Galanis Petros, Vraka Irene, Katsiroumpa Aglaia, Siskou Olga, Konstantakopoulou Olympia, Zogaki Eleftheria, Kaitelidou Daphne
Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Department of Radiology, P. & A. Kyriakou Children's Hospital, 11527 Athens, Greece.
Vaccines (Basel). 2023 Jan 26;11(2):269. doi: 10.3390/vaccines11020269.
An understanding of the factors associated with the COVID-19 vaccine uptake in pregnant women is paramount to persuade women to get vaccinated against COVID-19. We estimated the vaccination rate of pregnant women against COVID-19 and evaluated psychosocial factors associated with vaccine uptake among them. We conducted a cross-sectional study with a convenience sample. In particular, we investigated socio-demographic data of pregnant women (e.g., age, marital status, and educational level), COVID-19 related variables (e.g., previous COVID-19 diagnosis and worry about the side effects of COVID-19 vaccines), and stress due to COVID-19 (e.g., danger and contamination fears, fears about economic consequences, xenophobia, compulsive checking and reassurance seeking, and traumatic stress symptoms about COVID-19) as possible predictors of COVID-19 vaccine uptake. Among pregnant women, 58.6% had received a COVID-19 vaccine. The most important reasons that pregnant women were not vaccinated were doubts about the safety and effectiveness of the COVID-19 vaccines (31.4%), fear that COVID-19 vaccines could be harmful to the fetus (29.4%), and fear of adverse side effects of COVID-19 vaccines (29.4%). Increased danger and contamination fears, increased fears about economic consequences, and higher levels of trust in COVID-19 vaccines were related with vaccine uptake. On the other hand, increased compulsive checking and reassurance seeking and increased worry about the adverse side effects of COVID-19 vaccines reduced the likelihood of pregnant women being vaccinated. An understanding of the psychosocial factors associated with increased COVID-19 vaccine uptake in pregnant women could be helpful for policy makers and healthcare professionals in their efforts to persuade women to get vaccinated against COVID-19. There is a need for targeted educational campaigns to increase knowledge about COVID-19 vaccines and reduce vaccine hesitancy in pregnancy.
了解与孕妇接种新冠疫苗相关的因素对于说服孕妇接种新冠疫苗至关重要。我们估算了孕妇接种新冠疫苗的比例，并评估了与她们接种疫苗相关的社会心理因素。我们采用便利抽样进行了一项横断面研究。具体而言，我们调查了孕妇的社会人口学数据（如年龄、婚姻状况和教育水平）、与新冠病毒相关的变量（如既往新冠病毒诊断情况以及对新冠疫苗副作用的担忧），以及因新冠疫情产生的压力（如对危险和污染的恐惧、对经济后果的担忧、仇外心理、强迫性检查和寻求安慰行为，以及对新冠疫情的创伤后应激症状），将其作为孕妇接种新冠疫苗的可能预测因素。在孕妇中，58.6%接种了新冠疫苗。孕妇未接种疫苗的最重要原因是对新冠疫苗的安全性和有效性存在疑虑（31.4%）、担心新冠疫苗可能对胎儿有害（29.4%）以及害怕新冠疫苗的不良副作用（29.4%）。对危险和污染的恐惧增加、对经济后果的担忧增加以及对新冠疫苗的信任度提高与接种疫苗有关。另一方面，强迫性检查和寻求安慰行为增加以及对新冠疫苗不良副作用的担忧增加会降低孕妇接种疫苗的可能性。了解与孕妇接种新冠疫苗增加相关的社会心理因素，有助于政策制定者和医疗保健专业人员努力说服孕妇接种新冠疫苗。有必要开展有针对性的教育活动，以增加对新冠疫苗的了解并减少孕期的疫苗犹豫情绪。
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