Learning Lessons from the COVID-19 Pandemic-A Qualitative Assessment of the Experiences of Pregnant Latinas Infected with COVID-19 and Their Perspectives on Vaccination.

Autor: Lopez M; Department of Epidemiology and Biostatistics, University of California, Irvine, CA, USA., Altamirano J; Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, USA., Melchor S; Department of Obstetrics and Gynecology, UCSF Fresno, Fresno, CA, USA., Perez S; Department of Kinesiology and Health Science, California State University, Sacramento, CA, USA., Maldonado Y; Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, USA.; Division of Infectious Diseases, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA., Aziz N; Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Stanford University School of Medicine, Stanford, CA, USA., Igbinosa I; Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, Stanford University School of Medicine, Stanford, CA, USA. iiigbi@stanford.edu.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 May 06. Date of Electronic Publication: 2024 May 06.
DOI: 10.1007/s40615-024-02010-3
Abstrakt: Objectives: To examine the experiences of pregnant Hispanic/Latine people with COVID-19, as well as their perspectives on COVID-19 vaccination in pregnancy.
Methods: We interviewed birthing parents who received care from a teaching hospital in California and tested positive for COVID-19 during pregnancy or delivery. We analyzed transcripts using the constant comparative method for analyzing data to using a phenomological epidemiological approach. We used root cause analysis to identify consistent themes across interviews and assess relationships between social determinants of health and COVID-19 infectivity.
Results: We interviewed 14 women from November 2021 to June 2022. Participants reported COVID-19 adversely impacted their clinical care and well-being during pregnancy or postpartum. Impacts among Spanish-speaking participants included unexpected financial hardships, challenges navigating in-patient experiences, and difficulty securing reliable childcare. While most participants were at least partially vaccinated, participants also described doubts and concerns about the vaccine.
Conclusions: Our findings suggest that Spanish-speaking Hispanic/Latine patients could benefit from receiving more information about COVID-19 in pregnancy from their healthcare providers. Leveraging familial and social networks, providing reliable information in people's preferred language, and increasing communication through trusted partners may also help combat vaccine hesitancy.
(© 2024. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE
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