'It has been the hardest decision of my life': a mixed-methods study of pregnant women's COVID-19 vaccination hesitancy.
| Autor: | Kola-Palmer, Susanna, Keely, Alice, Walsh, Jane |
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| Předmět: |
CROSS-sectional method
PSYCHOLOGICAL resilience HEALTH attitudes QUALITATIVE research PATIENT safety VACCINATION VACCINE effectiveness PREGNANT women COVID-19 vaccines DECISION making EMOTIONS MULTIVARIATE analysis DESCRIPTIVE statistics ATTITUDE (Psychology) SURVEYS VACCINE hesitancy RESEARCH methodology TRUST INTENTION SOCIODEMOGRAPHIC factors COUNSELING DRUG development DATA analysis software PSYCHOSOCIAL factors |
| Zdroj: | Psychology & Health; Dec2024, Vol. 39 Issue 12, p1706-1726, 21p |
| Abstrakt: | Objective: To explore psychological factors influencing decision-making regarding COVID-19 vaccination among pregnant women. Design: Cross-sectional mixed-methods online survey comprising sociodemographic factors, health beliefs, trust and anticipated regret, and open-ended qualitative questions. Pregnant respondents living in the UK or Ireland (n = 191) completed the online survey during June and July 2021. Main outcome measures: Intention to vaccinate against COVID-19 during pregnancy, with response options yes (vaccine accepting), no (vaccine resistant), unsure (vaccine hesitant). Qualitative questions about perceived benefits and risks of COVID-19 vaccination during pregnancy. Results: Multivariate analysis of correlates of vaccine hesitancy and resistance revealed independent associations for perceived barriers to the COVID-19 vaccine, anticipated regret, and social influences. Most respondents described making a decision regarding COVID-19 vaccination in the absence of satisfactory information or guidance from a health care professional. Vaccine hesitant and resistant respondents reported significantly greater barriers to the COVID-19 vaccination than vaccine accepting respondents. Concerns about the vaccine focussed on the speed of its development and roll-out and lack of evidence regarding its safe use in pregnancy. Conclusion: Participants who did not intend to be vaccinated against COVID-19 in pregnancy focused on vaccine fears as opposed to virus fears. Results indicate that pregnant women need balanced vaccine information and unequivocal health care provider recommendation to aid maternal vaccination decision-making. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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