Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Aug 2;16(8):1969-1980.
doi: 10.1080/21645515.2019.1698901. Epub 2020 Jan 9.

Factors affecting the vaccination choices of pregnant women for their children: a systematic review of the literature

Annalisa Rosso  1   2 , Azzurra Massimi  1 , Erica Pitini  1 , Angelo Nardi  1 , Valentina Baccolini  1 , Carolina Marzuillo  1 , Corrado De Vito  1 , Paolo Villari  1
Affiliations

Factors affecting the vaccination choices of pregnant women for their children: a systematic review of the literature

Annalisa Rosso et al. Hum Vaccin Immunother. .

Abstract

In recent years, an increase in vaccine hesitancy has led to a decrease in vaccination coverage in several countries. We conducted a systematic review of studies that assessed knowledge of and attitudes toward pediatric vaccinations, and the vaccination choices and their determinants among pregnant women. A total of 6,277 records were retrieved, and 16 full texts were included in the narrative synthesis. The published literature on the topic shows that, overall, pregnant women believe that vaccines are important for the protection of their children and the community, but various concerns and misunderstandings persist around vaccine safety and efficacy, which reduce the trust of expectant mothers in immunization. Nevertheless, such attitudes and choices vary depending on the vaccine being considered and the corresponding determinants should therefore be studied in the context of each specific vaccination. Further research on this topic is needed, particularly in non-western countries.

Keywords: Pregnancy; attitudes; immunization; knowledge; vaccination; vaccine hesitancy.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
PRISMA Flow diagram. Legend: Number of studies identified by search strategy, number of studies excluded and included during primary and secondary (full -text) screening, and final number of studies included”.
See this image and copyright information in PMC

References

    1. Andre FE, Booy R, Bock HL, Clemens J, Datta SK, John TJ, Lee BW, Lolekha S, Peltola H, Ruff TA, et al. Vaccination greatly reduces disease, disability, death and inequity worldwide. Bull World Health Organ. 2008;86(2):140–46. doi:10.2471/blt.07.040089. - DOI - PMC - PubMed
    1. Larson HJ, de Figueiredo A, Xiahong Z, Schulz WS, Verger P, Johnston IG, Cook AR, Jones NS.. The state of vaccine confidence 2016: global insights through a 67-country survey. EBioMedicine. 2016;12:295–301. doi:10.1016/j.ebiom.2016.08.042. - DOI - PMC - PubMed
    1. Larson HJ, Cooper LZ, Eskola J, Katz SL, Ratzan S. Addressing the vaccine confidence gap. Lancet. 2011;378(9790):526–35. doi:10.1016/S0140-6736(11)60678-8. - DOI - PubMed
    1. Dempsey AF, Schaffer S, Singer D, Butchart A, Davis M, Freed GL. Alternative vaccination schedule preferences among parents of young children. Pediatrics. 2011;128(5):848–56. doi:10.1542/peds.2011-0400. - DOI - PubMed
    1. Robison SG, Groom H, Young C. Frequency of alternative immunization schedule use in a metropolitan area. Pediatrics. 2012;130(1):32–38. doi:10.1542/peds.2011-0400. - DOI - PubMed

Publication types