142nd APHA Annual Meeting and Exposition

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Influenza Vaccination among Pregnant Women in Mississippi, Pregnancy Risk Assessment Monitoring System (PRAMS), 2009-2011

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 9:15 AM - 9:30 AM

Mary Wesley, MPH , Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS
Marie Caesarini, MD, MPH (c) , Department of Global Community Health and Behavioral Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, LA
Brenda Hughes, MPPA , Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS
Chisa Lanier, MPH , Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS
Lei Zhang, PhD, MSc, MBA , Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS
BACKGROUND: During influenza season, pregnant women are of special interest due to adverse maternal and infant outcomes resulting from infection. 

OBJECTIVE: Examine the association between influenza vaccination among pregnant women and discussions with healthcare providers.

METHODS: The 2009 – 2011 PRAMS survey flu supplement was used (n=2195). The outcome of interest was vaccination status (seasonal influenza / H1N1) and the exposure of interest was healthcare discussions about vaccination. These factors were examined by race, age, BMI, educational level, prenatal care (PNC) initiation, and Medicaid status. Descriptive statistics and chi-square analyses were run using SAS 9.3.

RESULTS: The population was 53% White, 46% Black, most (94%) were < 35 yrs, and many (79%) completed high school education or higher. Approximately one fifth (n=487) had PNC Medicaid,  78% (n=1702) had 1st trimester PNC, and 60%  (n=1255) were offered influenza/H1N1 shots. Twenty percent (n=376) received both shots; 6% (n=141) received seasonal only, 21% (n=445) received H1N1 only, and 53% (n=1171) received neither. Results showed significant differences in vaccination offers by age (p= <.0001), education (p= <.0001) and Medicaid PNC status (p= 0.002). There were significant differences in vaccination status by healthcare discussions (p= <.0001), race (p= 0.001), BMI (p= 0.014), education (p= <.0001), PNC initiation (p= <.0001).

CONCLUSIONS: Influenza vaccination was significantly associated with healthcare provider discussions and other maternal characteristics and behaviors. This relationship should be studied further with advanced analyses.

PUBLIC HEALTH IMPLICATIONS: Vaccination coverage of pregnant women can be improved by studying the relationship between providers’ health promotion and women’s actions.

Learning Areas:

Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public
Public health or related nursing
Public health or related public policy

Learning Objectives:
Describe demographic and behavioral factors associated with influenza vaccination among pregnant women.

Keyword(s): Immunizations, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have experience in maternal and child health as an epidemiologist for the Pregnancy Risk Assessment Monitoring System (PRAMS), Title V Maternal and Child Health Block (MCH) Block grant, and the State Systems Development Initiative (SSDI) grant.
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.