Sociodemographic predictors of COVID-19 vaccine hesitancy and leading concerns with COVID-19 vaccines among pregnant women at a South Texas clinic

Sutanto, Michelle Y.; Hosek, Meredith G.; Stumpff, Sierra K.; Neuhoff, Barbara K.; Hernandez, Brian; Wang, Zhu; Ramsey, Patrick S.; Boyd, Angela R.

doi:10.1080/14767058.2022.2128652

Cited by 7 publications

(13 citation statements)

References 14 publications

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“…Similarly, COVID-19 vaccine hesitancy was frequent (46%) in a cross-sectional study performed with pregnant and post-partum women in Ohio (USA) [29] and in a cohort study performed in London (USA) where less than one-third of pregnant women acceded COVID-19 vaccination [30]. In Texas (USA), a cross-sectional survey study on the sociodemographic predictors for COVID-19 vaccine hesitancy in pregnancy found that women who were hesitant were younger, had a more advanced pregnancy, and were also hesitant about flu and Tdap vaccination [31]. Additionally, they reported not having received enough information to make their decision [31].…”

Section: Discussionmentioning

confidence: 99%

“…In Texas (USA), a cross-sectional survey study on the sociodemographic predictors for COVID-19 vaccine hesitancy in pregnancy found that women who were hesitant were younger, had a more advanced pregnancy, and were also hesitant about flu and Tdap vaccination [31]. Additionally, they reported not having received enough information to make their decision [31]. Interestingly, a survey conducted in Italy showed that the pandemic experience could positively change attitudes toward immunisation in pregnancy, as it raised awareness of the role of vaccines [32].…”

Section: Discussionmentioning

confidence: 99%

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“Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain

et al. 2022

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The World Health Organization (WHO) identified vaccine hesitancy as one of the top 10 threats to global health in 2019. Health promotion and education have been seen to improve knowledge and uptake of vaccinations in pregnancy. This qualitative study was conducted based on phenomenology, a methodological approach to understand first-hand experiences, and grounded theory, an inductive approach to analyse data, where theoretical generalisations emerge. Data were collected through semi-structured interviews with pregnant women attending antenatal care services and healthcare workers (HCWs) in Barcelona, Spain. Interviews were audio-recorded, transcribed, and coded, and notes were taken. Inductive thematic analysis was performed, and data were manually coded. Pertussis was reported as the most trusted vaccine among pregnant women due to its long-standing background as a recommended vaccine in pregnancy. The influenza vaccine was regarded as less important since it was perceived to cause mild disease. The COVID-19 vaccine was the least trustworthy for pregnant women due to uncertainties about effectiveness, health effects in the mid- and long-term, the fast development of the vaccine mRNA technology, and the perceptions of limited data on vaccine safety. However, the necessity to be vaccinated was justified by pregnant women due to the exceptional circumstances of the COVID-19 pandemic. The recommendations provided by HCW and the established relationship between the HCW, particularly midwives, and pregnant women were the main factors affecting decision-making. The role of mass media was perceived as key to helping provide reliable messages about the need for vaccines during pregnancy. Overall, vaccines administered during pregnancy were perceived as great tools associated with better health and improved quality of life. Pregnancy was envisioned as a vulnerable period in women’s lives that required risk–benefits assessments for decision-making about maternal vaccinations. A holistic approach involving the community and society was considered crucial for health education regarding maternal vaccines in support of the work conducted by HCWs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain

et al. 2022

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“…All the studies were performed in gynecological or maternal units at public or private hospitals. Recruitment was performed by inviting consecutive women attending the clinic in approximately half of the cases (n = 25/43) [2,20,[24][25][26]29,30,33,35,[37][38][39][40]42,44,46,47,49,[51][52][53][54]56,60,61], random sampling was employed in four studies (n = 4), antenatal care registry was used in three studies (n = 3) [21,36,59], convenience sampling was adopted in other three studies (n = 3) [27,28,32], multistage sampling approach was used in two studies (n = 2) [55,58], the snow-ball method was used in one study (n = 1) [22], and one study used data from an ongoing prospective longitudinal cohort study (n = 1) [50]. Four studies did not specify the recruitment method adopted [23,31,45,48].…”

Section: Main Characteristics Of Included Studiesmentioning

confidence: 99%

“…Seven studies used on-line administration [24,[27][28][29]33,54,60], five studies performed a self-administration (paperbased) [22,32,37,49,51] and two studies used a telephone administration [36,50]. Eight studies did not report information regarding administration methods [20,23,25,31,52,53,55,59].…”

Section: Main Characteristics Of Included Studiesmentioning

confidence: 99%

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COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies

Gianfredi,

Berti,

Stefanizzi

et al. 2023

Vaccines

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The risk of unfavourable outcomes for SARS-CoV-2 infection is significant during pregnancy and breastfeeding. Vaccination is a safe and effective measure to lower this risk. This study aims at reviewing the literature concerning the anti-SARS-CoV-2 vaccine’s acceptance/hesitancy among pregnant and breastfeeding women attending hospital facilities. A systematic review of literature was carried out. Hospital-based observational studies related to vaccination acceptance, hesitancy, knowledge and attitude among pregnant and breastfeeding women were included. Determinants of acceptance and hesitancy were investigated in detail. Quality assessment was done via the Johann Briggs Institute quality assessment tools. After literature search, 43 studies were included, 30 of which only focused on pregnant women (total sample 25,862 subjects). Sample size ranged from 109 to 7017 people. Acceptance of the SARS-CoV-2 vaccine ranged from 16% to 78.52%; vaccine hesitancy ranged between 91.4% and 24.5%. Fear of adverse events for either the woman, the child, or both, was the main driver for hesitancy. Other determinants of hesitancy included religious concerns, socioeconomic factors, inadequate information regarding the vaccine and lack of trust towards institutions. SARS-CoV-2 vaccine hesitancy in hospitalized pregnant women appears to be significant, and efforts for a more effective communication to these subjects are required.

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Structural equation modeling to evaluate the adult vaccine hesitancy scale for vaccines recommended during pregnancy

Nuzhath,

Yang,

Couture

et al. 2025

Vaccine

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Sociodemographic predictors of COVID-19 vaccine hesitancy and leading concerns with COVID-19 vaccines among pregnant women at a South Texas clinic

Cited by 7 publications

References 14 publications

“Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain

“Maternal Vaccination Greatly Depends on Your Trust in the Healthcare System”: A Qualitative Study on the Acceptability of Maternal Vaccines among Pregnant Women and Healthcare Workers in Barcelona, Spain

COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies

Structural equation modeling to evaluate the adult vaccine hesitancy scale for vaccines recommended during pregnancy

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