Determinants of influenza vaccine hesitancy among pregnant women in Europe: a systematic review

Adeyanju, Gbadebo Collins; Engel, Elena; Koch, Laura Coffin; Shahid, Imtiaz Bin Mohammed; Head, Michael G; Eitze, Sarah; Betsch, Cornelia

doi:10.1186/s40001-021-00584-w

Cited by 41 publications

(42 citation statements)

References 49 publications

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“…Thus, vaccine acceptance rates seem to be higher in developed countries than in developing countries. Factors associated with annual influenza hesitancy were mainly safety and effectiveness issues [ 38 , 44 ]. Thus, developing countries would benefit from the experience of developed countries in promoting vaccine acceptance among their populations.…”

Section: Discussionmentioning

confidence: 99%

The public’s attitude to and acceptance of periodic doses of the COVID-19 vaccine: A survey from Jordan

et al. 2022

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Aims This study surveyed people regarding their acceptance of periodic doses (i.e., annual boosters) of the COVID-19 vaccine. Moreover, factors that correlate with attitudes toward periodic COVID-19 vaccines were assessed and identified. Method The study employed a cross-sectional methodology. The study questionnaire was distributed using Google Forms. Data were collected during the last quarter of 2021, and 1,416 adults (18 years old and over) from Jordan responded. Acceptance of COVID-19 periodic vaccine doses was calculated as a percentage of the total number of study participants, and their attitudes were scored. A multiple regression model was used to determine the predictors of public attitudes toward the annual dose of COVID-19 vaccines. Results The acceptance rate for receiving periodic doses of the COVID-19 vaccine was low (19.3%). Additionally, 26% of participants were unsure about receiving additional doses of the vaccine. However, 54.7% had a negative attitude toward getting periodic doses. The mean score for attitudes toward periodic doses was 47.9 (range: 29–66). Among the identified factors leading to decisions not to receive periodic doses were side effects (49.1%), waiting for further clinical studies (38.8%), and perceived no risk of contracting COVID-19 (17.7%). Regression analysis showed that income, educational attainment, and following the news about COVID-19 were predictors of participants’ attitudes toward the periodic COVID-19 vaccine. Conclusion Acceptance of periodic doses of the COVID-19 vaccine in Jordan is low, and the public’s attitude is generally negative. Health programs and educational interventions are needed to promote vaccine acceptance and positive attitudes.

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Section: Discussionmentioning

confidence: 99%

The public’s attitude to and acceptance of periodic doses of the COVID-19 vaccine: A survey from Jordan

et al. 2022

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“…The results from this study demonstrate the gap in immunization messaging, highlighting the need for improved efforts at behavior change communication policies that convey key messages targeting caregivers to emphasize the importance of attending routine vaccination services, despite the COVID-19 pandemic and the response strategies for infection prevention [ 25 , 26 ]. Effective communication strategies will serve to counter misinformation, which has, unfortunately, been the bane of the pandemic and which may not disappear post-pandemic [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Early Impact of SARS-CoV-2 Pandemic on Immunization Services in Nigeria

et al. 2022

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Background: By 11 March 2022, there were 450,229,635 Coronavirus disease (COVID-19) cases and 6,019,085 deaths globally, with Nigeria reporting 254,637 cases and 3142 deaths. One of the essential healthcare services that has been impacted by the pandemic is childhood routine immunization. According to the 2018 National Demographic and Health Survey, only 31% of children aged 12–23 months were fully vaccinated in Nigeria, and 19% of eligible children haven’t received any vaccination in the country. A further decline in coverage due to the pandemic can significantly increase the risk of vaccine-preventable-disease outbreaks among children in Nigeria. To mitigate such an occurrence, it is imperative to urgently identify how the pandemic and the response strategies have affected vaccination services, hence, the goal of the study. Methods: The research method is qualitative, including in-depth interviews of healthcare workers and focus group discussions (FGD) with caregivers of children 0–23 months. We selected one state from each of the three zones of Nigeria: northern, central, and southern. Within each state, 10 local government areas and 20 healthcare facilities were purposively selected. In each facility, 10 healthcare workers were invited for interview. Overall, 517 healthcare workers were interviewed. For the focus group discussion, 30 communities were selected. Within each selected community, six consenting caregivers were included. Overall, 180 caregivers participated. The data were analyzed using thematic inductive content analysis. Results: Three significant impacts that were observed are: difficulties of accessibility to immunization services, declining immunization demand and uptake among caregivers due to varying factors, and erosion of vaccine confidence among both caregivers and healthcare workers. Movement restriction and lockdown had major, numerous impacts, such as decreased general healthcare services delivery, increased transportation costs, fewer engagements that promotes vaccine uptake, and cessation of mobile vaccination campaigns that targeted hard-to-reach communities. Moreover, misinformation, conspiracy beliefs about the pandemic and COVID-19 vaccines, and risk perception negatively influenced general vaccine confidence. Conclusion: The results from this early impact study show immunization was directly affected by the pandemic and provided insights into areas where interventions are needed for recovery.

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“…Vaccinating pregnant women can have a double goal: to protect the mother from preventable diseases that affect her health and avoid infection/disease transmission to the fetus or newborn. Despite the potential bene ts, pregnant women who doubt the real advantages of vaccines still resist vaccinations [25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Understanding Drivers of Vaccine Hesitancy among Pregnant Women in Nigeria: A Longitudinal Study

Adeyanju

Betsch

Sprengholz

2021

Preprint

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Background: Vaccine-preventable diseases are major contributors to the disease burden in Sub-Saharan Africa, accounting for many childhood illnesses, disabilities, and mortality. There is dearth of knowledge on the drivers of vaccine hesitancy in Nigeria and the extent of its impact on coverage. Pregnant women are a particularly important vulnerable and at-risk group and, additionally, very relevant for childhood vaccination decisions. However, this group is understudied in Nigeria. This study’s aims are to adapt Confidence, Complacency, Constraints, Calculation, and Collective Responsibility, also known as the 5C psychological antecedence scale for the Nigerian context and to measure vaccine hesitancy to predict the intention to vaccinate among pregnant women (prenatal) and subsequent vaccination behavior (postnatal). Method: It is a longitudinal study that used multi-stage sampling procedure. One healthcare facility was selected from each district in five regional clusters, from which 255 pregnant women were randomly drawn. A standardized questionnaire was used to collect data on demographic characteristics, sources of vaccination information, and the 5C psychological antecedents of vaccination. Additional variables tested included the importance of religion, masculinity, and rumor/conspiracy theory. The scale’s reliability was explored, and a backward elimination regression analysis was performed to identify the major determinants of childhood vaccination intention among pregnant women (T1) and their postnatal behavior (T2). Results: The prenatal (T1) findings revealed low reliability of the 5C subscales in Nigeria’s setting. Pregnant women’s intention to vaccinate unborn children was lower if they were Muslims, had lower confidence in public authorities or the health system, if husband approval was important for vaccination, and if they believed in rumor. Postnatal (T2) findings revealed that vaccination was more likely to follow mothers’ religious beliefs, when confidence in vaccine effectiveness was high and when mothers felt responsible for the collective. However, higher levels of everyday stress (constraints) were related to less vaccination behavior, and intention did not predict actual vaccination behavior. Conclusion: The 5C scale is incompletely adaptable in Nigeria but is a better tool for measuring vaccination behavior than intention. Overall, the vaccination intention did not predict behavior among pregnant women. The additional variables are good instruments that need further exploration.

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Determinants of influenza vaccine hesitancy among pregnant women in Europe: a systematic review

Cited by 41 publications

References 49 publications

The public’s attitude to and acceptance of periodic doses of the COVID-19 vaccine: A survey from Jordan

The public’s attitude to and acceptance of periodic doses of the COVID-19 vaccine: A survey from Jordan

Early Impact of SARS-CoV-2 Pandemic on Immunization Services in Nigeria

Understanding Drivers of Vaccine Hesitancy among Pregnant Women in Nigeria: A Longitudinal Study

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