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Determinants of COVID-19 vaccine hesitancy among pregnant persons

BACKGROUND: Vaccines reduce the risk of contracting and developing complications from coronavirus disease 2019 (COVID-19). Pregnant people are at increased risk of disease-related complications but have a higher prevalence of vaccine hesitancy (VH) than their nonpregnant counterparts. OBJECTIVE: Thi...

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Autores principales: Ramonfaur, Diego, Hinojosa-González, David E., Rodríguez, Ricardo García, Melchor, Ana L., Rodríguez-Ramírez, Abigail, Rodríguez-Gómez, Gloria P., Cantú-Santos, Melchor, Fernández-Gómez, Alejandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Pharmacists Association®. Published by Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158039/
https://www.ncbi.nlm.nih.gov/pubmed/37149143
http://dx.doi.org/10.1016/j.japh.2023.05.002
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author Ramonfaur, Diego
Hinojosa-González, David E.
Rodríguez, Ricardo García
Melchor, Ana L.
Rodríguez-Ramírez, Abigail
Rodríguez-Gómez, Gloria P.
Cantú-Santos, Melchor
Fernández-Gómez, Alejandro
author_facet Ramonfaur, Diego
Hinojosa-González, David E.
Rodríguez, Ricardo García
Melchor, Ana L.
Rodríguez-Ramírez, Abigail
Rodríguez-Gómez, Gloria P.
Cantú-Santos, Melchor
Fernández-Gómez, Alejandro
author_sort Ramonfaur, Diego
collection PubMed
description BACKGROUND: Vaccines reduce the risk of contracting and developing complications from coronavirus disease 2019 (COVID-19). Pregnant people are at increased risk of disease-related complications but have a higher prevalence of vaccine hesitancy (VH) than their nonpregnant counterparts. OBJECTIVE: This study aimed to describe risk factors and COVID-19- and vaccine-related perspectives that lead to VH among pregnant people in Mexico to target strategies to increase vaccine acceptance in this population. METHODS: A cross-sectional survey-based study to evaluate risk factors and COVID-19- and vaccine-related perspectives associated with VH among pregnant people was conducted. Respondents were pregnant people of all ages attending a regular follow-up visit or admitted to labor and delivery in a third-level maternity hospital in Mexico. VH was defined as not having received a COVID-19 vaccine and either declining or being undecided to accept a vaccine during their pregnancy. We used bivariate and multivariable logistic regression models to estimate assess the relationship among demographic factors, COVID-19- and vaccine-related perspectives, and VH. RESULTS: A total of 1475 respondents completed the questionnaire; 216 (18%) were under the age of 18 years, and 860 (58%) had received at least one dose of a COVID-19 vaccine. In this sample, 264 (18%) were classified as vaccine hesitant. Key factors associated with VH were adolescence, having family as a primary source of information, first pregnancy, and history of vaccines in previous pregnancies. COVID-19 perspectives were also strongly associated with VH. CONCLUSIONS: Among pregnant people in Mexico, VH is associated with demographic factors, vaccination history, sources of information, and perceived risks to the fetus. This information is relevant to policy makers and health care professionals to identify those more likely to be hesitant and to inform strategies to increase vaccine uptake among pregnant people.
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spelling pubmed-101580392023-05-04 Determinants of COVID-19 vaccine hesitancy among pregnant persons Ramonfaur, Diego Hinojosa-González, David E. Rodríguez, Ricardo García Melchor, Ana L. Rodríguez-Ramírez, Abigail Rodríguez-Gómez, Gloria P. Cantú-Santos, Melchor Fernández-Gómez, Alejandro J Am Pharm Assoc (2003) Brief Report BACKGROUND: Vaccines reduce the risk of contracting and developing complications from coronavirus disease 2019 (COVID-19). Pregnant people are at increased risk of disease-related complications but have a higher prevalence of vaccine hesitancy (VH) than their nonpregnant counterparts. OBJECTIVE: This study aimed to describe risk factors and COVID-19- and vaccine-related perspectives that lead to VH among pregnant people in Mexico to target strategies to increase vaccine acceptance in this population. METHODS: A cross-sectional survey-based study to evaluate risk factors and COVID-19- and vaccine-related perspectives associated with VH among pregnant people was conducted. Respondents were pregnant people of all ages attending a regular follow-up visit or admitted to labor and delivery in a third-level maternity hospital in Mexico. VH was defined as not having received a COVID-19 vaccine and either declining or being undecided to accept a vaccine during their pregnancy. We used bivariate and multivariable logistic regression models to estimate assess the relationship among demographic factors, COVID-19- and vaccine-related perspectives, and VH. RESULTS: A total of 1475 respondents completed the questionnaire; 216 (18%) were under the age of 18 years, and 860 (58%) had received at least one dose of a COVID-19 vaccine. In this sample, 264 (18%) were classified as vaccine hesitant. Key factors associated with VH were adolescence, having family as a primary source of information, first pregnancy, and history of vaccines in previous pregnancies. COVID-19 perspectives were also strongly associated with VH. CONCLUSIONS: Among pregnant people in Mexico, VH is associated with demographic factors, vaccination history, sources of information, and perceived risks to the fetus. This information is relevant to policy makers and health care professionals to identify those more likely to be hesitant and to inform strategies to increase vaccine uptake among pregnant people. American Pharmacists Association®. Published by Elsevier Inc. 2023-05-04 /pmc/articles/PMC10158039/ /pubmed/37149143 http://dx.doi.org/10.1016/j.japh.2023.05.002 Text en © 2023 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Brief Report
Ramonfaur, Diego
Hinojosa-González, David E.
Rodríguez, Ricardo García
Melchor, Ana L.
Rodríguez-Ramírez, Abigail
Rodríguez-Gómez, Gloria P.
Cantú-Santos, Melchor
Fernández-Gómez, Alejandro
Determinants of COVID-19 vaccine hesitancy among pregnant persons
title Determinants of COVID-19 vaccine hesitancy among pregnant persons
title_full Determinants of COVID-19 vaccine hesitancy among pregnant persons
title_fullStr Determinants of COVID-19 vaccine hesitancy among pregnant persons
title_full_unstemmed Determinants of COVID-19 vaccine hesitancy among pregnant persons
title_short Determinants of COVID-19 vaccine hesitancy among pregnant persons
title_sort determinants of covid-19 vaccine hesitancy among pregnant persons
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158039/
https://www.ncbi.nlm.nih.gov/pubmed/37149143
http://dx.doi.org/10.1016/j.japh.2023.05.002
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