141st APHA Annual Meeting

In This section

283479
Influenza vaccination coverage among pregnant women: Experience from two influenza seasons 2009-2011

Tuesday, November 5, 2013

Indu B. Ahluwalia, PhD, MPH , Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
Helen Ding, MD, MSPH , National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA
Denise D'Angelo, MPH , PRAMS Program, Centers for Disease Control and Prevention, Atlanta, GA
James Singleton, PhD, MPH , Ncird, CDC, Atlanta, GA
Carolyn Bridges, MD , Ncird, CDC, Atlanta, GA
Background: Studies have demonstrated that influenza vaccination during pregnancy reduces the risk of influenza-related illness among pregnant women and their infants up to 6 months of age. We examined influenza vaccination coverage among women who delivered a live-born infant during two consecutive influenza seasons, 2009-2010 and 2010-2011. Methods: Pregnancy Risk Assessment and Monitoring System (PRAMS) data from 29 states and New York City (NYC) were used to examine seasonal (n=27,153) and influenza A(H1N1) pdm09 (pH1N1) (n=27,372) vaccination uptake for the 2009-2010 season, and data from 21 states and NYC were examined (n=18,522) for the 2010-2011 season, among women who delivered a live-born infant during September through May. SUDAAN 10.0 was used for analysis to account for the complex survey design. Results: PRAMS data show that median coverage for seasonal vaccination in the 2009-2010 season was 45.3% and was 38.8% for pH1N1 vaccine. For states with data available for both seasons, the median seasonal coverage increased from 51.2% in 2009-2010 to 54.8% in 2010-2011; the increase varied by state and significant gains were seen for non-Hispanic blacks, non-Hispanic whites, and Hispanics, those aged 25-34 years; and those on Medicaid. In addition, advice/offer of vaccination from providers increased from 69.4% to 72.0%, indicating that more providers were advising their clients to get vaccinated. Conclusions: To meet the Healthy People 2020 objective of 80% coverage for pregnant women, concerted sustained efforts to promote influenza vaccination uptake during pregnancy will be needed to continue the gains made in vaccination coverage during 2009-2011.

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control

Learning Objectives:
Identify the importance of seasonal influenza vaccination uptake by pregnant women and gaps in vaccination coverage. Describe changes in influenza vaccination uptake by pregnant women and the potential impact of state differences in promoting vaccinations.

Keywords: Immunizations, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on the project focusing on influenza vaccination coverage among women with live-born infants using PRAMS data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.