Tdap Vaccination Acceptance among Pregnant Hispanic Women: English versus Spanish Speakers Poster

Abstract

 Background: The tetanus, diphtheria and acellular pertussis vaccine (Tdap) for pregnant women was recommended by the Advisory Committee on Immunization Practices (ACIP) in 2012 to reduce pertussis morbidity and mortality in infants. The objective of the proposed capstone study was to compare preferred English-speaking with non-English preferred speaking Hispanic women and their decision to accept or reject third-trimester Tdap vaccination.  Method: Using the electronic medical record, a retrospective review was be conducted to evaluate patient decisions about the Tdap vaccination among 182 to 400 Hispanic women who received prenatal care between 27 and 36 weeks in a large southwestern public health care system starting in June 1, 2013 through December 2, 2013.

Results: After exploring any potential relationships of co- variates to the dependent variable, logistic regression was used

to explore the effect of the ability to communicate in English on the decision to accept Tdap vaccination during pregnancy. Of all the predictor variables, only education level and number of total clinic visits were significant predictors. This indicates that as the level of education increases, the likelihood of accepting the Tdap vaccine increases. In addition, the more total number of clinic visits, the likelihood of accepting the Tdap vaccine also increases. The independent variable Language however, was not a significant predictor of accepting Tdap vaccination (p = .785). However, the model overall, was statistically significant, χ2 (7) = 40.22, p < .001, but with a relatively low predictive power, Nagelkerke R2 = .163.