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COVID-19 疫苗犹豫在孕妇中的表现:曼尼普尔,因帕尔的一项基于医疗机构的横断面研究。

COVID-19 Vaccine hesitancy among pregnant women: A facility-based cross-sectional study in Imphal, Manipur.

机构信息

Post Graduate Trainee, Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India.

Senior Resident, Department of Community Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India.

出版信息

Indian J Public Health. 2022 Apr-Jun;66(2):98-103. doi: 10.4103/ijph.ijph_1826_21.

DOI:10.4103/ijph.ijph_1826_21
PMID:35859488
Abstract

BACKGROUND

Vaccine hesitancy has been recognized as a public health issue which needs to be addressed urgently. Pregnant women with COVID-19 are at increased risk of adverse pregnancy outcomes. An assessment of the determinants of vaccine hesitancy will aid in the acceleration of vaccine administration among pregnant women.

OBJECTIVES

The present study aimed to determine COVID-19 vaccine hesitancy among pregnant women in Imphal, Manipur and assess associated factors.

METHODS

Across-sectional study was conducted among pregnant women attending Obstetrics and Gynecology Department of a Tertiary Care Institute in Imphal, Manipur during August 2021. One hundred and sixty-three pregnant women were interviewed using a structured questionnaire over phone calls. Univariate analysis was carried out using the Chi-square test and multivariable logistic regression was performed to determine the factors significantly associated with vaccine acceptance.

RESULTS

The mean age of the participants was 28.3 ± 5.5 years and majority, 102 (62.6%) were multigravida and 27 (16.6%) had comorbidities. Vaccine hesitancy was found in 127 (77.9%) participants. Logistic regression analysis indicated that awareness on COVID-19 vaccine eligibility (P = 0.002), disagreement of vaccine being unsafe during pregnancy (P = 0.005), and agreement on vaccine benefiting the baby (P = 0.003) were the significant predictors of vaccine acceptance.

CONCLUSION

Nearly four out of every five pregnant women had COVID-19 vaccine hesitancy. Pregnant women should be informed about the benefits and encouraged to take COVID-19 vaccine.

摘要

背景

疫苗犹豫已被认为是一个亟待解决的公共卫生问题。患有 COVID-19 的孕妇发生不良妊娠结局的风险增加。评估疫苗犹豫的决定因素将有助于加速孕妇接种疫苗。

目的

本研究旨在确定曼尼普尔邦因帕尔市孕妇对 COVID-19 疫苗的犹豫情况,并评估相关因素。

方法

本横断面研究于 2021 年 8 月在曼尼普尔邦因帕尔的一家三级保健机构妇产科就诊的孕妇中进行。通过电话访谈了 163 名孕妇。使用卡方检验进行单变量分析,使用多变量逻辑回归确定与疫苗接受度显著相关的因素。

结果

参与者的平均年龄为 28.3±5.5 岁,大多数为多产妇(102 例,62.6%),27 例(16.6%)有合并症。127 名(77.9%)参与者存在疫苗犹豫。逻辑回归分析表明,对 COVID-19 疫苗接种资格的认识(P=0.002)、不同意疫苗在怀孕期间不安全(P=0.005)和同意疫苗对婴儿有益(P=0.003)是疫苗接受度的显著预测因素。

结论

近五分之四的孕妇对 COVID-19 疫苗持犹豫态度。应告知孕妇有关疫苗的益处,并鼓励她们接种 COVID-19 疫苗。

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