Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Section of Public Health and Human Sciences, University of Brescia, Viale Europa 11, 25123 Brescia, Italy.
Degree course in Health Assistance. University of Brescia, Viale Europa 11, 25123 Brescia, Italy.
Patient Educ Couns. 2023 Oct;115:107929. doi: 10.1016/j.pec.2023.107929. Epub 2023 Jul 31.
We examined Italian pregnant women's attitudes about the diphtheria, tetanus, and pertussis (DTP) vaccine, seasonal influenza, and Covid-19 vaccines, healthcare professionals' (HP) communication, reasons and potential predictors for non-adherence.
From August 2021 to January 2022, we carried out a cross-sectional study in Italy using an online self-administered questionnaire addressed to women of age and pregnant, designed using LimeSurvey and disseminated through social media. Questions explored vaccination attitude/perceptions, satisfaction, and trust in HPs' information. Thematic analysis of free-text responses was performed using MaxQDA 2022. Statistical analyses were performed using STATA.
1594 responses were obtained. 52% of women hesitated to be vaccinated against Covid-19 while pregnant. Information received by HPs was deemed incomplete by 56% of participants, unclear by 52%, and untrustworthy by 46%; 49% felt unsupported in their decision-making process. This variable was one predictor of vaccine hesitancy together with concern about vaccine safety in the multivariate model. The analysis of open-ended questions revealed a pervasive feeling of dissatisfaction.
The perceived lack of adequate communication and support by HPs affected pregnant women's decision-making process on Covid-19 vaccination.
HPs need to understand and communicate the importance of vaccination during pregnancy, learning to better tailor their messages.
我们调查了意大利孕妇对百白破（DTP）疫苗、季节性流感和新冠疫苗的态度，以及医疗保健专业人员（HP）的沟通、不依从的原因和潜在预测因素。
2021 年 8 月至 2022 年 1 月，我们在意大利进行了一项横断面研究，使用 LimeSurvey 设计并通过社交媒体传播的在线自填式问卷，调查了年龄和怀孕的女性。问题探讨了疫苗接种态度/看法、满意度和对 HP 信息的信任。使用 MaxQDA 2022 对自由文本回复进行主题分析。使用 STATA 进行统计分析。
共获得 1594 份回复。52%的孕妇对怀孕期间接种新冠疫苗犹豫不决。56%的参与者认为 HP 提供的信息不完整，52%的参与者认为信息不清楚，46%的参与者认为信息不可信；49%的参与者觉得在决策过程中没有得到支持。在多变量模型中，这一变量是疫苗犹豫的预测因素之一，与对疫苗安全性的担忧有关。对开放式问题的分析显示出普遍的不满情绪。
HP 缺乏充分沟通和支持，影响了孕妇对新冠疫苗接种的决策过程。
HP 需要了解并沟通怀孕期间接种疫苗的重要性，学会更好地调整他们的信息。
