Shaw-Churchill Sigourney, Phillips Karen P
Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Int J Environ Res Public Health. 2025 Mar 14;22(3):425. doi: 10.3390/ijerph22030425.
Pregnant people in Canada during the pandemic faced complex decision-making related to COVID-19 exposure risks and the safety of mitigation measures, including vaccines. To help inform future infectious disease-health promotion, we assessed pandemic pregnancy experiences and COVID-19 risk mitigation strategies.
Respondents, pregnant at any time after January 2020 in Canada, completed an online, cross-sectional, descriptive survey from September 2021 to February 2022. Logistic regression was used to identify predictive factors associated with COVID-19 vaccine uptake and history of infection.
A purposive sample of predominantly non-racialized, high socioeconomic status women ( = 564), 58.2% primigravid during the pandemic, reported high COVID-19 vaccine uptake (87.4%). Educational attainment beyond high school predicted COVID-19 vaccination (college AOR: 2.72, CI: 1.24-5.94, 0.001; university AOR 4.01, CI: 1.91-8.40, < 0.001; post-graduate university AOR: 7.31, CI: 2.84-18.81, 0.001). Immigrant status reduced the likelihood of COVID-19 vaccination (AOR: 0.20; CI: 0.09-0.49, 0.001). Racialized participants were 2.78-fold more likely to report infection (CI:1.19-6.50, 0.018).
COVID-19 vaccination uptake was very high; however, vaccine hesitancy was evident among immigrants, with racialized participants more likely to report a history of COVID-19 infection. Tailored public health messaging using a health equity lens may yield more robust vaccine uptake for future infectious respiratory disease outbreaks.
在疫情期间，加拿大的孕妇面临着与新冠病毒暴露风险以及包括疫苗在内的缓解措施安全性相关的复杂决策。为了为未来的传染病健康促进提供信息，我们评估了疫情期间的怀孕经历和新冠病毒风险缓解策略。
2020年1月之后在加拿大任何时间怀孕的受访者于2021年9月至2022年2月完成了一项在线横断面描述性调查。使用逻辑回归来确定与新冠病毒疫苗接种和感染史相关的预测因素。
一个主要由非种族化、高社会经济地位女性组成的有目的样本（n = 564），其中58.2%在疫情期间为初产妇，报告新冠病毒疫苗接种率很高（87.4%）。高中以上学历可预测新冠病毒疫苗接种情况（大专调整后比值比：2.72，置信区间：1.24 - 5.94，p < 0.001；大学调整后比值比4.01，置信区间：1.91 - 8.40，p < 0.001；研究生大学调整后比值比：7.31，置信区间：2.84 - 18.81，p < 0.001）。移民身份降低了新冠病毒疫苗接种的可能性（调整后比值比：0.20；置信区间：0.09 - 0.49，p < 0.001）。种族化参与者报告感染的可能性高出2.78倍（置信区间：1.19 - 6.50，p = 0.018）。
新冠病毒疫苗接种率非常高；然而，移民中明显存在疫苗犹豫现象，种族化参与者更有可能报告有新冠病毒感染史。从健康公平的角度制定针对性的公共卫生信息，可能会使未来呼吸道传染病爆发时的疫苗接种率更高。
