2011-12 Prams brief Influenza vaccination and pregnant women |
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O K L A H O M A F A C T S VOLUME 1 × ISSUE 2 Influenza Vaccination and Pregnant Women Seasonal influenza (or flu) is a risk factor for severe illness during pregnancy. Certain changes in the immune system, heart, and lungs during pregnancy can make preg-nant women prone to severe illness from flu as well as flu-related hospi-talizations. 1 Premature labor and delivery are also risks for pregnant women with the flu.1 The flu shot is safe and can be administered before, during or after pregnancy.1,2 Pregnant women who get an influenza vaccine pass their immunity to their babies. This protection lasts for several months after birth.2 According to 2009-2010 Oklahoma Pregnancy Risk Assessment Moni-toring System (PRAMS) flu supple-ment data, 49.1% (95% Confidence Interval (CI)=44.0-54.2) of women › Only 49.1 % of new mothers in Oklahoma were vaccinated during the 2009-2010 influenza season. › Over half (53.8%) of mothers between ages 18-24 did not receive a flu shot during preg-nancy or postpartum. › Women with more than a high school education had higher rates of vaccination (55.9%) compared to those who did not complete high school (34.6%). › 56.3% of married women received a flu shot. › Less than one in five (17.9%) women who did not receive a recommendation by a health care provider for a flu shot were vaccinated during or after pregnancy. › 60.9% of women with Medi-caid/ SoonerCare did not receive a flu vaccination. › Pregnant and postpartum women with Medicaid/ SoonerCare and most types of private insurance can receive a flu shot from their prenatal or primary care provider. Flu shots also are provided at local county health departments, for free or at low cost. with recent live births were vacci-nated during or after pregnancy. Provider recommendations were associated with the likelihood of receiving a flu vaccine. Without a recommendation by their prenatal health care provider, only 17.9% of new mothers were vaccinated. With an offer or recommendation, 64.4% of mothers received a flu vaccination. Figure 1 highlights the variability in flu vaccinations among recently pregnant women of specific race/ ethnicity. American Indian mothers had the highest rates of flu vaccina-tion. Hispanic and Black, non- Hispanic women were vaccinated at the lowest rates. Hispanic women were the least likely among all new mothers to report no vaccination (Continued on page 2) December 2011 ACKNOWL EDGEMENT S Special assistance for this piece was provided by Melody Rohani (Oklahoma Health Care Authority), Alicia Lincoln (Oklahoma State Department of Health, Maternal and Child Health Service), and the Georgia Center for Health Policy. Funding for PRAMS is provided by the Centers for Disease Control and Preven-tion (CDC) and the Maternal Child Health Bureau, Department of Health and Human Services, MCH Title V Block Grant. PRAMS is a population-based surveil-lance system about maternal behaviors and experiences before, during and after pregnancy. Approximately 250 mothers are selected to participate in Oklahoma each month. Mothers are sent as many as three mail questionnaires seeking their participation, with follow-up phone interviews for non-respondents. Infor-mation included in the birth registry is used to develop analysis weights that adjust for probability of selection and non-response. In September 2009-April 2010 an additional series of questions regarding influenza vaccinations were added to the main PRAMS survey. These data were then weighted as a separate data set to reflect the birth population for the state during flu sea-son. The sample size for 2009-2010 influenza supplement data was 1,432. The Oklahoma State Department of Health (OSDH) is an Equal Opportunity Employer. This publication was issued by the OSDH, as authorized by Terry Cline, PhD, Commissioner of Health, Secretary of Health and Human Ser-vices. 1,200 copies were printed by OSDH in December 2011 at a cost of $348. This publication is available for download at <http://www.health.ok.gov>. during or after pregnancy (Figure 1). Differences in race/ethnicity were statistically significant (p < 0.05). Parity also was significant. Moth-ers with more than one child were significantly less likely to receive a flu shot (44.2%) compared to women who recently gave birth to their first child (55.7%). Higher education levels also in-creased the likelihood of flu vacci-nation among pregnant and post-partum women. Nearly 56% of women with greater than a high school education were vaccinated compared to 34.6% of women with less than a high school education. Insurance status during prenatal care was another area of significant difference, as 66.4% of women us-ing private insurance and 39.1% of women with Medicaid/SoonerCare received the flu shot. Approxi-mately 50% of women using pri-mary private insurance and secon-dary Medicaid/SoonerCare cover-age received a flu shot (labeled as “Both” on Figure 2) during or after “My doctor said to wait [to get a flu shot], then I forgot” - PRAMS Mom pregnancy. Women without insur-ance, with military or Indian Health Services (IHS)/tribal health care had the lowest rates of vaccination (37.6%; labeled as “Other” on Fig-ure 2). Reasons given by women who did not receive a flu vaccination were (they could choose more than one): > Doctor didn’t mention it (71.4% not vaccinated vs. 28.6% vacci-nated) > Worried about side effect for me (54.3% not vaccinated vs. 45.7% vaccinated) > Worried shot may harm the baby (48.1% not vaccinated vs. 51.9% vaccinated) > Do not normally get it (28.9% not vaccinated vs. 71.1% vacci-nated) References: 1. CDC. Pregnant women and Influenza (flu), 2010. Available at: http://www.cdc.gov/flu/protect/ vaccine/pregnant.htm 2. CDC. Pregnancy and Influenza Vaccine Safety, 2011. Available at: http://www.cdc.gov/ vaccinesafety/Concerns/gnancy_influenza.html *Indicates mother had both Medicaid/SoonerCare and private insurance coverage ** Includes Uninsured, IHS/tribal, and/or military health care
Object Description
Okla State Agency |
Health, Oklahoma State Department of |
Title | Prams brief. |
Authors |
Oklahoma. Maternal and Child Health Service. |
Publisher | Oklahoma State Department of Health |
Publication Date | 2011 |
Frequency | Irregular |
Publication type |
Research Report/Study Newsletter |
Serial holdings | Electronic holdings: 2011 |
Subject |
Pregnant women--Oklahoma--Periodicals. |
Purpose | Brief topical reports using Oklahoma Pregnancy Risk Assessment Monitoring System (PRAMS) data |
Notes | 2011 issues; issues may have individual titles |
For all issues click | H1015.6 P898b |
Digital Format | PDF, Adobe Reader required |
ODL electronic copy | Downloaded from agency website: http://www.ok.gov/health/Child_and_Family_Health/Maternal_and_Child_Health_Service/Data_and_Evaluation/Pregnancy_Risk_Assessment_Monitoring_System_%28PRAMS%29/ |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Month/year uploaded | January 2012 |
Date created | 2016-03-22 |
Date modified | 2016-03-22 |
OCLC number | 890217176 |
Description
Title | 2011-12 Prams brief Influenza vaccination and pregnant women |
OkDocs Class# | H1015.6 P898b 12/2011 v.1 no.2 |
Digital Format | PDF, Adobe Reader required |
ODL electronic copy | Downloaded from agency website: <http://www.ok.gov/health/documents/PRAMSBRIEF_flu_final_Jan4_2012.pdf> |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Full text |
O K L A H O M A F A C T S
VOLUME 1 × ISSUE 2
Influenza Vaccination and Pregnant Women
Seasonal influenza (or flu) is a risk
factor for severe illness during
pregnancy. Certain changes in the
immune system, heart, and lungs
during pregnancy can make preg-nant
women prone to severe illness
from flu as well as flu-related hospi-talizations.
1 Premature labor and
delivery are also risks for pregnant
women with the flu.1
The flu shot is safe and can be
administered before, during or after
pregnancy.1,2 Pregnant women
who get an influenza vaccine pass
their immunity to their babies. This
protection lasts for several months
after birth.2
According to 2009-2010 Oklahoma
Pregnancy Risk Assessment Moni-toring
System (PRAMS) flu supple-ment
data, 49.1% (95% Confidence
Interval (CI)=44.0-54.2) of women
› Only 49.1 % of new mothers in
Oklahoma were vaccinated
during the 2009-2010 influenza
season.
› Over half (53.8%) of mothers
between ages 18-24 did not
receive a flu shot during preg-nancy
or postpartum.
› Women with more than a high
school education had higher
rates of vaccination (55.9%)
compared to those who did not
complete high school (34.6%).
› 56.3% of married women
received a flu shot.
› Less than one in five (17.9%)
women who did not receive a
recommendation by a health
care provider for a flu shot
were vaccinated during or
after pregnancy.
› 60.9% of women with Medi-caid/
SoonerCare did not
receive a flu vaccination.
› Pregnant and postpartum
women with Medicaid/
SoonerCare and most types of
private insurance can receive
a flu shot from their prenatal or
primary care provider. Flu
shots also are provided at local
county health departments, for
free or at low cost.
with recent live births were vacci-nated
during or after pregnancy.
Provider recommendations were
associated with the likelihood of
receiving a flu vaccine. Without a
recommendation by their prenatal
health care provider, only 17.9% of
new mothers were vaccinated.
With an offer or recommendation,
64.4% of mothers received a flu
vaccination.
Figure 1 highlights the variability in
flu vaccinations among recently
pregnant women of specific race/
ethnicity. American Indian mothers
had the highest rates of flu vaccina-tion.
Hispanic and Black, non-
Hispanic women were vaccinated at
the lowest rates. Hispanic women
were the least likely among all new
mothers to report no vaccination
(Continued on page 2)
December 2011
ACKNOWL EDGEMENT S
Special assistance for this piece was
provided by Melody Rohani (Oklahoma
Health Care Authority), Alicia Lincoln
(Oklahoma State Department of Health,
Maternal and Child Health Service), and
the Georgia Center for Health Policy.
Funding for PRAMS is provided by the
Centers for Disease Control and Preven-tion
(CDC) and the Maternal Child
Health Bureau, Department of Health
and Human Services, MCH Title V Block
Grant.
PRAMS is a population-based surveil-lance
system about maternal behaviors
and experiences before, during and after
pregnancy. Approximately 250 mothers
are selected to participate in Oklahoma
each month. Mothers are sent as many
as three mail questionnaires seeking
their participation, with follow-up phone
interviews for non-respondents. Infor-mation
included in the birth registry is
used to develop analysis weights that
adjust for probability of selection and
non-response. In September 2009-April
2010 an additional series of questions
regarding influenza vaccinations were
added to the main PRAMS survey.
These data were then weighted as a
separate data set to reflect the birth
population for the state during flu sea-son.
The sample size for 2009-2010
influenza supplement data was 1,432.
The Oklahoma State Department of
Health (OSDH) is an Equal Opportunity
Employer. This publication was issued
by the OSDH, as authorized by Terry
Cline, PhD, Commissioner of Health,
Secretary of Health and Human Ser-vices.
1,200 copies were printed by
OSDH in December 2011 at a cost of
$348. This publication is available for
download at |
Date created | 2012-01-25 |
Date modified | 2012-01-25 |
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