Achieving High Coverage of H1N1 Influenza Vaccine in an Ethnically Diverse Obstetric Population: Success of a Multifaceted Approach
2011

High Coverage of H1N1 Vaccine in Diverse Obstetric Population

Sample size: 157 publication Evidence: moderate

Author Information

Author(s): Kara K. Hoppe, Linda O. Eckert

Primary Institution: Harborview Medical Center, University of Washington

Hypothesis

Can a multifaceted approach increase H1N1 vaccine uptake in an ethnically diverse obstetric population?

Conclusion

High vaccine coverage is achievable in an ethnically diverse, immigrant obstetric population.

Supporting Evidence

  • 76% of enrolled obstetric patients were vaccinated within the first month of H1N1 availability.
  • Vaccine acceptance rates were similar among English and non-English speaking patients.
  • No adverse events were documented in patients who received the H1N1 vaccine.
  • The clinic utilized certified medical interpreters and cultural case workers to assist patients.
  • Educational videos were provided in 9 languages to increase awareness of the influenza virus.

Takeaway

The study shows that using different methods to educate and assist patients can help more pregnant women get the H1N1 vaccine.

Methodology

A retrospective study analyzing vaccine coverage in 157 pregnant women using a real-time vaccine registry and various educational interventions.

Potential Biases

Potential bias due to the lack of a comparator clinic and reliance on self-reported data.

Limitations

The study's success is based on a single clinic, which may limit generalizability, and multiple interventions were implemented simultaneously.

Participant Demographics

The population included 24.6% African American, 45.5% West/East African, 5.8% Pacific Islander/Asian, 1.3% Native American, 12.3% Caucasian, and 10.4% Hispanic.

Statistical Information

P-Value

0.634

Statistical Significance

p=0.634

Digital Object Identifier (DOI)

10.1155/2011/746214

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