Category: Public Health/Global Health
Poster Session I
We conducted a baseline survey of Tdap and influenza vaccination in early 2021, with a follow-up survey of COVD-19 vaccination. Geocoded addresses were linked at the census-tract to the ESRI 2021 Market Potential Index (MPI). The exposure was community-level political affiliation, defined by the MPI as very conservative, somewhat conservative, middle of the road, somewhat liberal, and very liberal. Higher MPI quartiles indicated greater community-level political affiliation, with the lowest quartile (Q1) as the referent group. Political affiliation categories were not mutually exclusive, and each individual resided in a community with MPI scores for each political affiliation. The outcomes were self-reported vaccination for Tdap, influenza, and COVID-19. Modified Poisson regression was used.
Results:
Of 456 individuals, 72% and 58% reported Tdap and influenza vaccinations; and of 287/456 at follow-up, 52% had received COVID-19 vaccination. Individuals in communities that were more conservative were less likely to be vaccinated, while the opposite was the case for those in communities that were more liberal (TABLE 1). Individuals living in a community with high conservative affiliation (Q4) were less likely to be vaccinated for Tdap versus those with a low affiliation (Q1) (aRR: 0.81; 95%CI: 0.68-0.97), influenza (aRR: 0.75; 95%CI: 0.60-0.94), and COVID-19 (aRR: 0.69; 95%CI: 0.49-0.97) (TABLE 2). Conversely, individuals living in a community with high liberal affiliation were more likely to be vaccinated for Tdap (aRR: 1.18; 95%CI: 1.00-1.39), influenza (aRR: 1.25; 95%CI: 1.01-1.54), and COVID-19 (1.41; 95%CI: 1.06-1.86).
Conclusion: Pregnant and postpartum individuals living in communities with higher liberal political affiliation were more likely to report vaccination for Tdap, influenza, and COVID-19. Those living in communities with higher conservative political affiliation were less likely to report these vaccinations.
Sara Post, MD,MS (she/her/hers)
Resident
The Ohio State University
Columbus, Ohio, United States
Brandon Fox, MD
Resident OBGYN
The Ohio State University
Columbus, Ohio, United States
Courtney Denning-Johnson Lynch, MPH, PhD
Associate Professor, Obstetrics & Gynecology and Epidemiology
The Ohio State University
Columbus, Ohio, United States
Miranda K. Kiefer, DO
Ob/Gyn Fellow
The Ohio State University
Columbus, Ohio, United States
Maged M. Costantine, MD (he/him/his)
Director MFM
The Ohio State University
Columbus, Ohio, United States
Kara M. Rood, MD
Ohio State University Wexner Medical Center
Delaware, Ohio, United States
Mark B. Landon, MD
Richard L. Meiling Professor and Chair, Obstetrics and Gynecology
The Ohio State University
Columbus, Ohio, United States
William A. Grobman, MD, MBA
Vice Chair, Clinical Operations, Maternal Fetal Medicine
The Ohio State University
Columbus, Ohio, United States
Kartik Kailas Venkatesh, MD, PhD (he/him/his)
Assistant Professor
The Ohio State University
Columbus, Ohio, United States