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A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy

Pregnant women are a highly vaccine-resistant population and face unique circumstances that complicate vaccine decision-making. Pregnant women are also at increased risk of adverse maternal and neonatal outcomes to many vaccine-preventable diseases. Several models have been proposed to describe fact...

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Autores principales: Cox, Elizabeth, Sanchez, Magali, Taylor, Katherine, Baxter, Carly, Crary, Isabelle, Every, Emma, Futa, Brianne, Adams Waldorf, Kristina M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383354/
https://www.ncbi.nlm.nih.gov/pubmed/37515063
http://dx.doi.org/10.3390/vaccines11071248
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author Cox, Elizabeth
Sanchez, Magali
Taylor, Katherine
Baxter, Carly
Crary, Isabelle
Every, Emma
Futa, Brianne
Adams Waldorf, Kristina M.
author_facet Cox, Elizabeth
Sanchez, Magali
Taylor, Katherine
Baxter, Carly
Crary, Isabelle
Every, Emma
Futa, Brianne
Adams Waldorf, Kristina M.
author_sort Cox, Elizabeth
collection PubMed
description Pregnant women are a highly vaccine-resistant population and face unique circumstances that complicate vaccine decision-making. Pregnant women are also at increased risk of adverse maternal and neonatal outcomes to many vaccine-preventable diseases. Several models have been proposed to describe factors informing vaccine hesitancy and acceptance. However, none of these existing models are applicable to the complex decision-making involved with vaccine acceptance during pregnancy. We propose a model for vaccine decision-making in pregnancy that incorporates the following key factors: (1) perceived information sufficiency regarding vaccination risks during pregnancy, (2) harm avoidance to protect the fetus, (3) relationship with a healthcare provider, (4) perceived benefits of vaccination, and (5) perceived disease susceptibility and severity during pregnancy. In addition to these factors, the availability of research on vaccine safety during pregnancy, social determinants of health, structural barriers to vaccine access, prior vaccine acceptance, and trust in the healthcare system play roles in decision-making. As a final step, the pregnant individual must balance the risks and benefits of vaccination for themselves and their fetus, which adds greater complexity to the decision. Our model represents a first step in synthesizing factors informing vaccine decision-making by pregnant women, who represent a highly vaccine-resistant population and who are also at high risk for adverse outcomes for many infectious diseases.
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spelling pubmed-103833542023-07-30 A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy Cox, Elizabeth Sanchez, Magali Taylor, Katherine Baxter, Carly Crary, Isabelle Every, Emma Futa, Brianne Adams Waldorf, Kristina M. Vaccines (Basel) Viewpoint Pregnant women are a highly vaccine-resistant population and face unique circumstances that complicate vaccine decision-making. Pregnant women are also at increased risk of adverse maternal and neonatal outcomes to many vaccine-preventable diseases. Several models have been proposed to describe factors informing vaccine hesitancy and acceptance. However, none of these existing models are applicable to the complex decision-making involved with vaccine acceptance during pregnancy. We propose a model for vaccine decision-making in pregnancy that incorporates the following key factors: (1) perceived information sufficiency regarding vaccination risks during pregnancy, (2) harm avoidance to protect the fetus, (3) relationship with a healthcare provider, (4) perceived benefits of vaccination, and (5) perceived disease susceptibility and severity during pregnancy. In addition to these factors, the availability of research on vaccine safety during pregnancy, social determinants of health, structural barriers to vaccine access, prior vaccine acceptance, and trust in the healthcare system play roles in decision-making. As a final step, the pregnant individual must balance the risks and benefits of vaccination for themselves and their fetus, which adds greater complexity to the decision. Our model represents a first step in synthesizing factors informing vaccine decision-making by pregnant women, who represent a highly vaccine-resistant population and who are also at high risk for adverse outcomes for many infectious diseases. MDPI 2023-07-17 /pmc/articles/PMC10383354/ /pubmed/37515063 http://dx.doi.org/10.3390/vaccines11071248 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Viewpoint
Cox, Elizabeth
Sanchez, Magali
Taylor, Katherine
Baxter, Carly
Crary, Isabelle
Every, Emma
Futa, Brianne
Adams Waldorf, Kristina M.
A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy
title A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy
title_full A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy
title_fullStr A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy
title_full_unstemmed A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy
title_short A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy
title_sort mother’s dilemma: the 5-p model for vaccine decision-making in pregnancy
topic Viewpoint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383354/
https://www.ncbi.nlm.nih.gov/pubmed/37515063
http://dx.doi.org/10.3390/vaccines11071248
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