Evidence map›Paper›PMID 30401620›Full record

ArticleVaccine2018

Influenza and pertussis vaccination in pregnancy: Portrayal in online media articles and perceptions of pregnant women and healthcare professionals.

Christopher R Wilcox, Kathryn Bottrell, Pauline Paterson, William S Schulz, Tushna Vandrevala, Heidi J Larson, Christine E Jones

Abstract read
In one paragraph

Article in Vaccine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Review
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  6. Journal of health communication · 2025
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  10. Characteristics associated with influenza vaccination uptake in pregnancy: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  20. Current practice and attitudes towards vaccination during pregnancy: a survey of GPs across EnglandThe British journal of general practice : the journal of the Royal College of General Practitioners · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christopher R WilcoxNIHR Clinical Research Facility, University Hospital Southampton NHS Foundation Trust, Southampton, UK. Electronic address: christopher.wilcox@soton.ac.uk.
Kathryn BottrellPaediatric Infectious Diseases Research Group, St George's, University of London, UK.
Pauline PatersonDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
William S SchulzDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Tushna VandrevalaDepartment of Psychology, Kingston University, London, UK.
Heidi J LarsonDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Christine E JonesPaediatric Infectious Diseases Research Group, St George's, University of London, UK; Faculty of Medicine and Institute for Life Sciences, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOnline media may influence women's decision to undergo vaccination during pregnancy. The aims of this mixed-methods study were to: (1) examine the portrayal of maternal vaccination in online media and (2) establish the perceived target of vaccine protection as viewed by pregnant women and maternity healthcare professionals (HCPs).

methodsOnline media articles on maternal vaccination (published July-December 2012 or November 2015-April 2016) were identified through the London School of Hygiene & Tropical Medicine's Vaccine Confidence Database and thematically analysed. Questionnaires for pregnant women and HCPs were distributed within four English hospitals (July 2017-January 2018).

resultsOf 203 articles identified, 60% related to pertussis vaccination, 33% to influenza and 6% both. The majority positively portrayed vaccination in pregnancy (97%), but inaccurate, negative articles persist which criticize pertussis vaccination's safety and efficacy. Positively-worded articles about pertussis tended to focus on infant protection and highlight examples of recent cases, whereas positively-worded articles about influenza focused on maternal protection. These themes were reflected in questionnaire responses from 314 pregnant women and 204 HCPs, who perceived pertussis vaccination as protecting the baby, and influenza vaccination as protecting the mother, or mother and baby equally. A minority of the pregnant women surveyed intended to decline influenza (22%) or pertussis (8%) vaccination.

conclusionsThe majority of online articles support pertussis and influenza vaccination during pregnancy. The portrayal of pertussis vaccination as primarily benefiting the child, using real-examples, may influence its higher uptake compared with influenza. This approach should be considered by HCPs when recommending vaccination. HCPs should be prepared to provide advice to women hesitant about vaccination, including addressing any negative media, and consider educational strategies to counteract inaccurate information. Future studies should directly assess the influence of media on vaccine decision-making and establish which media platforms are typically used by pregnant women to gather information.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdolescentAdultCommunications MediaFemaleHospitalsHumansInfluenza, HumanInfluenza VaccinesInternetLondonMiddle AgedPertussis VaccinePregnancyPregnancy Complications, InfectiousInfluenza VaccinesPertussis VaccineConfidenceDecision-makingMaternalMediaPregnancyVaccination

Identifiers

PMID30401620
PMCPMC6263273

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.