ArticleAmerican journal of preventive medicine2016
Influenza Vaccination During Pregnancy: Influenza Seasons 2002-2012, Vaccine Safety Datalink.
Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Vaccine uptake and barriers to vaccination among at-risk adult populations in the US.Human vaccines & immunotherapeutics · 2022Pooled it
- Incidence of laboratory-confirmed influenza disease among infants under 6 months of age: a systematic review.BMJ open · 2017Pooled it
- Strengths and limitations of non-survey-based data sources for assessing adult vaccination coverage in the United States.Expert review of vaccines · 2025Review
- Changes in influenza-associated excess mortality in China between 2012-2019 and 2020-2021: a population-based statistical modelling study.Infectious diseases of poverty · 2025Article
- Influenza vaccination accuracy among adults: Self-report compared with electronic health record data.Vaccine · 2024Article
- Racial and ethnic disparities in influenza vaccination coverage among pregnant women in the United States: The contribution of vaccine-related attitudes.Preventive medicine · 2023Article
- Maternal vaccination-current status, challenges, and opportunities.The journal of obstetrics and gynaecology research · 2023Review
- Exposure to quadrivalent influenza vaccine during pregnancy: Results from a global pregnancy registry.Influenza and other respiratory viruses · 2022Article
- Article
- Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras.PloS one · 2021Article
- Influenza and Influenza Vaccine: A Review.Journal of midwifery & women's health · 2021Review
- Article
- Survey of influenza vaccine knowledge, attitudes, and beliefs among pregnant women in the 2016-17 season.Vaccine · 2020Article
- Knowledge and Attitudes about the Flu Vaccine among Pregnant Women in the Valencian Community (Spain).Medicina (Kaunas, Lithuania) · 2019Observational
- Adherence and Concordance of Influenza and Pertussis Vaccination Coverage in Pregnant Women in Spain.International journal of environmental research and public health · 2019Article
- Understanding barriers and predictors of maternal immunization: Identifying gaps through an exploratory literature review.Vaccine · 2018Review
- Infant Hospitalizations and Mortality After Maternal Vaccination.Pediatrics · 2018Article
- Maternal and Infant Outcomes After Human Papillomavirus Vaccination in the Periconceptional Period or During Pregnancy.Obstetrics and gynecology · 2017Observational
- First Trimester Influenza Vaccination and Risks for Major Structural Birth Defects in Offspring.The Journal of pediatrics · 2017Observational
- Identifying birth defects in automated data sources in the Vaccine Safety Datalink.Pharmacoepidemiology and drug safety · 2017Observational
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
introductionPregnant women are at risk for influenza-related complications and have been recommended for vaccination by the Advisory Committee on Immunization Practices (ACIP) since 1990. Annual rates of influenza coverage of pregnant women have been consistently low. The Vaccine Safety Datalink was used to assess influenza vaccine coverage over 10 consecutive years (2002-2012); assess patterns related to changes in ACIP recommendations; identify predictors of vaccination; and compare the results with those published by national U.S. surveys.
methodsRetrospective cohort study of 721,898 pregnancies conducted in 2014. Coverage rates were assessed for all pregnancies and for live births only. Multivariate regression analysis identified predictors associated with vaccination.
resultsCoverage increased from 8.8% to 50.9% in 2002-2012. Seasonal coverage rates increased slowly following the 2004 ACIP influenza vaccine recommendation (to remove the first trimester restriction), but spiked significantly during the 2009 H1N1 influenza pandemic. Significant predictors of vaccination during pregnancy included older age; vaccination in a previous season; high-risk conditions in addition to pregnancy; pregnancy during either the 2004-2005 or 2009-2010 seasons; entering the influenza season after the first trimester of pregnancy; and a pregnancy with longer overlap with the influenza season (p<0.001 for each).
conclusionsInfluenza vaccination coverage among pregnant women increased between the 2002-2003 and 2011-2012 seasons, although it was still below the developmental Healthy People 2020 goal of 80%. The 2004 ACIP language change positively impacted first-trimester vaccination uptake. Vaccine Safety Datalink data estimates were consistent with U.S. estimates.
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