VA Central Western Massachusetts Healthcare System, Birch Building, Room 112, 421 North Main Street, Leeds, MA, 01053, USA.
University of Massachusetts Medical School, Worcester, MA, USA.
J Gen Intern Med. 2022 Sep;37(Suppl 3):671-678. doi: 10.1007/s11606-022-07588-0. Epub 2022 Aug 30.
Pregnant persons have received mixed messages regarding whether or not to receive COVID-19 vaccines as limited data are available regarding vaccine safety for pregnant and lactating persons and breastfeeding infants.
The aims of this study were to examine pregnant Veteran's acceptance of COVID-19 vaccines, along with perceptions and beliefs regarding vaccine safety and vaccine conspiracy beliefs.
We conducted a cross-sectional survey of pregnant Veterans enrolled in VA care who were taking part in an ongoing cohort study at 15 VA medical centers between January and May 2021.
Pregnant Veterans were asked whether they had been offered the COVID-19 vaccine during pregnancy, and whether they chose to accept or refuse it. Additional questions focused on perceptions of COVID-19 vaccine safety and endorsements of vaccine knowledge and conspiracy beliefs. Logistic regression was utilized to examine predictors of acceptance of a vaccine during pregnancy.
Overall, 72 pregnant Veterans were offered a COVID-19 vaccine during pregnancy; over two-thirds (69%) opted not to receive a vaccine. Reasons for not receiving a vaccine included potential effects on the baby (64%), side effects for oneself (30%), and immunity from a past COVID-19 infection (12%). Those who received a vaccine had significantly greater vaccine knowledge and less belief in vaccine conspiracy theories. Greater knowledge of vaccines in general (aOR: 1.78; 95% CI: 1.2-2.6) and lower beliefs in vaccine conspiracies (aOR: 0.76; 95% CI: 0.6-0.9) were the strongest predictors of acceptance of a COVID-19 vaccine during pregnancy.
Our study provides important insights regarding pregnant Veterans' decisions to accept the COVID-19 vaccine, and reasons why they may choose not to accept the vaccine. Given the high endorsement of vaccine conspiracy beliefs, trusted healthcare providers should have ongoing, open discussions about vaccine conspiracy beliefs and provide additional information to dispel these beliefs.
由于关于孕妇和哺乳期妇女及母乳喂养婴儿接种疫苗的安全性数据有限，孕妇对于是否接种 COVID-19 疫苗的信息存在差异。
本研究旨在探讨孕妇对 COVID-19 疫苗的接受程度，以及她们对疫苗安全性和疫苗阴谋论的看法和信念。
我们对参加正在进行的队列研究的 15 家退伍军人事务部医疗中心的 15 家退伍军人事务部医疗中心的 15 家退伍军人事务部医疗中心的孕妇进行了横断面调查。
我们询问了孕妇是否在怀孕期间被提供了 COVID-19 疫苗，以及她们是否选择接受或拒绝接种。其他问题集中在对 COVID-19 疫苗安全性的看法以及对疫苗知识和阴谋论的认可上。我们利用逻辑回归分析了怀孕期间接受疫苗的预测因素。
总体而言，72 名孕妇在怀孕期间被提供了 COVID-19 疫苗；超过三分之二（69%）选择不接种疫苗。不接种疫苗的原因包括对婴儿的潜在影响（64%）、对自己的副作用（30%）以及过去 COVID-19 感染的免疫力（12%）。接种疫苗的孕妇疫苗知识显著增加，对疫苗阴谋论的信任度降低。对一般疫苗的了解程度更高（OR：1.78；95%CI：1.2-2.6）和对疫苗阴谋的信念较低（OR：0.76；95%CI：0.6-0.9）是怀孕期间接受 COVID-19 疫苗的最强预测因素。
我们的研究提供了关于孕妇接受 COVID-19 疫苗的决定以及他们选择不接种疫苗的原因的重要见解。鉴于对疫苗阴谋论的高度认可，值得信赖的医疗保健提供者应该就疫苗阴谋论进行持续、公开的讨论，并提供更多信息以消除这些信念。
