Evidence map›Paper›PMID 33508208›Full record

ArticlePublic health reports (Washington, D.C. : 1974)

Racial/Ethnic Disparities in Maternal Vaccine Knowledge, Attitudes, and Intentions.

Matthew Z Dudley, Rupali J Limaye, Daniel A Salmon, Saad B Omer, Sean T O'Leary, Mallory K Ellingson, Christine I Spina, Sarah E Brewer, Robert A Bednarczyk, Fauzia Malik and 2 more

Open access · greenAbstract read
In one paragraph

Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Disparities in Seasonal Influenza Vaccination in Europe.Immunity, inflammation and disease · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Preparing for Group BHuman vaccines & immunotherapeutics · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Maternal Vaccination and Vaccine Hesitancy.Pediatric clinics of North America · 2023
    Review
  18. Article
  19. Article
  20. Review
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

12 authors at 5 institutions in 1 country.

Matthew Z Dudley25802 Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0003-1201-4066
Rupali J Limaye25802 Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Daniel A Salmon25802 Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Saad B Omer12228 Yale Institute for Global Health, Yale School of Medicine, New Haven, CT, USA.
Sean T O'Leary129263 Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, USA.
Mallory K EllingsonDepartment of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA.
Christine I Spina129263 Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, USA.
Sarah E Brewer129263 Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children's Hospital Colorado, Aurora, CO, USA.
Robert A Bednarczyk25798 Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Fauzia MalikDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.
Paula M Frew14722 School of Community Health Sciences and Office of Research and Economic Development, University of Nevada, Las Vegas, NV, USA.
Allison T Chamberlain1371 Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Children's Hospital Colorado · USJohns Hopkins University · USYale University · USEmory University · USUniversity of Nevada, Las Vegas · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
A Comprehensive Pre-Natal Intervention to Increase Vaccine CoverageR01AI110482 · NIAID · EMORY UNIVERSITY · PI BEDNARCZYK, ROBERT A., SALMON, DANIEL A · 2015 to 2019
$4.0M
NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI110482
6 · The paper itself

Abstract

objectivesAlthough disparities in maternal vaccine acceptance among racial/ethnic groups are well documented, the reasons for these disparities are unclear. The objective of this study was to describe differences in pregnant women's knowledge, attitudes, beliefs, intentions, and trust regarding maternal and infant vaccines by race/ethnicity.

methodsWe collected survey data from 1862 pregnant women from diverse prenatal care practices in Georgia and Colorado from June 2017 through July 2018. We performed multiple logistic regressions to determine differences in intentions, knowledge, attitudes, beliefs, and trust by race/ethnicity and calculated odds ratios (ORs) and 95% CIs.

resultsCompared with White women, Black and Hispanic women were less confident in vaccine safety and efficacy and less likely to perceive risk of acquiring vaccine-preventable diseases, report provaccine social norms, indicate having enough vaccine knowledge, and trust vaccine information from health care providers and public health authorities. Black women were the least confident in the safety of the maternal influenza vaccine (OR = 0.37; 95% CI, 0.27-0.49); maternal tetanus, diphtheria, and acellular pertussis vaccine (OR = 0.37; 95% CI, 0.27-0.52); and infant vaccines overall (OR = 0.40; 95% CI, 0.28-0.58), and were least likely to intend to receive both maternal vaccines (OR = 0.35; 95% CI, 0.27-0.47) or all infant vaccines on time (OR = 0.45; 95% CI, 0.34-0.61) as compared with White women.

conclusionsUnderstanding differences in behavioral constructs integral to vaccine decision making among women of different races/ethnicities can lead to tailored interventions to improve vaccine acceptance.

Indexed as

Health Knowledge, Attitudes, PracticeAdultColoradoEthnic and Racial MinoritiesFemaleGeorgiaHumansMothersSurveys and QuestionnairesVaccinationattitudesethnicitypregnancyracevaccine(s)

Identifiers

PMID33508208
PMCPMC8579395
OpenAlexW3122713375

What OpenQuestion holds

Textmetadata
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.