Ayieko Sylvia, Baker Kimberly, Messiah Sarah E, Lewis Brianna, Markham Christine
Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX 77030, USA.
Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston School of Public Health, Dallas, TX 75207, USA.
Vaccines (Basel). 2023 Jul 12;11(7):1233. doi: 10.3390/vaccines11071233.
Despite the availability of the coronavirus disease 2019 (COVID-19) vaccination, uptake among pregnant women in Sub-Saharan Africa has been low. This scoping review aimed to identify and characterize determinants influencing COVID-19 vaccination decision-making behaviors among pregnant women in Sub-Saharan Africa. We searched five online databases for articles on COVID-19 vaccination among pregnant women in Sub-Saharan Africa. We identified studies published in English between March 2020 and April 2023 that assessed vaccine-specific issues, psychosocial constructs, and contextual factors associated with COVID-19 vaccination decision-making behaviors. Of the fourteen studies identified, over half (57.1%) were cross-sectional; three used qualitative research methods; and three involved multi-country participants. Most studies assessed COVID-19 vaccination acceptability and willingness. Overall, 85.7% of the publications examined knowledge, attitudes, or both as critical factors associated with COVID-19 vaccination. The prevalence of COVID-19 vaccine uptake during pregnancy was low in Sub-Saharan Africa (14.4-28%). While most current studies assess COVID-19 vaccination knowledge, research on maternal vaccination in Sub-Saharan Africa would benefit from the inclusion of theory-informed and driven studies that measure additional psychosocial factors and contextual constructs. Future studies should also employ study designs that can determine causal pathways of vaccination determinants and vaccination uptake.
尽管有2019冠状病毒病（COVID-19）疫苗可用，但撒哈拉以南非洲地区孕妇的疫苗接种率一直很低。本范围综述旨在确定和描述影响撒哈拉以南非洲地区孕妇COVID-19疫苗接种决策行为的决定因素。我们在五个在线数据库中搜索了关于撒哈拉以南非洲地区孕妇COVID-19疫苗接种的文章。我们纳入了2020年3月至2023年4月期间以英文发表的、评估与COVID-19疫苗接种决策行为相关的疫苗特定问题、心理社会因素和背景因素的研究。在确定的14项研究中，超过一半（57.1%）是横断面研究；3项采用定性研究方法；3项涉及多国参与者。大多数研究评估了COVID-19疫苗的可接受性和意愿。总体而言，85.7%的出版物将知识、态度或两者作为与COVID-19疫苗接种相关的关键因素进行了研究。撒哈拉以南非洲地区孕期COVID-19疫苗接种率较低（14.4%-28%）。虽然目前大多数研究评估了COVID-19疫苗接种知识，但撒哈拉以南非洲地区的孕产妇疫苗接种研究将受益于纳入理论指导和驱动的研究，这些研究测量额外的心理社会因素和背景因素。未来的研究还应采用能够确定疫苗接种决定因素和疫苗接种率因果途径的研究设计。
