Perceptions of COVID-19 Maternal Vaccination among Pregnant Women and Healthcare Workers and Factors That Influence Vaccine Acceptance: A Cross-Sectional Study in Barcelona, Spain

Marbán-Castro, Elena; Nedic, Ivana; Ferrari, Mara; Crespo-Mirasol, Esther; Ferrer, Laia; Noya, Berta; Carreras-Marín, Anna; Fumadó, Victoria; López, Marta; Menéndez, Clara; Bueno, Cristina Martínez; Llupià, Anna; Goncé, Anna; Bardají, Azucena

doi:10.3390/vaccines10111930

Cited by 11 publications

(17 citation statements)

References 25 publications

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“…To the best of our knowledge, this is the first study that investigates psychosocial predictors of COVID-19 vaccine uptake among pregnant women with a valid questionnaire in Greek. Three other studies investigated a few psychosocial predictors but without the use of a valid questionnaire [ 39 , 45 , 46 ]. In a sample of pregnant women in Greece, we found that 58.6% of them were vaccinated against COVID-19 during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, it is interesting to highlight the fact that the vaccination rate is much higher in Israel (43.3%) than in the USA (27.3%) and other countries (12.8%) [ 58 ]. Additionally, several other studies found a lower vaccination rate among pregnant women in Italy (49.4%) [ 44 ], Spain (56%) [ 45 ], Wales (32.7%) [ 59 ], Canada (42.4%) [ 41 ], and the USA (44%) [ 60 ]. The higher vaccination rate in our study may be due to the fact that the studies in the meta-analysis were conducted from December 2020 to September 2021, while our study was conducted from December 2021 to March 2022.…”

Section: Discussionmentioning

confidence: 99%

“…This finding is confirmed by the literature, since several studies have revealed women’s fears that COVID-19 vaccines can cause problems in fertility, pregnancy, and breastfeeding [ 61 , 62 , 63 ]. Moreover, pregnant women are more worried about lack of safety data in pregnancy, fetal effects, vaccine adverse side effects, and rushed development of vaccines [ 39 , 45 , 46 , 64 ]. Moreover, worry in the general population about safety, efficacy, and side effects of COVID-19 vaccines is related to hesitancy in COVID-19 vaccine uptake [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

“…Until now, several studies investigated the determinants of COVID-19 vaccine uptake among pregnant women [ 29 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 ]. So far, research has focused on the impact of the socio-demographic characteristics on the decision of pregnant women to be vaccinated against COVID-19, e.g., age, ethnicity, race, education, and income.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, emphasis is given on COVID-19-related variables and beliefs towards vaccination, such as COVID-19 infection during pregnancy, receipt of sufficient evidence and advice, recommendation by public health officials and healthcare workers, trust in vaccines and the health system, vaccine hesitancy, and previous refusal of the influenza vaccine. However, only a few studies focused on the psychosocial predictors of COVID-19 vaccine uptake among pregnant women, e.g., trust in COVID-19 vaccines, fear of COVID-19, and worry about the adverse side effects of the COVID-19 vaccines [ 39 , 45 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial Predictors of COVID-19 Vaccine Uptake among Pregnant Women: A Cross-Sectional Study in Greece

et al. 2023

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An understanding of the factors associated with the COVID-19 vaccine uptake in pregnant women is paramount to persuade women to get vaccinated against COVID-19. We estimated the vaccination rate of pregnant women against COVID-19 and evaluated psychosocial factors associated with vaccine uptake among them. We conducted a cross-sectional study with a convenience sample. In particular, we investigated socio-demographic data of pregnant women (e.g., age, marital status, and educational level), COVID-19 related variables (e.g., previous COVID-19 diagnosis and worry about the side effects of COVID-19 vaccines), and stress due to COVID-19 (e.g., danger and contamination fears, fears about economic consequences, xenophobia, compulsive checking and reassurance seeking, and traumatic stress symptoms about COVID-19) as possible predictors of COVID-19 vaccine uptake. Among pregnant women, 58.6% had received a COVID-19 vaccine. The most important reasons that pregnant women were not vaccinated were doubts about the safety and effectiveness of the COVID-19 vaccines (31.4%), fear that COVID-19 vaccines could be harmful to the fetus (29.4%), and fear of adverse side effects of COVID-19 vaccines (29.4%). Increased danger and contamination fears, increased fears about economic consequences, and higher levels of trust in COVID-19 vaccines were related with vaccine uptake. On the other hand, increased compulsive checking and reassurance seeking and increased worry about the adverse side effects of COVID-19 vaccines reduced the likelihood of pregnant women being vaccinated. An understanding of the psychosocial factors associated with increased COVID-19 vaccine uptake in pregnant women could be helpful for policy makers and healthcare professionals in their efforts to persuade women to get vaccinated against COVID-19. There is a need for targeted educational campaigns to increase knowledge about COVID-19 vaccines and reduce vaccine hesitancy in pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychosocial Predictors of COVID-19 Vaccine Uptake among Pregnant Women: A Cross-Sectional Study in Greece

et al. 2023

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Analysis of the immune response using FTIR spectroscopy in mothers and their newborns with different vaccination schemes for COVID-19

Mata-Miranda,

Martinez-Cuazitl,

Gutierrez-Cortes

et al. 2024

Sci Rep

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The SARS-CoV-2 outbreak has provoked more than 6 million deaths worldwide. The scarcity of effective treatments and its virulence converted the vaccines into an essential tool to face it. The most used vaccines were the mRNA, adenovirus vector, and inactivated whole-virus. However, nowadays, infants aged < 6 months are not eligible for any vaccines against COVID-19, and their immunization relies on passive immunity. In this research, we investigated the humoral and cellular immune response generated on newborns of SARS-CoV-2 vaccinated mothers with mRNA or viral vector (VV) vaccine employing Fourier transformed infrared (FTIR) spectroscopy in saliva samples. For this purpose, saliva samples of newborns and their mothers were collected; the population was divided into two groups, VV and mRNA, which were subdivided into three subgroups: before pregnancy (BP), at the first (FTP) and second (STP) trimesters of pregnancy. The samples were analyzed using FTIR spectroscopy, and the bands associated with the humoral and cellular immune responses, such as IgG, IgA, and IFN-γ were analyzed. The integrated areas were calculated and compared to elucidate the quantity of those immunoglobins and the cytokine. Likewise, the correlation of the humoral and cellular immune response between the newborns and their mothers and the correlation between cellular and humoral immune response was also evaluated. The VV vaccine produced a significant humoral and cellular immune response in newborns and their mothers when they received it at the STP compared with the mRNA vaccine, evidencing statistical significance. However, no correlation was observed between newborns and their mothers when the vaccine was applied in this trimester of pregnancy. When administered BP, the mRNA vaccine generated more humoral immunity in newborns and their mothers. Nevertheless, compared with the VV vaccine, it only showed statistical significance in the mothers, highlighting that IgG showed a moderate positive correlation between the newborns and their mothers.

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Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria

Chijiogor Okeke,

Kevin Okeke,

Obinna Ikwuka

et al. 2023

WJPH

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Background: COVID-19 is associated with poor pregnancy and maternal outcomes. COVID-19 vaccination is recommended all over the world, yet the vaccination rate during pregnancy in Nigeria is insignificant. The public health response to the global COVID-19 pandemic varies widely in different regions of Nigeria. Aim: To investigate the knowledge, perception and acceptance of COVID-19 vaccination amongst pregnant women in Adena, Kwara State, Nigeria. Materials and Methods: Sample size of this study consisted of two hundred and thirty (230) respondents. Data including biodata and questions relating to the aim of the study were retrieved using a structured questionnaire. These data were analyzed using the Chi-square technique (χ 2 ) of the SPSS version 23 statistical software. Chi-square tests were used for comparative analysis of the demographic information to perception and acceptance of COVID-19 vaccination amongst pregnant women, and to test the research hypotheses at a level of significance set at p<0.05. Results: Mean age of the respondents (pregnant women) was 29.3±6.14 years and the mean parity was 2.3±1.6. 68.7% (n=158) of the women had a tertiary education. 40.9% (94) and 59.1% (136) of the respondents were Christians and Muslims respectively. 73.44% of the respondents had good knowledge about COVID-19 and 57.8% confirmed that they would accept the vaccine against SARS-CoV-2. From the research hypotheses tested, this study found that there was a significant difference in the perception of the pregnant women in Adena to COVID-19 vaccination based on their educational qualification (p=1.56624E-20) and age (p=8.53956E-18), but no significant difference was noticed based on their religion (p=0.05). There was a significant difference in the acceptance of COVID-19 vaccination amongst the pregnant women based on their educational qualification (p=3.22221E-11) and age (p=0.001473), but no significant difference was observed based on their religion (p=0.23). Conclusion: The general public needs to be sensitized on COVID-19 and any related pandemic at every gathering, e.g., churches, mosques, hospitals, etc. Health systems need to develop national surveillance systems to collect up-to-date clinical, virological, and epidemiological information on trends in human infection with seasonal influenza viruses. Health systems are also advised to keep up-to-date on the latest information concerning pandemics from trusted global sources e.g. World Health Organization (WHO), national sources e.g. Nigerian Centre for Disease Control (NCDC).

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Perceptions of COVID-19 Maternal Vaccination among Pregnant Women and Healthcare Workers and Factors That Influence Vaccine Acceptance: A Cross-Sectional Study in Barcelona, Spain

Cited by 11 publications

References 25 publications

Psychosocial Predictors of COVID-19 Vaccine Uptake among Pregnant Women: A Cross-Sectional Study in Greece

Psychosocial Predictors of COVID-19 Vaccine Uptake among Pregnant Women: A Cross-Sectional Study in Greece

Analysis of the immune response using FTIR spectroscopy in mothers and their newborns with different vaccination schemes for COVID-19

Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria

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