Evidence map›Paper›PMID 37926397›Full record

ArticlePreventive medicine2023

Racial and ethnic disparities in influenza vaccination coverage among pregnant women in the United States: The contribution of vaccine-related attitudes.

Matthew F Daley, Liza M Reifler, Jo Ann Shoup, Jason M Glanz, Allison L Naleway, Jennifer C Nelson, Joshua T B Williams, Huong Q McLean, Gabriela Vazquez-Benitez, Kristin Goddard and 5 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

15 authors at 7 institutions in 1 country.

Matthew F DaleyInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, USA; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address: matthew.f.daley@kp.org.
Liza M ReiflerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, USA. Electronic address: liza.m.reifler@kp.org.
Jo Ann ShoupInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, USA. Electronic address: jo.ann.shoup@kp.org.
Jason M GlanzInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, USA; Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA. Electronic address: jason.m.glanz@kp.org.
Allison L NalewayKaiser Permanente Center for Health Research, Portland, OR, USA. Electronic address: allison.naleway@kpchr.org.
Jennifer C NelsonKaiser Permanente Washington Health Research Institute, Seattle, WA, USA. Electronic address: jen.nelson@kp.org.
Joshua T B WilliamsDepartment of General Pediatrics, Denver Health and Hospital Authority, Denver, CO, USA. Electronic address: joshua.williams@dhha.org.
Huong Q McLeanMarshfield Clinic Research Institute, Marshfield, WI, USA. Electronic address: mclean.huong@marshfieldresearch.org.
Gabriela Vazquez-BenitezHealthPartners Institute, Minneapolis, MN, USA. Electronic address: gabriela.x.vazquezbenitez@healthpartners.com.
Kristin GoddardKaiser Permanente Vaccine Study Center, Oakland, CA, USA. Electronic address: kristin.x.goddard@kp.org.
Bruno J LewinDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA. Electronic address: bruno.j.lewin@kp.org.
Eric S WeintraubImmunization Safety Office, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: eiw8@cdc.gov.
Michael M McNeilImmunization Safety Office, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: mmm2@cdc.gov.
Hilda RazzaghiNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: hir2@cdc.gov.
James A SingletonNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: xzs8@cdc.gov.
Kaiser Permanente · USCenters for Disease Control and Prevention · USDenver Health Medical Center · USHealthPartners · USKaiser Permanente Center for Health Research · USKaiser Permanente Washington Health Research Institute · USMarshfield Clinic · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveRacial and ethnic disparities in influenza vaccination coverage among pregnant women in the United States have been documented. This study assessed the contribution of vaccine-related attitudes to coverage disparities.

methodsSurveys were conducted following the 2019-2020 and 2020-2021 influenza seasons in a US research network. Using electronic health record data to identify pregnant women, random samples were selected for surveying; non-Hispanic Black women and influenza-unvaccinated women were oversampled. Regression-based decomposition analyses were used to assess the contribution of vaccine-related attitudes to racial and ethnic differences in influenza vaccination. Data were combined across survey years, and analyses were weighted and accounted for survey design.

resultsSurvey response rate was 41.2% (721 of 1748) for 2019-2020 and 39.3% (706 of 1798) for 2020-2021. Self-reported influenza vaccination was higher among non-Hispanic White respondents (79.4% coverage, 95% CI 73.1%-85.7%) than Hispanic (66.2% coverage, 95% CI 52.5%-79.9%) and non-Hispanic Black (55.8% coverage, 95% CI 50.2%-61.4%) respondents. For all racial and ethnic groups, a high proportion (generally >80%) reported being seen for care, recommended for influenza vaccination, and offered vaccination. In decomposition analyses, vaccine-related attitudes (e.g., worry about vaccination causing influenza; concern about vaccine safety and effectiveness) explained a statistically significant portion of the observed racial and ethnic disparities in vaccination. Maternal age, education, and health status were not significant contributors after controlling for vaccine-related attitudes.

conclusionsIn a setting with relatively high influenza vaccination coverage among pregnant women, racial and ethnic disparities in coverage were identified. Vaccine-related attitudes were associated with the disparities observed.

Indexed as

Healthcare DisparitiesInfluenza, HumanInfluenza VaccinesVaccination CoverageEthnicityFemaleHumansPregnancyPregnant PeopleRacial GroupsUnited StatesVaccinationInfluenza VaccinesAttitudesCoverageDisparitiesElectronic health recordsInfluenza vaccinationPregnancy

Identifiers

PMID37926397
PMCPMC10881081
OpenAlexW4388312648

What OpenQuestion holds

Textmetadata
LicenceTDM
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.