Objective: To investigate attitudes and risk perceptions towards the coronavirus disease 2019 (COVID-19) vaccine and reasons for hesitancy among pregnant women. Methods: A prospective survey study was conducted at a University Maternity Department. Participants included any pregnant woman aged 18 years or older, able to understand the Italian language, who accessed the antenatal clinic for a prenatal appointment. The survey comprised questions about sociodemographic characteristics, pregnancy vaccination history, and perception of risk related to the immunization for the woman herself and her infant. Results: A total of 538 women completed the questionnaire, 445 (82.7%) accepted COVID-19 vaccination. Women vaccinated against pertussis were three times more likely to take up the COVID-19 vaccine (odds ratio [OR] 3.19; 95% confidence interval [CI] 1.78–5.72). Having had COVID-19 during pregnancy (OR 0.24; 95% CI 0.11–0.54), and having a high-risk perception towards the immunization for the fetus (OR 0.18; 95% CI 0.09–0.34) were factors associated with vaccine hesitancy. Lack of safety data in pregnancy and the possibility of harm to the fetus were the main concerns. Conclusion: A trusting and supportive relationship with the healthcare professional to address fears, and the transmission of evidence-based information, are pivotal to guide women through an informed choice. Understanding the determinants implicated in women's decision making might guide towards effective public health strategies to boost vaccine acceptance.

Colciago, E., Capitoli, G., Vergani, P., Ornaghi, S. (2023). Women's attitude towards COVID-19 vaccination in pregnancy: A survey study in northern Italy. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 162(1 (July 2023)), 139-146 [10.1002/ijgo.14506].

Women's attitude towards COVID-19 vaccination in pregnancy: A survey study in northern Italy

Colciago, Elisabetta
Primo
;
Capitoli, Giulia
Secondo
;
Vergani, Patrizia
Penultimo
;
Ornaghi, Sara
Ultimo
2023

Abstract

Objective: To investigate attitudes and risk perceptions towards the coronavirus disease 2019 (COVID-19) vaccine and reasons for hesitancy among pregnant women. Methods: A prospective survey study was conducted at a University Maternity Department. Participants included any pregnant woman aged 18 years or older, able to understand the Italian language, who accessed the antenatal clinic for a prenatal appointment. The survey comprised questions about sociodemographic characteristics, pregnancy vaccination history, and perception of risk related to the immunization for the woman herself and her infant. Results: A total of 538 women completed the questionnaire, 445 (82.7%) accepted COVID-19 vaccination. Women vaccinated against pertussis were three times more likely to take up the COVID-19 vaccine (odds ratio [OR] 3.19; 95% confidence interval [CI] 1.78–5.72). Having had COVID-19 during pregnancy (OR 0.24; 95% CI 0.11–0.54), and having a high-risk perception towards the immunization for the fetus (OR 0.18; 95% CI 0.09–0.34) were factors associated with vaccine hesitancy. Lack of safety data in pregnancy and the possibility of harm to the fetus were the main concerns. Conclusion: A trusting and supportive relationship with the healthcare professional to address fears, and the transmission of evidence-based information, are pivotal to guide women through an informed choice. Understanding the determinants implicated in women's decision making might guide towards effective public health strategies to boost vaccine acceptance.
Articolo in rivista - Articolo scientifico
COVID-19 vaccine; maternal attitude; risk perception; SARS-CoV-2; vaccination in pregnancy; vaccine acceptance; vaccine hesitancy;
English
13-ott-2022
2023
162
1 (July 2023)
139
146
reserved
Colciago, E., Capitoli, G., Vergani, P., Ornaghi, S. (2023). Women's attitude towards COVID-19 vaccination in pregnancy: A survey study in northern Italy. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 162(1 (July 2023)), 139-146 [10.1002/ijgo.14506].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/394865
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