Influenza vaccination hesitancy and related factors among pregnant and breastfeeding women: A cross-sectional study

Human Vaccines & Immunotherapeutics, Journal Year: 2025, Volume and Issue: 21(1)

Published: Jan. 14, 2025

Achieving safe influenza vaccination coverage among pregnant and breastfeeding women is a global health goal due to the potential risks of serious for both mother child. However, vaccine hesitancy remains significant barrier uptake. Since anxiety represents determinant in decision-making, this study aimed assess levels population explore association between women's characteristics, their reluctance, levels. A multicentre, cross-sectional was conducted February June 2022 using structured phone interviews assess: (1) socio-demographics clinical history; (2) anti-flu status, previous vaccination, Sars-CoV-2 infection (3) insights into during pregnancy; (4) attitudes toward Vaccination Attitudes Examination (VAX) Scale; (5) levels, measured by Self-Rating Anxiety Scale (SAS). Among 387 participants, 22.8% were already vaccinated or expressed willingness be against influenza, 54% had an disorder. While not significantly associated with hesitancy, ongoing pregnancy emerged as independent predictor anxiety. Higher educational pregnancy, being get vaccinated, employed reduced while prior SARS-CoV-2 increased hesitancy. Fear unpredictable events lack healthcare professionals' recommendations reasons reluctance. Given low rates, these findings highlight need services enhance efforts provide clear counter misinformation ensure accurate safety information.

Language: Английский

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COVID-19 vaccination hesitancy in Italian healthcare workers: a systematic review and meta-analysis

Expert Review of Vaccines, Journal Year: 2022, Volume and Issue: 21(9), P. 1289 - 1300

Published: June 27, 2022

As for other vaccines, vaccination hesitancy may be a determining factor in the success (or otherwise) of COVID-19 immunization campaign healthcare workers (HCWs).To estimate proportion HCWs Italy who expressed vaccine hesitancy, we conducted systematic review relevant literature and meta-analysis. Determinants compliance options suggested by these studies to address among were also analyzed. Seventeen included meta-analysis review, selected from scientific articles available MEDLINE/PubMed, Google Scholar Scopus databases between 1 January 2020 25 2022. The rate was 13.1% (95%CI: 6.9-20.9%). investigated before during 18.2% (95%CI = 12.8-24.2%) 8.9% 3.4-16.6%), respectively. That main reasons hesitation lack information about vaccination, opinion that is unsafe, fear adverse events.Despite strategies achieve greater willingness immunize this category, mandatory appears one most important measures can guarantee protection patients they care for.

Language: Английский

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COVID-19 vaccination hesitancy among Italian parents: A systematic review and meta-analysis

Human Vaccines & Immunotherapeutics, Journal Year: 2023, Volume and Issue: 19(1)

Published: Jan. 2, 2023

In May 2021, the Italian government extended COVID-19 vaccination campaign to 12- 18-year-old subjects and, starting December vaccines were also offered children between 5 and 11 years-old. Despite these efforts, suboptimal coverages are reported. The purpose of this review is estimate proportion parents/caregivers adolescents expressing vaccine hesitancy in Italy. hesitation rate among parents minors was 55.1% (95%CI: 43.8–66.1%). A higher value evidenced studies focusing on (59.9%; 95%CI = 43.7–75.1%) compared ones (51.3%; 34.5–68.0%). main reasons for unwillingness belief that unsafe or ineffective, fear adverse events, considering a non-threatening disease. implementation effective communication campaigns health educational programs safe pediatric vaccinations essential support strategies bolster confidence.

Language: Английский

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COVID-19 Vaccine Hesitancy: Umbrella Review of Systematic Reviews and Meta-Analysis

JMIR Public Health and Surveillance, Journal Year: 2024, Volume and Issue: 10, P. e54769 - e54769

Published: April 30, 2024

The unprecedented emergence of the COVID-19 pandemic necessitated development and global distribution vaccines, making understanding vaccine acceptance hesitancy crucial to overcoming barriers vaccination achieving widespread immunization.

Language: Английский

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Maternal vaccination against COVID-19 and neonatal outcomes during Omicron: INTERCOVID-2022 study

American Journal of Obstetrics and Gynecology, Journal Year: 2024, Volume and Issue: 231(4), P. 460.e1 - 460.e17

Published: Feb. 16, 2024

Language: Английский

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Pregnant women's choices for preventing respiratory syncytial virus (RSV)

Vaccine, Journal Year: 2025, Volume and Issue: unknown, P. 126790 - 126790

Published: Jan. 1, 2025

Respiratory syncytial virus (RSV) is the leading cause of bronchiolitis and pneumonia in infants can lead to severe respiratory distress, especially very young infants. No specific treatments exist for RSV. However, new preventative strategies have become available including RSV vaccine pregnant women monoclonal antibody This study aimed identify understand barriers facilitators uptake a determine their underlying choices maternal immunisation program. Additionally, investigated choice vaccination or administration long-lasting Eligible participants were residing Australia aged 18 years older. Focus group discussions individual online interviews conducted data analysed using thematic analysis approach. A total 34 participated focus interviews, with an average age years. The identified themes categorised into four overarching domains: 1) motivators vaccinating during pregnancy safeguard babies prevent diseases, 2) safety concerns, uncertainties regarding effectiveness, hesitancy arising from COVID-19 experiences, 3) preferred promotion strategies, constant reminders/prompts, personalised messages, campaign focusing on serious outcomes diverse/lay languages, recommendations local obstetricians health authorities, 4) clear recommendation policies preference over infant immunisation. was generally welcomed by our comparing other strategies. Preferences program included diversity "nudge" reminders, healthcare providers.

Language: Английский

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Vaccination: Adherence and Hesitancy among Pregnant Women for COVID-19, Pertussis, and Influenza Vaccines

Vaccines, Journal Year: 2024, Volume and Issue: 12(4), P. 427 - 427

Published: April 17, 2024

In the realm of antenatal care, vaccinations serve as a cornerstone, crucial for safeguarding health both mother and fetus, while also extending protection to newborn against communicable diseases. Nevertheless, vaccine adherence among pregnant women remains very low. The aim our study was evaluate uptake vaccines (influence, pertussis, COVID-19) during pregnancy understand women’s knowledge diseases they protect against. purpose investigate reasons why chose not be vaccinated develop effective strategies informing them about importance vaccination maternal fetal safety. A prospective observational conducted in Department Obstetrics Gynaecology, “Ospedale Santa Maria della Misericordia” Udine, from 1 December 2021 30 June 2022. During this period, self-completed paper questionnaire administered at end or puerperium. total 161 questionnaires were collected. Higher educational level found significantly associated with influenza (p = 0.037, OR 2.18, 95% CI 1.05–4.51). Similarly, pertussis vaccination, mainly higher 0.014, 2.83, 1.24–6.47), but Italian nationality 0.003, 3.36, 1.56–8.43) attended by midwife private gynecologist 0.028, 0.39, 0.17–0.90). Regarding COVID-19 vaccine, only factor positively influencing 0.044, 2.66, 1.03–6.91). Women’s fear that would endanger fetus appeared most important reason refusing vaccinations. Simultaneously, patients exhibited desire receive more information particularly their general physician gynecologist. For reason, it is imperative enhance counselling, making routine step prenatal care first visit until postpartum period.

Language: Английский

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COVID-19 Vaccine Acceptance and Hesitancy among People Living with HIV: Review and Meta-Analysis

AIDS and Behavior, Journal Year: 2024, Volume and Issue: 28(7), P. 2193 - 2204

Published: May 7, 2024

Language: Английский

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Hesitação e Recusa da Vacina Contra a COVID-19 entre Profissionais de Saúde: Estudo Transversal num Hospital Português

Acta Médica Portuguesa, Journal Year: 2025, Volume and Issue: 38(4), P. 217 - 227

Published: April 1, 2025

Introdução: A hesitação vacinal é reconhecida pela Organização Mundial da Saúde como uma das principais ameaças à saúde global, tendo adquirido contornos singulares no contexto pandemia COVID-19. Os profissionais de são reconhecidos fontes informação mais confiáveis relativamente vacinação. sua posição perante a imunização constitui um fator determinante intenção recomendar terceiros, com potencial repercussão na taxa adesão vacina população geral. O objetivo deste estudo foi caracterizar do ponto vista sociodemográfico os hospital terciário português que recusaram vacinação contra COVID-19 e analisar motivos hesitação/recusa futuro.Métodos: Estudo observacional transversal conduzido em 2021, cuja população-alvo compreende propostos completar o esquema primário Aos vacinação, solicitado preenchimento “Questionário Não-Vacinação COVID-19”, incluía questão escolha múltipla campo resposta livre sobre pretensão futuro. Foram analisadas as variáveis ‘sexo’, ‘idade’ ‘categoria profissional’. Resultados: Entre 6648 amostra, 2,3% (n = 153) realizar completo. média idades 46 anos (DP 11), sendo proporção, cada grupo etário 1,2% ≤ 35 anos; 2,5% 36 - 45 3,1% > anos. recusa vacinal, entre total sexo, sexo feminino 2,4% masculino. Uma maior proporção ocorreu nos assistentes operacionais 53, 4,0%) técnicos 13, 3,0%). Observaram-se 16 relatados: receio reações adversas 31), investigação insuficiente vacinas 22), desconfiança eficácia 25). Apenas 28,1% 43) demonstraram Conclusão: Verificou-se elevada aceitação probabilidade semelhante ambos sexos, mas superior indivíduos operacionais. Destacaram-se pressupunham preocupações relativas segurança vacina. Estudos adicionais necessários para melhor compreensão dinâmicas subjacentes vacinal.

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Experiences of Canadian perinatal care during the COVID-19 pandemic: Analysis of open-ended survey responses

Women s Health, Journal Year: 2025, Volume and Issue: 21

Published: April 1, 2025

Background: The COVID-19 pandemic caused significant socioeconomic and healthcare disruptions in Canada. policies local infection rates varied considerably across Canada’s geographically diverse, multijurisdictional system. Emergence of highly transmissible variants widespread vaccination mandates Fall 2021 further impacted life experiences pregnant people, particular, were challenged by outbreaks, Canadian hospital policies, public health restrictions. Objective: This study explored perinatal care the context pandemic. Design: Online, cross-sectional survey with qualitative analysis. Methods: Individuals after January 1, 2020 who received Canada participated our Pandemic Pregnancy Experiences eSurvey, September to February 2022. Open-ended responses qualitatively evaluated thematic content Codes identified both deductively inductively, categorized using principles woman-centered care, developed into major minor themes. Results: Prenatal from 362 participants, 234 participants also elaborating on their labor delivery (L&D) care. Major themes organized category as follows: Choice Healthcare Provider (good quality provider, barriers provider choice), Autonomy-Healthcare (autonomy empowered, autonomy impacted), Delivery Place (wanted birth, got birth), Support Companion(s) (no support companion for prenatal appointments, restrictions L&D companion(s)), and, Autonomy-COVID-19 Vaccination (vaccinated while pregnant/breastfeeding). Conclusions: birth generally positive; however, existing constraints provincial/territorial systems experiences. Limited choice type access companion(s) affected satisfaction.

Language: Английский

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