Perceptions of COVID-19 Maternal Vaccination among Pregnant Women and Healthcare Workers and Factors That Influence Vaccine Acceptance: A Cross-Sectional Study in Barcelona, Spain

被引：8

作者：

Marban-Castro, Elena ^{[1
]}

Nedic, Ivana ^{[1
]}

Ferrari, Mara ^{[1
]}

Crespo-Mirasol, Esther ^{[2
,3
]}

Ferrer, Laia ^{[4
]}

Noya, Berta ^{[4
]}

Marin, Anna ^{[1
]}

Fumado, Victoria ^{[1
]}

Lopez, Marta ^{[2
,3
]}

Menendez, Clara ^{[1
,5
,6
]}

Martinez Bueno, Cristina ^{[7
]}

Llupia, Anna ^{[1
,8
]}

Gonce, Anna ^{[2
,3
]}

Bardaji, Azucena ^{[1
,5
,6
]}

机构：

[1] Univ Barcelona, Hosp Clin, ISGlobal, Barcelona 08036, Spain

[2] Univ Barcelona, Hosp Clin, BCNatal Barcelona Ctr Maternal Fetal & Neonatal M, Dept Maternal Fetal Med, Barcelona 08036, Spain

[3] Univ Barcelona, Hosp St Joan de Deu, Barcelona 08036, Spain

[4] Inst Catala Salut, Gerencia Terr Barcelona, ASSIR Esquerra, Barcelona 08015, Spain

[5] Ctr Invest Saude Manhica CISM, Maputo 1929, Mozambique

[6] Consorcio Invest Biomed Red Epidemiol & Salud Pub, Madrid 28029, Spain

[7] Univ Barcelona, Inst Catala Salut, Gerencia Terr Barcelona, ASSIR Barcelona Ciutat, Barcelona 08007, Spain

[8] Univ Barcelona, Hosp Clin, Dept Prevent Med & Epidemiol, Barcelona 08036, Spain

来源：

VACCINES | 2022年 / 10卷 / 11期

关键词：

COVID-19; vaccination; maternal immunisation; vaccine hesitancy;

D O I：

10.3390/vaccines10111930

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

COVID-19 is associated with poor maternal and pregnancy outcomes. COVID-19 vaccination is recommended in Spain, yet vaccination rates in pregnancy are suboptimal. This study investigates the perceptions of pregnant women and healthcare workers (HCW) regarding COVID-19 vaccination. A web-based cross-sectional quantitative study was conducted in 2021-2022 among 302 pregnant women and 309 HCWs in the Catalan public health system. Most pregnant women (83%) and HCWs (86%) were aware of COVID-19 maternal vaccines. The recommendation of the COVID-19 vaccination by an HCW was identified as the greatest facilitator for maternal vaccine uptake, while the fear of harming the foetus was the most significant barrier reported for rejecting vaccination. HCWs recognised they received limited information and training about COVID-19 vaccination in pregnancy, which hindered them from providing informed recommendations. This study highlights that information and education on COVID-19 vaccines to pregnant women and health professionals are pivotal to ensuring informed decision-making and increasing vaccine uptake.

引用

页数：17

共 34 条

[1] Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis [J].

Allotey, John ;

Stallings, Elena ;

Bonet, Mercedes ;

Yap, Magnus ;

Chatterjee, Shaunak ;

Kew, Tania ;

Debenham, Luke ;

Llavall, Anna Clave ;

Dixit, Anushka ;

Zhou, Dengyi ;

Balaji, Rishab ;

Lee, Siang Ing ;

Qiu, Xiu ;

Yuan, Mingyang ;

Coomar, Dyuti ;

van Wely, Madelon ;

van Leeuwen, Elizabeth ;

Kostova, Elena ;

Kunst, Heinke ;

Khalil, Asma ;

Tiberi, Simon ;

Brizuela, Vanessa ;

Broutet, Nathalie ;

Kara, Edna ;

Kim, Caron Rahn ;

Thorson, Anna ;

Oladapo, Olufemi T. ;

Mofenson, Lynne ;

Zamora, Javier ;

Thangaratinam, Shakila .

BMJ-BRITISH MEDICAL JOURNAL, 2020, 370

[2] COVID-19 vaccination beliefs, attitudes, and behaviours among health and social care workers in the UK: A mixed-methods study [J].

Bell, Sadie ;

Clarke, Richard M. ;

Ismail, Sharif A. ;

Ojo-Aromokudu, Oyinkansola ;

Naqvi, Habib ;

Coghill, Yvonne ;

Donovan, Helen ;

Letley, Louise ;

Paterson, Pauline ;

Mounier-Jack, Sandra .

PLOS ONE, 2022, 17 (01)

[3]

Centers for Disease Control and Prevention, VACC CONS PEOPL WHO

[4] Effectiveness of the BNT162b2 mRNA COVID-19 vaccine in pregnancy [J].

Dagan, Noa ;

Barda, Noam ;

Biron-Shental, Tal ;

Makov-Assif, Maya ;

Key, Calanit ;

Kohane, Isaac S. ;

Hernan, Miguel A. ;

Lipsitch, Marc ;

Hernandez-Diaz, Sonia ;

Reis, Ben Y. ;

Balicer, Ran D. .

NATURE MEDICINE, 2021, 27 (10) :1693-+

[5] Outcomes of Neonates Born to Mothers With Severe Acute Respiratory Syndrome Coronavirus 2 Infection at a Large Medical Center in New York City [J].

Dumitriu, Dani ;

Emeruwa, Ukachi N. ;

Hanft, Erin ;

Liao, Grace V. ;

Ludwig, Elizabeth ;

Walzer, Lauren ;

Arditi, Brittany ;

Saslaw, Minna ;

Andrikopoulou, Maria ;

Scripps, Tessa ;

Baptiste, Caitlin ;

Khan, Adrita ;

Breslin, Noelle ;

Rubenstein, David ;

Simpson, Lynn L. ;

Kyle, Margaret H. ;

Friedman, Alexander M. ;

Hirsch, Daniel S. ;

Miller, Russell S. ;

Fernandez, Cristina R. ;

Fuchs, Karin M. ;

Keown, M. Kathleen ;

Glassman, Melissa E. ;

Stephens, Ashley ;

Gupta, Archana ;

Sultan, Sally ;

Sibblies, Caroline ;

Whittier, Susan ;

Abreu, Wanda ;

Akita, Francis ;

Penn, Anna ;

D'Alton, Mary E. ;

Orange, Jordan S. ;

Goffman, Dena ;

Saiman, Lisa ;

Stockwell, Melissa S. ;

Gyamfi-Bannerman, Cynthia .

JAMA PEDIATRICS, 2021, 175 (02) :157-167

[6]

ema.europa, COVID 19 VACC KEY FA

[7] COVID-19 and vaccine hesitancy: A longitudinal study [J].

Fridman, Ariel ;

Gershon, Rachel ;

Gneezy, Ayelet .

PLOS ONE, 2021, 16 (04)

[8] COVID-19 Vaccine in Pregnant and Lactating Women: A Review of Existing Evidence and Practice Guidelines [J].

Garg, Ishan ;

Shekhar, Rahul ;

Sheikh, Abu B. ;

Pal, Suman .

INFECTIOUS DISEASE REPORTS, 2021, 13 (03) :685-699

[9] Association of initial COVID-19 vaccine hesitancy with subsequent vaccination among pregnant and postpartum individuals [J].

Germann, Katherine ;

Kiefer, Miranda K. ;

Rood, Kara M. ;

Mehl, Rebecca ;

Wu, Jiqiang ;

Pandit, Radhika ;

Lynch, Courtney D. ;

Landon, Mark B. ;

Grobman, William A. ;

Costantine, Maged M. ;

Venkatesh, Kartik K. .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2022, 129 (08) :1352-1360

[10] Association Between BNT162b2 Vaccination and Incidence of SARS-CoV-2 Infection in Pregnant Women [J].

Goldshtein, Inbal ;

Nevo, Daniel ;

Steinberg, David M. ;

Rotem, Ran S. ;

Gorfine, Malka ;

Chodick, Gabriel ;

Segal, Yaakov .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2021, 326 (08) :728-735

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