COVID‑19 vaccine hesitancy among pregnant women and their reported reasons for vaccine refusal – A prospective study in Tehran, Iran

Moini, Ashraf; Rabiei, Maryam; Pirjani, Reihaneh; Abiri, Amene; Maleki‐Hajiagha, Arezoo

doi:10.1016/j.vaccine.2023.01.022

Cited by 17 publications

(10 citation statements)

References 21 publications

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“…This may be related to the communication by physicians of higher safety levels in a more developed fetus, particularly at the last trimester of pregnancy [ 30 ]. While studies in Turkey [ 17 ] and Iran [ 31 ] showed vaccine acceptance in lower gestational age, Blakeway H. et al in the USA reported a similar finding to ours in their study on COVID-19 vaccination during pregnancy [ 32 ].…”

Section: Discussionsupporting

confidence: 80%

Factors Affecting COVID-19 Vaccine Acceptance among Pregnant Women: A Cross Sectional Study from Abha City, Saudi Arabia

Habbash,

Siddiqui

2023

Vaccines

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Background: Pregnant women can get infected with COVID-19 with serious sequelae to them and their fetus. Concerns about COVID-19 vaccination safety to mothers and babies, and doubts about its effectiveness, have hindered vaccine acceptance throughout the COVID-19 crisis. The objective of the current investigation was to estimate COVID-19 acceptance rates among pregnant women in Abha city, Aseer region, Saudi Arabia, and determine its clinical and demographic correlates. Method: Descriptive questionnaire-based cross-sectional survey of a sample of pregnant women attending regular antenatal care services in Abha. We used backward stepwise multiple logistic regression analysis to evaluate the predictability of vaccine acceptance in terms of baseline clinical and demographic factors. Results: The survey included 572 pregnant women. The prevalence of acceptance of COVID-19 vaccine was high (93.7%; 95%CI: 91.7–95.7%). University graduates and women with a later gestational age were more likely to accept vaccination (OR = 6.120, p = 0.009), (t = 2.163, p = 0.036), respectively. Confidence in vaccine safety was associated with better acceptance (OR = 3.431, p = 0.001). Conclusions: The acceptance rate for vaccination among pregnant women in Abha, Saudi Arabia, is higher compared to international rate. However, our results indicate that confidence in vaccine safety was associated with better acceptance. Hence, vaccine safety was the overarching predictor for harboring positive attitudes towards it. Public health policies should capitalize on such positive attitudes and aim for total coverage of pregnant women with COVID-19 vaccination including booster dosages.

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Section: Discussionsupporting

confidence: 80%

Factors Affecting COVID-19 Vaccine Acceptance among Pregnant Women: A Cross Sectional Study from Abha City, Saudi Arabia

Habbash,

Siddiqui

2023

Vaccines

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“…The COVID-19 pandemic has spurred unprecedented efforts in vaccine research [ [16] , [17] , [18] ] and development in terms of speed and scale, resulting in the approval of several vaccines by the WHO, such as Moderna, Pfizer/BioNTech, and AstraZeneca [ 12 ]. Despite this progress, vaccine hesitancy remained a widespread issue [ 17 , 19 ], with vaccine refusal observed globally, hindering the high vaccination rates necessary to achieve herd immunity [ 20 ]. Failure to achieve this level of immunity due to vaccine refusal could impede COVID-19 containment [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Utilizing the theory of planned behavior to predict COVID-19 vaccination intention: A structural equational modeling approach

Bui

Duong

Nguyen

et al. 2023

Heliyon

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“…This was also buttressed in a study where 92% of children of mothers with middle or higher education were fully immunized compared with 78% of children whose mothers had no education [ 60 ]. Maternal level of education plays a very important role as modifiers of vaccination experiences and behaviours, this helps to put at bay every myth and disbelief on malaria vaccinology [ 61 , 62 ]. An Indonesian study has shown that acceptance of vaccine was higher in individuals having postgraduate education compared with those with lower education level.…”

Section: Discussionmentioning

confidence: 99%

Willingness to accept malaria vaccines amongst women presenting at outpatient and immunization clinics in Enugu state, Southeast Nigeria

Chinawa,

Ossai,

Onukwuli

et al. 2024

Malar J

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Background There are giant steps taken in the introduction of the novel malaria vaccine poised towards reducing mortality and morbidity associated with malaria. Objectives This study aimed to determine the knowledge of malaria vaccine and factors militating against willingness to accept the vaccine among mothers presenting in nine hospitals in Enugu metropolis. Methods This was a cross-sectional study carried out among 491 mothers who presented with their children in nine hospitals in Enugu metropolis, South-East Nigeria. A pre-tested and interviewer-administered questionnaire was used in this study. Results A majority of the respondents, 72.1% were aware of malaria vaccine. A majority of the respondents, 83.1% were willing to receive malaria vaccine. Similarly, a majority of the mothers, 92.9%, were willing to vaccinate baby with the malaria vaccine, while 81.1% were willing to vaccinate self and baby with the malaria vaccine. The subjects who belong to the low socio-economic class were five times less likely to vaccinate self and baby with malaria vaccine when compared with those who were in the high socio-economic class (AOR = 0.2, 95% CI 0.1–0.5). Mothers who had good knowledge of malaria vaccination were 3.3 times more likely to vaccinate self and baby with malaria vaccine when compared with those who had poor knowledge of malaria vaccination (AOR = 3.3, 95% CI 1–6–6.8). Conclusion Although the study documented a high vaccine acceptance among the mothers, there exists a poor knowledge of the malaria vaccine among them.

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COVID‑19 vaccine hesitancy among pregnant women and their reported reasons for vaccine refusal – A prospective study in Tehran, Iran

Cited by 17 publications

References 21 publications

Factors Affecting COVID-19 Vaccine Acceptance among Pregnant Women: A Cross Sectional Study from Abha City, Saudi Arabia

Factors Affecting COVID-19 Vaccine Acceptance among Pregnant Women: A Cross Sectional Study from Abha City, Saudi Arabia

Utilizing the theory of planned behavior to predict COVID-19 vaccination intention: A structural equational modeling approach

Willingness to accept malaria vaccines amongst women presenting at outpatient and immunization clinics in Enugu state, Southeast Nigeria

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