Ashkir Sahra, Abel Tashlen, Khaliq Olive P, Moodley Jagidesa
Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
S Afr J Infect Dis. 2023 Aug 31;38(1):516. doi: 10.4102/sajid.v38i1.516. eCollection 2023.
Mass administration of vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the most efficient intervention against the coronavirus disease 2019 (COVID-19) pandemic. Recently, vaccinations were shown to be safe and effective during pregnancy. However, vaccination rates are low in low- and middle-income countries, and vaccine hesitancy is a major limiting factor.
To investigate the rate of COVID-19 vaccine hesitancy among pregnant women.
A cross-sectional questionnaire-based investigation of 313 unvaccinated pregnant women attending an antenatal clinic in Durban, South Africa (SA). The questionnaire included clinical and socio-demographic data, and reasons for vaccine hesitancy were recorded and evaluated.
Of 313 women participating, 126 (40.3%) were vaccinated against COVID-19, 21/313 = 6.7%; for those unvaccinated, 21/187 (13.9%) were planning to be vaccinated. However, most unvaccinated women, 174 of 187 (93%), showed COVID-19 vaccine hesitancy.
The COVID-19 vaccination hesitancy among pregnant women in Durban, SA, is exceptionally high. This requires urgent attention by the relevant health authorities (both professional health organisations and the SA Department of Health) as many countries experience different waves of the variants of SARS-CoV-2 and herd immunity may not have been achieved.
This study showed a high vaccine acceptance hesitancy rate among pregnant women in SA.
大规模接种严重急性呼吸综合征冠状病毒2（SARS-CoV-2）疫苗是对抗2019冠状病毒病（COVID-19）大流行最有效的干预措施。最近的研究表明，孕期接种疫苗是安全有效的。然而，低收入和中等收入国家的疫苗接种率较低，疫苗犹豫是一个主要限制因素。
调查孕妇中对COVID-19疫苗的犹豫率。
对南非德班一家产前诊所的313名未接种疫苗的孕妇进行基于问卷调查的横断面调查。问卷包括临床和社会人口学数据，并记录和评估疫苗犹豫的原因。
在参与调查的313名女性中，126名（40.3%）接种了COVID-19疫苗，21/313 = 6.7%；对于未接种疫苗的人，21/187（13.9%）计划接种疫苗。然而，大多数未接种疫苗的女性，即187名中的174名（93%），表现出对COVID-19疫苗的犹豫。
南非德班孕妇中对COVID-19疫苗的犹豫程度异常高。由于许多国家经历了SARS-CoV-2变种的不同传播浪潮且可能尚未实现群体免疫，这需要相关卫生当局（包括专业卫生组织和南非卫生部）紧急关注。
本研究显示南非孕妇中疫苗接受犹豫率较高。
