Do previously held vaccine attitudes dictate the extent and influence of vaccine information-seeking behavior during pregnancy?
Pregnancy represents a high information need state, where uncertainty around medical intervention is common. As such, the pertussis vaccination given during pregnancy presents a unique opportunity to study the interaction between vaccine attitudes and vaccine information-seeking behavior. We surveyed a sample of pregnant women (N = 182) during early pregnancy and again during late pregnancy. The variables of vaccine confidence and risk perception of vaccination during pregnancy were measured across two questionnaires. Additional variables of decision conflict and intention to vaccinate were recorded during early pregnancy, while vaccine information-seeking behavior and vaccine uptake were recorded during late pregnancy. 88.8% of participants reported seeking additional information about the pertussis vaccine during pregnancy. Women that had a lower confidence in vaccination (p = .004) and those that saw the risk of pertussis disease as high compared to the risk of side effects from the pertussis vaccination during pregnancy (p = .004) spent significantly more time seeking information about the pertussis vaccination. Women's perception of risk related to vaccination during pregnancy significantly changed throughout the pregnancy (t(182) = 4.685 p< .001), with women perceiving the risk of pertussis disease higher as compared to the risk of side effects from the vaccine as the pregnancy progresses. The strength and influence of information found through seeking was predicted by intention to vaccinate (p = .011). As such, we suggest that intention to vaccinate during early pregnancy plays a role in whether the information found through seeking influences women towards or away from vaccination.
['Clarke|Richard M|RM|0000-0002-1060-3142', 'Sirota|Miroslav|M|0000-0003-2117-9532', 'Paterson|Pauline|P|0000-0002-4166-8248']
D000328:Adult D003430:Cross-Sectional Studies D003657:Decision Making D005260:Female D007722:Health Knowledge, Attitudes, Practice D006801:Humans D057226:Information Seeking Behavior D010342:Patient Acceptance of Health Care D010567:Pertussis Vaccine D011247:Pregnancy D011251:Pregnancy Complications, Infectious D037841:Pregnant Women D011795:Surveys and Questionnaires D006113:United Kingdom D014611:Vaccination D014917:Whooping Cough D055815:Young Adult
Vaccine information-seeking pregnancy risk perception