From the Department of Obstetrics & Gynecology, Nassau University Medical Center, East Meadow, New York.
New York Institute of Technology College of Osteopathic Medicine, Old Westbury.
South Med J. 2023 Aug;116(8):677-682. doi: 10.14423/SMJ.0000000000001587.
Despite recommendations for coronavirus disease (COVID-19) vaccination during pregnancy, some pregnant women are concerned about COVID-19 vaccines and decline to be vaccinated. This study focuses on attitudes in a sample of mostly minority pregnant Hispanic and Black women that may influence vaccine hesitancy.
This was a cross-sectional survey of 400 pregnant women. Participants were provided with a one-page information sheet on pregnancy health, COVID-19 health, and COVID-19 vaccines. They were then asked to complete a survey on attitudes about these topics.
We found that attitudes for knowing about the health topics were in the range from agree to strongly agree, whereas attitudes for knowing about topics pertaining to COVID-19 messenger RNA (mRNA) vaccines were in a lower-level range from neutral to agree. Negative vaccine attitudes were significantly associated with decreased agreement for knowing about health attitudes, but not significantly associated with COVID-19 mRNA vaccine attitudes.
COVID-19 vaccine mRNA technology was a lesser understood topic than attitudes for knowing about other health topics. This finding suggests the need for physician intervention and that further education about COVID-19 vaccine mRNA technology may influence patient attitudes toward acceptance of the COVID-19 mRNA vaccine in pregnancy.
尽管有关于在怀孕期间接种冠状病毒病(COVID-19)疫苗的建议,但仍有一些孕妇对 COVID-19 疫苗感到担忧并拒绝接种。本研究重点关注了可能影响疫苗犹豫态度的少数族裔孕妇西班牙裔和黑人女性样本中的态度。
这是一项对 400 名孕妇的横断面调查。向参与者提供了一页关于妊娠健康、COVID-19 健康和 COVID-19 疫苗的信息表。然后,他们被要求完成一份关于这些主题的态度调查。
我们发现,对了解健康主题的态度处于从同意到强烈同意的范围内,而对了解与 COVID-19 信使 RNA(mRNA)疫苗相关主题的态度则处于从中性到同意的较低水平。负面的疫苗态度与对了解健康态度的认同显著相关,但与 COVID-19 mRNA 疫苗态度无显著相关性。
COVID-19 疫苗 mRNA 技术的理解程度低于了解其他健康主题的态度。这一发现表明需要医生的干预,并且进一步的关于 COVID-19 疫苗 mRNA 技术的教育可能会影响患者对在怀孕期间接受 COVID-19 mRNA 疫苗的态度。