1. Attitudes Toward COVID-19 Illness and COVID-19 Vaccination among Pregnant Women: A Cross-Sectional Multicenter Study during August-December 2020
- Author
-
Tiffany J. Chen, Melissa S. Stockwell, Ashley N. Battarbee, Gabriella Newes-Adeyi, Hilda Razzaghi, Lawrence Reichle, Cynthia Gyamfi-Bannerman, Mickey Parks, Miriam Lucca-Susana, Romeo R. Galang, Fatimah S. Dawood, Celibell Y. Vargas, Michael W. Varner, Alan T.N. Tita, Michael Daugherty, Akila Subramaniam, Kelly Vorwaller, and Emily Powers
- Subjects
Adult ,COVID-19 Vaccines ,Coronavirus disease 2019 (COVID-19) ,Adolescent ,Influenza vaccine ,Ethnic group ,Logistic regression ,White People ,Odds ,Young Adult ,Pregnancy ,Surveys and Questionnaires ,Influenza, Human ,medicine ,Humans ,Prospective Studies ,business.industry ,SARS-CoV-2 ,Vaccination ,Obstetrics and Gynecology ,COVID-19 ,Odds ratio ,Hispanic or Latino ,Middle Aged ,Patient Acceptance of Health Care ,medicine.disease ,Black or African American ,Cross-Sectional Studies ,Multicenter study ,Influenza Vaccines ,Pediatrics, Perinatology and Child Health ,Female ,Pregnant Women ,Vaccination Hesitancy ,business ,Demography ,Cohort study - Abstract
The aim of the study was to evaluate pregnant women's attitudes toward COVID-19 illness and vaccination and identify factors associated with vaccine acceptability.This was a cross-sectional survey among pregnant women enrolled in a prospective COVID-19 cohort study in Salt Lake City, UT, Birmingham, AL, and New York, NY, from August 9 to December 10, 2020. Women were eligible if they were 18 to 50 years old and28 weeks of gestation. Upon enrollment, women completed surveys regarding concerns about COVID-19 illness and likelihood of getting COVID-19 vaccine if one were available during pregnancy. Vaccine acceptability was defined as a response of "very likely" or "somewhat likely" on a 4-point Likert scale. Factors associated with vaccine acceptability were assessed with multivariable logistic regression.Of 939 pregnant women eligible for the main cohort study, 915 (97%) consented to participate. Among these 915 women, 39% self-identified as White, 23% Black, 33% Hispanic, and 4% Other. Sixty-two percent received an influenza vaccine last season. Seventy-two percent worried about getting sick with COVID-19. If they were to get sick, 92% worried about harm to their pregnancy and 80% about harm to themselves. Only 41% reported they would get a vaccine. Of women who were unlikely to get vaccinated, the most frequently cited concern was vaccine safety for their pregnancy (82%). Non-Hispanic Black and Hispanic women had lower odds of accepting a vaccine compared with non-Hispanic White women (adjusted odds ratios [aOR] 0.4, 95% CI 0.2-0.6 for both). Receipt of influenza vaccine during the previous season was associated with higher odds of vaccine acceptability (aOR 2.1, 95% CI 1.5-3.0).Although most pregnant women worried about COVID-19 illness,50% were willing to get vaccinated during pregnancy. Racial and ethnic disparities in plans to accept COVID-19 vaccine highlight the need to prioritize strategies to address perceived barriers among groups at high risk for COVID-19.· Less than half of pregnant patients stated they would get a COVID-19 vaccine.. · Protecting their baby was the most common reason for acceptance and refusal of the COVID-19 vaccine.. · Patients of minority race/ethnicity and those without prior influenza vaccination were less likely to accept the COVID-19 vaccine..
- Published
- 2021