COVID-19 Vaccination Coverage Among Pregnant Women by Race and Ethnicity: National Immunization Survey Adult COVID Module, United States, December 2020 to July 2022 [ID: 1375059]

Abstract

INTRODUCTION: Pregnant and postpartum women are at increased risk for severe illness from COVID-19. METHODS: Data from the National Immunization Survey Adult COVID Module collected April 22, 2021 to August 27, 2022, were analyzed to assess COVID-19 vaccinations (receipt of ≥1 dose) received from December 2020 to July 2022 among women aged 18–49 years who were pregnant at the time of the survey using Kaplan-Meier survival analysis. The NIS-ACM is a random-digit–dialed cellular telephone survey of adults aged 18 years or older. Data are weighted to represent the noninstitutionalized U.S. adult population and calibrated to state-level vaccine administration data. RESULTS: By the end of April 2021, national COVID-19 vaccination coverage was highest among Asian and non-Hispanic White (White) pregnant women (56.4% and 42.5%, respectively) and lower among multiple or other race (38.2%), Hispanic (34.5%), American Indian or Alaska Native (AI/AN) (34.3%), Native Hawaiian or other Pacific Islander (NH/OPI) (32.4%), and non-Hispanic Black (Black) (25.2%) pregnant women. By the end of July 2022, coverage had increased in all racial and ethnic groups and was highest among Asian (98.6%) and Hispanic (79.0%) pregnant women. Coverage was similar for multiple or other race (67.8%), White (66.2%), NH/OPI (64.6%), and Black (64.2%) pregnant women; however, coverage remained lower for AI/AN (49.1%) pregnant women. CONCLUSION: Although COVID-19 vaccination coverage among pregnant women has increased and racial and ethnic disparities have narrowed over time, approximately 1 in 3 remain unvaccinated. A strong recommendation for COVID-19 vaccination is critical for all women of reproductive age to increase coverage and help achieve vaccine equity.