Factors Associated with Antenatal Influenza Vaccination in a Medically Underserved Population
المؤلفون المشاركون
Haddad, Lisa B.
Adams, Jenna C.
Biswas, Hope H.
Boulet, Sheree L.
Doraivelu, Kamini
Saums, Michele K.
Jamieson, Denise J.
المصدر
Infectious Diseases in Obstetrics and Gynecology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-01-27
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Influenza infection in pregnant women is associated with increased risk of morbidity and mortality.
Despite recommendations for all women to receive the seasonal influenza vaccine during pregnancy, vaccination rates among pregnant women in the U.S.
have remained around 50%.
The objective of this study was to evaluate clinical and demographic factors associated with antenatal influenza vaccination in a medically underserved population of women.
We conducted a retrospective cohort study at Grady Memorial Hospital, a large safety-net hospital in Atlanta, Georgia, from July 1, 2016, to June 30, 2018.
Demographic and clinical characteristics were abstracted from the electronic medical record.
The Kotelchuck index was used to assess prenatal care adequacy.
Relative risks and 95% confidence intervals for associations between receipt of influenza vaccine and prenatal care adequacy, demographic characteristics, and clinical characteristics were calculated using multivariable log-binominal models.
Among 3723 pregnant women with deliveries, women were primarily non-Hispanic black (68.4%) and had Medicaid as their primary insurance type (87.9%).
The overall vaccination rate was 49.8% (1853/3723).
Inadequate prenatal care adequacy was associated with a lower antenatal influenza vaccination rate (43.5%), while intermediate and higher levels of prenatal care adequacy were associated with higher vaccination rates (66.9–68.3%).
Hispanic ethnicity, non-Hispanic other race/ethnicity, interpreter use for a language other than Spanish, and preexisting diabetes mellitus were associated with higher vaccination coverage in multivariable analyses.
Among medically underserved pregnant women, inadequate prenatal care utilization was associated with a lower rate of antenatal influenza vaccination.
Socially disadvantaged women may face individual and structural barriers when accessing prenatal care, suggesting that evidenced-based, tailored approaches may be needed to improve prenatal care utilization and antenatal influenza vaccination rates.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Adams, Jenna C.& Biswas, Hope H.& Boulet, Sheree L.& Doraivelu, Kamini& Saums, Michele K.& Haddad, Lisa B.…[et al.]. 2020. Factors Associated with Antenatal Influenza Vaccination in a Medically Underserved Population. Infectious Diseases in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1167276
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Adams, Jenna C.…[et al.]. Factors Associated with Antenatal Influenza Vaccination in a Medically Underserved Population. Infectious Diseases in Obstetrics and Gynecology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1167276
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Adams, Jenna C.& Biswas, Hope H.& Boulet, Sheree L.& Doraivelu, Kamini& Saums, Michele K.& Haddad, Lisa B.…[et al.]. Factors Associated with Antenatal Influenza Vaccination in a Medically Underserved Population. Infectious Diseases in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1167276
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1167276
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر