Nov 2009 I began a study in four clinics. I sequentially enrolled people pregnant for the first time (prima gravida). Stratified monthly participants by educational attainment & conducted in-depth interviews with them & with their health care providers providers. (2/10)
I selected this design to isolate how people make decisions when they are faced with new health information. They all had access to health care (during pregnancy). (3/10)
Serendipitously, Nov 2009 happened to be the month that the H1N1 vaccine became available (during the H1N1 pandemic). Pregnant individuals topped the priority list, so they were among the first to decide whether or not to receive the vaccine. (4/10)
Clinics where buzzing with questions about the vaccine. Providers were calling pregnant patients to schedule a vaccination. Patients were on the fence. Questions and concerns were unending. (5/10)
I asked each study participant who they talked to about their pregnancy, & for each person listed I asked whether that person supported H1N1 vaccinations during pregnancy. I followed this with in-depth conversations with patients about their decisions. (6/10)
Feeling conflicted, patients turned to those they trusted, their health care providers, mothers, sisters, friends, & partners (often in that order). The *social influence* they received was pivotal in their decision-making process. (7/10)
The pictures you post, the texts you send, the conversations you are having *right now* are the reason people are deciding to receive the vaccine. (8/10)
Facing an onslaught of logistical challenges, confusing news, & a challenging winter, it is important to keep up the momentum on vaccinations. (9/10)
Finally, think about logistics for those in your network. Are you signed up for emergency alerts in your county? Are you signed up for emails from your HC provider? Is there anyone in your network who needs help with these steps? Share your pictures & keep helping others. (10/10)
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