International Vaccine Access Center, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Department of Health, Behavior, and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Int J Environ Res Public Health. 2022 Aug 30;19(17):10784. doi: 10.3390/ijerph191710784.
Pregnant women are at greater risk of adverse outcomes from SARS-CoV-2 infection. There are several factors which can influence the ways in which pregnant women perceive COVID-19 disease and behaviorally respond to the pandemic. This study seeks to understand how three key audiences-pregnant and lactating women (PLW), male community members, and health workers-in Kenya conceptualize COVID-19 to better understand determinants of COVID-19 related behaviors. This study used qualitative methods to conduct 84 in-depth interviews in three counties in Kenya. Data were analyzed using a grounded theory approach. Emerging themes were organized based on common behavioral constructs thought to influence COVID-19 related behaviors and included myths, risk perception, economic implications, stigma, and self-efficacy. Results suggest that risk perception and behavioral attitudes substantially influence the experiences of PLW, male community members, and health workers in Kenya during the COVID-19 pandemic. Public health prevention and communication responses targeting these groups should address potential barriers to preventive health behaviors, such as the spread of misinformation, financial constraints, and fear of social ostracization.
孕妇感染 SARS-CoV-2 后出现不良后果的风险更高。有几个因素会影响孕妇对 COVID-19 疾病的认知方式，并影响其对大流行的行为反应。本研究旨在了解肯尼亚的三个关键受众（孕妇和哺乳期妇女（PLW）、男性社区成员和卫生工作者）如何概念化 COVID-19，以更好地了解 COVID-19 相关行为的决定因素。本研究使用定性方法在肯尼亚的三个县进行了 84 次深入访谈。使用扎根理论方法对数据进行分析。根据被认为影响 COVID-19 相关行为的常见行为结构，对出现的主题进行了组织，这些主题包括神话、风险认知、经济影响、污名和自我效能。结果表明，风险认知和行为态度极大地影响了肯尼亚 PLW、男性社区成员和卫生工作者在 COVID-19 大流行期间的经历。针对这些群体的公共卫生预防和沟通应对措施应解决预防性行为的潜在障碍，例如错误信息的传播、经济限制和对社会排斥的恐惧。
