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"We found that concordance of patient and provider race/ ethnicity influenced the likelihood of vaccination, with patients being more likely to be vaccinated at race discordant visits. This was especially true for non-Hispanic black and Hispanic patients. Women who were race discordant with their provider were more likely to be vaccinated compared with those who were race concordant (57.9% vs. 52.9%, aOR: 1.16, 95% CI: 1.07–1.27). " (Goggins et al 2020:58)
"One other study supports our finding that race discordance is associated with influenza vaccine acceptance among non-Hispanic black patients. In this study and in our own analysis, the association observed was weak and may reflect statistical but not clinical significance. 41" (Goggins et al 2020:58)
"As hypothesized, women who refused vaccination consistently were more likely to have misconceptions about influenza vaccine efficacy whereas those who refused but eventually accepted were more likely to cite needing a cue to action, or a trigger for engaging in this health-promoting behavior. Those who refused consistently were also more likely to have multiple reasons for refusal, and this may reflect the complexity of reasons cited by those who are "vaccine rejectors" as compared with those who are "vaccine hesitant." Elucidating patients' reasons for refusal is key to appropriately addressing their concerns. Our findings demonstrate that women with logis- 42 tical concerns may be the most likely to accept vaccination at a later date." (Goggins et al 2020:58)
"Moreover, we found that more than one-fifth of those who were vaccinated initially refused vaccination, highlighting that patients' decisions regarding vaccination are dynamic. Provider recommendation has been cited as the most important factor in vaccine uptake, and our study adds to this the need for continued and repeated offer of influenza vaccination throughout pregnancy. Providers should not assume that a patient who refuses vaccination will not choose to be vaccinated at a later date. It is appropriate to continually encourage vaccination throughout pregnancy while taking care to respect patients' autonomy." (Goggins et al 2020:58)