Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study

The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators an...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Sushena Krishnaswamy [verfasserIn] Allen C. Cheng [verfasserIn] Euan M. Wallace [verfasserIn] Jim Buttery [verfasserIn] Michelle L. Giles [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	antenatal vaccination attitudes ethnically diverse influenza knowledge maternal vaccination pertussis vaccination attitudes vaccine acceptance vaccines in pregnancy

Übergeordnetes Werk:	In: Human Vaccines & Immunotherapeutics - Taylor & Francis Group, 2022, 14(2018), 7, Seite 1591-1598
Übergeordnetes Werk:	volume:14 ; year:2018 ; number:7 ; pages:1591-1598

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1080/21645515.2018.1445455

Katalog-ID:	DOAJ096589604

Internformat


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520			\|a The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy.
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650		4	\|a pertussis
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653		0	\|a Immunologic diseases. Allergy
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700	0		\|a Michelle L. Giles \|e verfasserin \|4 aut
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allfields	10.1080/21645515.2018.1445455 doi (DE-627)DOAJ096589604 (DE-599)DOAJe6da93e9db084726bd38f935671ba30c DE-627 ger DE-627 rakwb eng RC581-607 RM1-950 Sushena Krishnaswamy verfasserin aut Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy. antenatal vaccination attitudes ethnically diverse influenza knowledge maternal vaccination pertussis vaccination attitudes vaccine acceptance vaccines in pregnancy Immunologic diseases. Allergy Therapeutics. Pharmacology Allen C. Cheng verfasserin aut Euan M. Wallace verfasserin aut Jim Buttery verfasserin aut Michelle L. Giles verfasserin aut In Human Vaccines & Immunotherapeutics Taylor & Francis Group, 2022 14(2018), 7, Seite 1591-1598 (DE-627)718665929 (DE-600)2664177-X 2164554X nnns volume:14 year:2018 number:7 pages:1591-1598 https://doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/article/e6da93e9db084726bd38f935671ba30c kostenfrei http://dx.doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/toc/2164-5515 Journal toc kostenfrei https://doaj.org/toc/2164-554X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2018 7 1591-1598
spelling	10.1080/21645515.2018.1445455 doi (DE-627)DOAJ096589604 (DE-599)DOAJe6da93e9db084726bd38f935671ba30c DE-627 ger DE-627 rakwb eng RC581-607 RM1-950 Sushena Krishnaswamy verfasserin aut Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy. antenatal vaccination attitudes ethnically diverse influenza knowledge maternal vaccination pertussis vaccination attitudes vaccine acceptance vaccines in pregnancy Immunologic diseases. Allergy Therapeutics. Pharmacology Allen C. Cheng verfasserin aut Euan M. Wallace verfasserin aut Jim Buttery verfasserin aut Michelle L. Giles verfasserin aut In Human Vaccines & Immunotherapeutics Taylor & Francis Group, 2022 14(2018), 7, Seite 1591-1598 (DE-627)718665929 (DE-600)2664177-X 2164554X nnns volume:14 year:2018 number:7 pages:1591-1598 https://doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/article/e6da93e9db084726bd38f935671ba30c kostenfrei http://dx.doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/toc/2164-5515 Journal toc kostenfrei https://doaj.org/toc/2164-554X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2018 7 1591-1598
allfields_unstemmed	10.1080/21645515.2018.1445455 doi (DE-627)DOAJ096589604 (DE-599)DOAJe6da93e9db084726bd38f935671ba30c DE-627 ger DE-627 rakwb eng RC581-607 RM1-950 Sushena Krishnaswamy verfasserin aut Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy. antenatal vaccination attitudes ethnically diverse influenza knowledge maternal vaccination pertussis vaccination attitudes vaccine acceptance vaccines in pregnancy Immunologic diseases. Allergy Therapeutics. Pharmacology Allen C. Cheng verfasserin aut Euan M. Wallace verfasserin aut Jim Buttery verfasserin aut Michelle L. Giles verfasserin aut In Human Vaccines & Immunotherapeutics Taylor & Francis Group, 2022 14(2018), 7, Seite 1591-1598 (DE-627)718665929 (DE-600)2664177-X 2164554X nnns volume:14 year:2018 number:7 pages:1591-1598 https://doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/article/e6da93e9db084726bd38f935671ba30c kostenfrei http://dx.doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/toc/2164-5515 Journal toc kostenfrei https://doaj.org/toc/2164-554X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2018 7 1591-1598
allfieldsGer	10.1080/21645515.2018.1445455 doi (DE-627)DOAJ096589604 (DE-599)DOAJe6da93e9db084726bd38f935671ba30c DE-627 ger DE-627 rakwb eng RC581-607 RM1-950 Sushena Krishnaswamy verfasserin aut Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy. antenatal vaccination attitudes ethnically diverse influenza knowledge maternal vaccination pertussis vaccination attitudes vaccine acceptance vaccines in pregnancy Immunologic diseases. Allergy Therapeutics. Pharmacology Allen C. Cheng verfasserin aut Euan M. Wallace verfasserin aut Jim Buttery verfasserin aut Michelle L. Giles verfasserin aut In Human Vaccines & Immunotherapeutics Taylor & Francis Group, 2022 14(2018), 7, Seite 1591-1598 (DE-627)718665929 (DE-600)2664177-X 2164554X nnns volume:14 year:2018 number:7 pages:1591-1598 https://doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/article/e6da93e9db084726bd38f935671ba30c kostenfrei http://dx.doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/toc/2164-5515 Journal toc kostenfrei https://doaj.org/toc/2164-554X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2018 7 1591-1598
allfieldsSound	10.1080/21645515.2018.1445455 doi (DE-627)DOAJ096589604 (DE-599)DOAJe6da93e9db084726bd38f935671ba30c DE-627 ger DE-627 rakwb eng RC581-607 RM1-950 Sushena Krishnaswamy verfasserin aut Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy. antenatal vaccination attitudes ethnically diverse influenza knowledge maternal vaccination pertussis vaccination attitudes vaccine acceptance vaccines in pregnancy Immunologic diseases. Allergy Therapeutics. Pharmacology Allen C. Cheng verfasserin aut Euan M. Wallace verfasserin aut Jim Buttery verfasserin aut Michelle L. Giles verfasserin aut In Human Vaccines & Immunotherapeutics Taylor & Francis Group, 2022 14(2018), 7, Seite 1591-1598 (DE-627)718665929 (DE-600)2664177-X 2164554X nnns volume:14 year:2018 number:7 pages:1591-1598 https://doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/article/e6da93e9db084726bd38f935671ba30c kostenfrei http://dx.doi.org/10.1080/21645515.2018.1445455 kostenfrei https://doaj.org/toc/2164-5515 Journal toc kostenfrei https://doaj.org/toc/2164-554X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2018 7 1591-1598
language	English
source	In Human Vaccines & Immunotherapeutics 14(2018), 7, Seite 1591-1598 volume:14 year:2018 number:7 pages:1591-1598
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author	Sushena Krishnaswamy
spellingShingle	Sushena Krishnaswamy misc RC581-607 misc RM1-950 misc antenatal vaccination misc attitudes misc ethnically diverse misc influenza misc knowledge misc maternal vaccination misc pertussis misc vaccination attitudes misc vaccine acceptance misc vaccines in pregnancy misc Immunologic diseases. Allergy misc Therapeutics. Pharmacology Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study
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topic_title	RC581-607 RM1-950 Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study antenatal vaccination attitudes ethnically diverse influenza knowledge maternal vaccination pertussis vaccination attitudes vaccine acceptance vaccines in pregnancy
topic	misc RC581-607 misc RM1-950 misc antenatal vaccination misc attitudes misc ethnically diverse misc influenza misc knowledge misc maternal vaccination misc pertussis misc vaccination attitudes misc vaccine acceptance misc vaccines in pregnancy misc Immunologic diseases. Allergy misc Therapeutics. Pharmacology
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title	Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study
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title_full	Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study
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title_sort	understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: a cross-sectional study
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title_auth	Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study
abstract	The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy.
abstractGer	The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy.
abstract_unstemmed	The role of maternal vaccination in reducing neonatal morbidity and mortality is expanding but uptake remains suboptimal. While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy.
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title_short	Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study
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While the barriers to uptake have been well described, women from minority groups have not been well represented in previous studies. In this study we examine the facilitators and barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds in Melbourne, Australia. 537 women attending antenatal care completed a survey; 69% were born overseas. 63% had or intended to receive pertussis vaccine and 57% had or intended to receive influenza vaccine during their pregnancy. On multivariable analysis, predictors of uptake of pertussis vaccine were healthcare provider recommendation (OR 10, 95% CI 5–21, p < 0.001) and belief maternal pertussis vaccination is safe (OR 36, 95% CI 18–70, p < 0.001). For influenza vaccine, predictors of uptake were previous receipt of influenza vaccine (OR 8, 95% CI 5–15, p < 0.001) and healthcare provider recommendation (OR 30, 95% CI 16–56, p < 0.001). Lack of healthcare provider recommendation was the main reason for non-vaccination (17/46, 37%). While most women were aware of and intended to receive recommended vaccinations, recently arrived migrant women (resident in Australia for less than two years) were less likely to be aware of pertussis vaccine (15/22, 68% vs 452/513, 88%, p = 0.01) and less likely to believe it to be safe during pregnancy (4/22, 18% vs 299/514, 58%, p < 0.001). This highlights the important role of healthcare providers in recommending and educating women, particularly newly arrived migrant women, in their decisions about vaccination during pregnancy.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">antenatal vaccination</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">attitudes</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ethnically diverse</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">influenza</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">knowledge</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">maternal vaccination</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">pertussis</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">vaccination attitudes</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">vaccine acceptance</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">vaccines in pregnancy</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Immunologic diseases. 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Understanding the barriers to uptake of antenatal vaccination by women from culturally and linguistically diverse backgrounds: A cross-sectional study

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