Ege University Faculty of Nursing, Department of Women's Health and Diseases Nursing Izmir, Izmir, Turkey.
Bartin University, Department of Nursing, Faculty of Health Sciences, Bartın, Turkey.
Disaster Med Public Health Prep. 2023 Oct 11;17:e505. doi: 10.1017/dmp.2023.142.
This study aims to identify the rates of coronavirus disease 2019 (COVID-19) vaccine acceptance, the reasons for receiving and not receiving the vaccine, and the associated factors among pregnant, lactating, and nonpregnant women of reproductive age.
This cross-sectional and analytical study was conducted online in Turkey, at the end of the fourth wave of the COVID-19 pandemic, between February and May 2022. A total of 658 women (230; 35% pregnant) (187; 28.4% lactating) (241; 36.6% nonpregnant) women of reproductive age participated in the study.
Vaccine acceptance rates were found to be 91.7% in nonpregnant women of reproductive age, 77% in lactating women, and 59% in pregnant women ( < 0.05). The highest rate of vaccine hesitancy was observed in pregnant women (31.3%), and vaccine rejection rate was the highest in lactating women (10.2%). Pregnancy (odds ratio [OR] = 3.98; confidence interval [CI] = 1.13-14.10), and the breastfeeding period (OR = 3.84; CI = 1.15-12.78), increased vaccine hesitancy approximately four times.
Lack of knowledge about and confidence in the COVID-19 vaccine is still one of the barriers to vaccine acceptance today. Health-care providers (HCPs) should provide effective counseling to pregnant, lactating, and nonpregnant reproductive-aged women based on current information and guidelines.
本研究旨在确定新冠病毒疾病 2019（COVID-19）疫苗在妊娠、哺乳期和非妊娠育龄妇女中的接种率、接种和不接种疫苗的原因，以及相关因素。
本横断面分析性研究于 2022 年 2 月至 5 月在 COVID-19 大流行第四波期间在土耳其在线进行。共有 658 名育龄妇女（230 名；35%为孕妇）（187 名；28.4%为哺乳期）（241 名；36.6%为非孕妇）参加了这项研究。
非妊娠育龄妇女的疫苗接种率为 91.7%，哺乳期妇女为 77%，孕妇为 59%（<0.05）。孕妇的疫苗犹豫率最高（31.3%），哺乳期妇女的疫苗拒绝率最高（10.2%）。妊娠（优势比[OR] = 3.98；置信区间[CI] = 1.13-14.10）和哺乳期（OR = 3.84；CI = 1.15-12.78）使疫苗犹豫率增加了约四倍。
对 COVID-19 疫苗的了解和信心不足仍然是当前疫苗接种率的障碍之一。医疗保健提供者（HCPs）应根据当前信息和指南，为妊娠、哺乳期和非妊娠育龄妇女提供有效的咨询。
