Malik Mahnoor, Bauer-Maison Natasha, Guarna Giuliana, D'Souza Rohan D
Department of Obstetrics and Gynaecology, McMaster University, Hamilton, Ontario, Canada.
Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Med Princ Pract. 2024;33(3):232-241. doi: 10.1159/000538346. Epub 2024 Mar 14.
The objectives of this study were to identify common social media misconceptions about COVID-19 vaccination in pregnancy, explain the spread of misinformation, and identify solutions to guide clinical practice and policy.
A systematic review was conducted and the databases Embase and Medline were searched from December 2019 to February 8, 2023, using terms related to social media, pregnancy, COVID-19 vaccines and misinformation. The inclusion criteria were original research studies that discussed misinformation about COVID-19 vaccination during pregnancy on social media. The exclusion criteria were review articles, no full text, and not published in English. Two independent reviewers conducted screening, extraction, and quality assessment.
Our search identified 76 articles, of which 3 fulfilled eligibility criteria. Included studies were of moderate and high quality. The social media platforms investigated included Facebook, Google Searches, Instagram, Reddit, TikTok, and Twitter. Misinformation was related to concerns regarding vaccine safety, and its association with infertility. Misinformation was increased due to lack of content monitoring on social media, exclusion of pregnant women from early vaccine trials, lack of information from reputable health sources on social media, and others. Suggested solutions were directed at pregnancy care providers (PCPs) and public health/government. Suggestions included: (i) integrating COVID-19 vaccination information into antenatal care, (ii) PCPs and public health should increase their social media presence to disseminate information, (iii) address population-specific vaccine concerns in a culturally relevant manner, and others.
Increased availability of information from reputable health sources through multiple channels could increase COVID-19 vaccine uptake in the pregnant population and help combat misinformation.
本研究的目的是识别社交媒体上关于孕期新冠疫苗接种的常见误解，解释错误信息的传播情况，并确定指导临床实践和政策的解决方案。
进行了一项系统综述，于2019年12月至2023年2月8日在Embase和Medline数据库中进行检索，使用与社交媒体、怀孕、新冠疫苗和错误信息相关的术语。纳入标准为讨论社交媒体上孕期新冠疫苗接种错误信息的原创研究。排除标准为综述文章、无全文以及非英文发表。两名独立评审员进行筛选、提取和质量评估。
我们的检索共识别出76篇文章，其中3篇符合纳入标准。纳入的研究质量中等至高。所调查的社交媒体平台包括脸书、谷歌搜索、照片墙、红迪网、抖音和推特。错误信息涉及对疫苗安全性的担忧及其与不孕不育的关联。由于社交媒体缺乏内容监管、孕妇被排除在早期疫苗试验之外、社交媒体上缺乏来自可靠健康来源的信息等原因，错误信息有所增加。建议的解决方案针对孕期护理提供者（PCP）和公共卫生/政府。建议包括：（i）将新冠疫苗接种信息纳入产前护理；（ii）PCP和公共卫生部门应增加在社交媒体上的活跃度以传播信息；（iii）以与文化相关的方式解决特定人群对疫苗的担忧等。
通过多种渠道增加来自可靠健康来源的信息可得性，可能会提高孕妇群体对新冠疫苗的接种率，并有助于对抗错误信息。
