School of Nursing
Date of Degree
Doctor of Nursing Practice (DNP)
Pearl Zhou, PhD, RN
The Advisory Committee on Immunization Practices recommend childbearing-aged women receive an annual influenza vaccine, one dose of Tdap instead of TD after 18 years of age, and one dose of Tdap during the 3rd trimester of each pregnancy. Despite these recommendations, influenza and Tdap vaccination rates remain lower than current goals.
The purpose was to assess influenza and Tdap vaccination rates among women of childbearing age by pregnancy status, age group, and race/ethnicity.
The retrospective secondary data analysis included a nationally representative sample of women aged 18 to 44 years from the 2014 Behavioral Risk Factors Surveillance System, a national health-related telephone survey of non-institutionalized adults ≥18 years old. Descriptive statistics and X2 analysis were performed to estimate vaccination rates and compare them among the stratified groups with alpha set as 0.01 for this study.
There were 66,894 childbearing-aged women and 3.8% of them were pregnant during data collection. Thirty-seven percent received an influenza vaccination within the past 12 months and 59.0% received a Tdap vaccination within the recommended time frame. Pregnancy status, age group, and race/ethnicity were predictors of influenza vaccination receipt among childbearing-aged women. Similarly, age group and race/ethnicity were predictors of Tdap vaccination receipt among childbearing-aged women. However, pregnancy status was not a predictor of Tdap vaccination receipt among childbearing-aged women.
Both influenza and Tdap vaccination rates among childbearing aged women were lower than the national goals. Further research is needed to identify barriers to vaccinations in this population.
© 2017 Francis Connor. All rights reserved.
Connor, DNP, MSN, MPH, FNP-BC, F. (2017). A Comparison of Influenza & Tdap Vaccination Rates by Characteristics of Child-Bearing-Aged Women. , (). Retrieved from https://hsrc.himmelfarb.gwu.edu/son_dnp/6