COVID-19 vaccination patterns and attitudes among American pregnant individuals

Huddleston, Heather G.; Jaswa, Eleni Greenwood; Lindquist, Karla; Kaing, Amy; Morris, J.W.; Hariton, Eduardo; Corley, Jamie; Hoskin, Elena; Gaw, Stephanie L.; Cedars, Marcelle I.

doi:10.1016/j.ajogmf.2021.100507

Cited by 17 publications

(17 citation statements)

References 4 publications

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“…According to our review, COVID-19 vaccination rate was highest among White and Asian pregnant women, and lowest among Black and Hispanic pregnant women. Hispanic ethnicity and Black or African American race are related to refusal of COVID-19 vaccination during pregnancy [ 31 , 42 , 50 , 51 , 52 ]. A systematic review found that White individuals have a higher rate of COVID-19 vaccine uptake than Black individuals [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Uptake of COVID-19 Vaccines among Pregnant Women: A Systematic Review and Meta-Analysis

et al. 2022

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Mass vaccination against COVID-19 is essential to control the pandemic. COVID-19 vaccines are now recommended during pregnancy to prevent adverse outcomes. With this review, we aimed to evaluate the evidence in the literature regarding the uptake of COVID-19 vaccinations among pregnant women. A comprehensive search was performed in PubMed, Medline, Scopus, ProQuest, Web of Science, CINAHL, and medRxiv from inception to 23 March 2022. We performed a meta-analysis to estimate the overall proportion of pregnant women vaccinated against COVID-19. We found 11 studies including 703,004 pregnant women. The overall proportion of pregnant women vaccinated against COVID-19 was 27.5% (95% CI: 18.8–37.0%). Predictors of COVID-19 vaccination uptake were older age, ethnicity, race, trust in COVID-19 vaccines, and fear of COVID-19 during pregnancy. Mistrust in the government, diagnosis of COVID-19 during pregnancy, and fears about the safety and side effects of COVID-19 vaccines were reasons for declining vaccination. The global COVID-19 vaccination prevalence in pregnant women is low. A large gap exists in the literature on the factors influencing the decision of pregnant women to be vaccinated against COVID-19. Targeted information campaigns are essential to increase vaccine literacy among pregnant women.

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Section: Discussionmentioning

confidence: 99%

Uptake of COVID-19 Vaccines among Pregnant Women: A Systematic Review and Meta-Analysis

et al. 2022

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“…46 A study reported 65% vaccine acceptance among pregnant people; this study had a sample consisting of people with higher education and greater income 55 in comparison to other studies. 46,47,50 The vaccine acceptance rate did not improve after the COVID-19 vaccine became available in the U.S. Studies conducted after the vaccine became available showed acceptance rates of 3%, 51 16.30%, 48 35.70%, 50 44.30%, 49 and 58.30%. 47 Seven of the 11 vaccine acceptance studies examined factors that were associated with vaccine acceptance.…”

Section: Covid-19 Vaccine Acceptancementioning

confidence: 98%

“…Pregnant people's receipt of the influenza vaccine in the previous year and communication with a medical professional about vaccines were associated with increased likelihood of COVID-19 vaccine acceptance. 45,52,55 In contrast, pregnant people's prior refusal of the seasonal influenza vaccine, 47,54 lack of provider counseling, 50 younger age, 45,48 African American race, 47,48,50,53,54 Hispanic ethnicity, 47,48,50,54 and low education 50 were associated with refusal of vaccination. Frequently cited concerns included safety and effectiveness of COVID-19 vaccination, fears of birth defects, unknown long-term health effects on children, and risk of pregnancy loss.…”

Section: Covid-19 Vaccine Acceptancementioning

confidence: 98%

“…Eleven of the 32 (34%) studies (Figure 2) examined pregnant people's acceptance or uptake of COVID-19 vaccination. [46][47][48][49][50][51][52][53][54][55][56] Overall, COVID-19 vaccine acceptance rates ranged between 3% and 65%. Studies conducted before the COVID-19 vaccine became available in the U.S. showed that 41% 54 and 47.80% 46 of pregnant people would be interested in receiving it.…”

Section: Covid-19 Vaccine Acceptancementioning

confidence: 99%

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COVID-19 vaccination among pregnant people in the United States: a systematic review

Rawal

TACKETT

Stone

et al. 2022

American Journal of Obstetrics & Gynecology MFM

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“…According to our review, COVID-19 vaccination rate was highest among White and Asian pregnant women, and lowest among Black and Hispanic pregnant women. Hispanic ethnicity and Black or African American race is related with refusal of COVID-19 vaccination in pregnancy (Battarbee et al, 2022; Huddleston et al, 2022; Levy et al, 2021; Razzaghi et al, 2021; Townsel et al, 2021). A systematic review found that white individuals have a higher rate of COVID-19 vaccine uptake than black individuals (Galanis et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Uptake of COVID-19 vaccines among pregnant women: a systematic review and meta-analysis

Galanis

Vraka

Σίσκου

et al. 2022

Preprint

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Background: Mass vaccination against the COVID-19 is essential to control the pandemic. COVID-19 vaccines are recommended now during pregnancy to prevent adverse outcomes. Objective: To evaluate the evidence from the literature regarding the uptake of COVID-19 vaccination among pregnant women. Methods: We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We searched PubMed, Medline, Scopus, ProQuest, Web of Science, CINAHL, and a pre-print service (medRxiv) from inception to March 23, 2022. We included quantitative studies reporting COVID-19 vaccination uptake among pregnant women, studies that examine predictors of COVID-19 vaccination uptake and studies that examine reasons for decline of vaccination. We performed meta-analysis to estimate the overall proportion of vaccinated pregnant women against the COVID-19. Results: We found 11 studies including 703,004 pregnant women. The overall proportion of vaccinated pregnant women against the COVID-19 was 27.5% (95% CI: 18.8-37.0%). The pooled proportion for studies that were conducted in Israel was higher than the proportion for studies that were conducted in USA and other countries. Predictors of COVID-19 vaccination uptake were older age, ethnicity, race, trust in COVID-19 vaccines, and fear of COVID-19 during pregnancy. On the other hand, mistrust in the government, diagnosis with COVID-19 during pregnancy, and worry about the safety and the side effects of the COVID-19 vaccines were reasons for decline of vaccination. Conclusions: The global COVID-19 vaccination prevalence in pregnant women is low. Τhere is a large gap in the literature on the factors influencing the decision of pregnant women to be vaccinated against the COVID-19. Targeted information campaigns are essential to improve trust and build vaccine literacy among pregnant women. Given the ongoing high case rates and the known increased risks of COVID-19 in pregnant women, our findings could help policy makers to improve the acceptance rate of COVID-19 vaccines in pregnant women especially in vulnerable subgroups.

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COVID-19 vaccination patterns and attitudes among American pregnant individuals

Cited by 17 publications

References 4 publications

Uptake of COVID-19 Vaccines among Pregnant Women: A Systematic Review and Meta-Analysis

Uptake of COVID-19 Vaccines among Pregnant Women: A Systematic Review and Meta-Analysis

COVID-19 vaccination among pregnant people in the United States: a systematic review

Uptake of COVID-19 vaccines among pregnant women: a systematic review and meta-analysis

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