316 mothers surveyed, 82% had gotten or planned to get Tdap that same day even though 63% of the sample had concerns about the safety of the vaccine during pregnancy. Perceived benefits and norms were the Health Belief Model constructs most consistently associated with Tdap vaccination. Although 32% of women reported prior Tdap vaccine receipt, this factor was not associated with Tdap vaccination during the current pregnancy, contrasting studies of vaccination done in non-pregnant populations. Important variations in attitudes were apparent, with Spanish-speaking women significantly more likely to have concerns about the vaccine's safety and efficacy than English-speaking women. This study indicates that among this high-risk population acceptance of Tdap vaccine during pregnancy is high. However, our results suggest that it may be important to modify information conveyed about the safety and importance of Tdap during pregnancy based on individual level factors such as language or acculturation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.