A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy
Abstract
:1. Introduction
2. Barriers to Vaccination in Pregnancy
3. Models of Vaccine Acceptance
4. The 5-P Vaccine Acceptance Model in Pregnancy
4.1. Perceived Information Sufficiency
4.2. Pregnancy Protection of the Mother and Fetus (Harm Avoidance)
4.3. Provider–Patient Relationship
4.4. Perceived Benefits
4.5. Perceived Susceptibility and Severity of Disease in Pregnancy
4.6. Balancing Risks and Benefits for Oneself and Fetus
4.7. Limitations of Models of Vaccine Acceptance in Pregnancy and Research Gaps
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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Health Belief Model [23,25] | 3Cs [26] | 4C [27] | 5A [28] | |
---|---|---|---|---|
Is it feasible to obtain the vaccine? | ** | Convenience | Convenience | Access and Affordability |
Is the vaccine safe? | Barriers | Confidence | Confidence | Acceptance |
Is vaccination a priority? | Self-efficacy | Complacency | Complacency | Activation |
Is the vaccination important? | Susceptibility, severity, and benefits | ** | Utility Calculation | Awareness |
Model strengths | Broadly applicable to different populations and health behaviors | Simplicity of model | Simple while addressing worth of vaccination | Addresses worth and safety of vaccine |
Model weaknesses | Not specific to vaccine hesitancy or vaccine hesitancy during pregnancy | Lacks consideration of whether the vaccine is deemed valuable | Under-emphasis of the perceived safety of the vaccine | Over-emphasis of access and affordability, less applicable in pregnancy |
Factors | Examples |
---|---|
Pregnancy-Specific Factors | |
Perceived Information Sufficiency |
|
Pregnancy Protection (Harm Avoidance) |
|
Provider- Patient Relationship |
|
Perceived Benefits During Pregnancy |
|
Perceived Disease Susceptibility and Severity in Pregnancy |
|
General Factors | |
Prior Vaccine Acceptance |
|
Social Determinants of Health (SDOH) |
|
Trust in Medicine and Science |
|
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Cox, E.; Sanchez, M.; Taylor, K.; Baxter, C.; Crary, I.; Every, E.; Futa, B.; Adams Waldorf, K.M. A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy. Vaccines 2023, 11, 1248. https://doi.org/10.3390/vaccines11071248
Cox E, Sanchez M, Taylor K, Baxter C, Crary I, Every E, Futa B, Adams Waldorf KM. A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy. Vaccines. 2023; 11(7):1248. https://doi.org/10.3390/vaccines11071248
Chicago/Turabian StyleCox, Elizabeth, Magali Sanchez, Katherine Taylor, Carly Baxter, Isabelle Crary, Emma Every, Brianne Futa, and Kristina M. Adams Waldorf. 2023. "A Mother’s Dilemma: The 5-P Model for Vaccine Decision-Making in Pregnancy" Vaccines 11, no. 7: 1248. https://doi.org/10.3390/vaccines11071248