A Systematic Review of Population-Based Studies Assessing Knowledge, Attitudes, Acceptance, and Hesitancy of Pregnant and Breastfeeding Women towards the COVID-19 Vaccine

Gianfredi, Vincenza; Stefanizzi, Pasquale; Berti, Alessandro; D’Amico, Marilena; Lorenzo, Viola De; Lorenzo, Antonio Di; Moscara, Lorenza; Castaldi, Silvana

doi:10.3390/vaccines11081289

Cited by 7 publications

(4 citation statements)

References 68 publications

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“…Therefore, it has been stated that informing healthcare workers correctly about the vaccine and ensuring their vaccination is effective in controlling the pandemic can be of great importance. Especially nurses who are in one-to-one contact with patients should organize health trainings by their roles as educators and counselors to protect public health (45)(46)(47). The results obtained show that attitudes and hesitation toward COVID-19 vaccines may vary according to various situational factors.…”

Section: Discussionmentioning

confidence: 95%

Attitudes toward COVID-19 vaccines during pregnancy and breastfeeding

Simsekoglu,

Akyuz,

Guven

et al. 2024

Front. Public Health

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BackgroundAlthough vaccination is one of the most effective means of controlling the spread of COVID-19, public concerns and indecision about vaccination still continue. Because pregnant and breastfeeding individuals are at high risk for severe outcomes in case of infections, determining their level of hesitation and attitude toward COVID-19 vaccines will guide the management of the disease. This study aimed to determine pregnant and breastfeeding women’s levels of hesitation and attitude toward COVID-19 vaccines as well as their related factors.MethodsThe sample of this descriptive research consisted of 103 pregnant or breastfeeding individuals who were seen at the obstetrics and gynecology outpatients clinic of a state hospital in Istanbul, Turkey. The data were collected using a ‘demographic data form’, the ‘Vaccine Hesitancy Scale in Pandemic’, and the ‘Attitudes toward COVID-19 Vaccine Scale’. The research data were analyzed with appropriate statistical methods.ResultsThe mean age of the participants was 29.71 ± 4.75, 51% were pregnant, and 74.8% had received the COVID-19 vaccine. The mean score of the ‘Vaccination Hesitancy Scale in Pandemic’ was 30.83 ± 6.91, and the mean score for the ‘Attitude Scale toward the COVID-19 Vaccine’ was 25.50 ± 5.20. A significant difference was found between the total score of the ‘Vaccine Hesitation Scale in the Pandemic’ and the mean score of the ‘Lack of Confidence’ sub-dimension between the ‘working status’ and the ‘influenza vaccination’ status. In terms of the mean score of the ‘Risk’ sub-dimension, a significant difference was found between the ‘period of vaccination’ (p < 0.05). According to the mean total score of the ‘Attitude Towards COVID-19 Vaccine Scale’, there was a significant difference between the ‘smoking’ status. There was a significant difference in the ‘Positive Attitude’ sub-dimension in terms of the ‘flu vaccination’ status. There was a significant difference in the ‘Negative Attitude’ sub-dimension in terms of the ‘chronic disease’ status. A positive correlation was found between the total scores of the scales.ConclusionIt was concluded that although the participants had a high level of hesitation toward the COVID-19 vaccine, they had a positive attitude. The results obtained will be guided in determining the strategies to be developed for these specific groups in future pandemics.

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Section: Discussionmentioning

confidence: 95%

Attitudes toward COVID-19 vaccines during pregnancy and breastfeeding

Simsekoglu,

Akyuz,

Guven

et al. 2024

Front. Public Health

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“…Despite the absence of a clear motivation, it could be noticed that there is a prevalence of female patients in the first group that switch to a male prevalence in the second one. It is interesting to note that despite several studies in the literature trying to evaluate gender differences in COVID-19 vaccination acceptance or hesitancy, no one shows an age-specific break line [ 64 , 65 , 66 , 67 , 68 ].…”

Section: Discussionmentioning

confidence: 99%

Vaccination Open Day: A Cross-Sectional Study on the 2023 Experience in Lombardy Region, Italy

Perrone,

Scarioni,

Astorri

et al. 2024

IJERPH

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Background: Vaccination is a highly effective tool for controlling infectious diseases, particularly in populations at high risk of contagion due to clinical conditions or occupational exposure, such as healthcare workers. The purpose of this study is to present the open day event that marked the beginning of the influenza and anti-COVID-19 vaccination campaign in the Lombardy region and to describe the experience of an Istituto di Ricovero e Cura a Carattere Scientifico in Milan. Methods: During the vaccination open day, eligible individuals received free vaccinations for influenza, COVID-19, pneumococcal disease, and shingles, as provided by the Lombardy Agenzia per la Tutela della Salute. In celebration of the centenary of the Università degli Studi di Milano, the Fondazione Ca’Granda Ospedale Policlinico, a contracted hospital of the university, created a special electronic diary for a total of 150 individuals, equally divided between children aged 2–6, pregnant women, and university staff. Results: At the regional level, a total of 6634 influenza vaccines, 2055 anti-COVID-19 vaccines, 108 anti-pneumococcal vaccines, and 37 anti-zoster vaccines were administered. A total of 3134 (47.3%) influenza vaccines, 1151 (56%) anti-COVID-19 vaccines, and 77 (62%) anti-pneumococcal vaccines, were given to individuals aged 60–79. No differences were observed between the total number of male and female vaccinees (1017 and 1038, respectively), who received the anti-COVID-19 vaccine. At the Policlinico Foundation, out of 150 available booking slots, 154 vaccines were administered, including 117 influenza vaccines. Conclusions: The establishment of vaccine open days is a beneficial way to increase vaccine compliance. Co-administration of little-known vaccinations outside of healthcare settings could also be a useful tool.

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“…However, after full-text assessment, three articles were removed due to aggre-gated data [16] and different comparison [17,18]. Because of the high heterogeneity of the remaining 64 records, we chose to present results separately for population-based studies (21 records included; previously published [19]) and results of hospital-based studies (43 records included [2,; reported in the current manuscript). The disagreement about reviewers during the selection process was around 10%.…”

Section: Literature Searchmentioning

confidence: 99%

COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies

Gianfredi,

Berti,

Stefanizzi

et al. 2023

Vaccines

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The risk of unfavourable outcomes for SARS-CoV-2 infection is significant during pregnancy and breastfeeding. Vaccination is a safe and effective measure to lower this risk. This study aims at reviewing the literature concerning the anti-SARS-CoV-2 vaccine’s acceptance/hesitancy among pregnant and breastfeeding women attending hospital facilities. A systematic review of literature was carried out. Hospital-based observational studies related to vaccination acceptance, hesitancy, knowledge and attitude among pregnant and breastfeeding women were included. Determinants of acceptance and hesitancy were investigated in detail. Quality assessment was done via the Johann Briggs Institute quality assessment tools. After literature search, 43 studies were included, 30 of which only focused on pregnant women (total sample 25,862 subjects). Sample size ranged from 109 to 7017 people. Acceptance of the SARS-CoV-2 vaccine ranged from 16% to 78.52%; vaccine hesitancy ranged between 91.4% and 24.5%. Fear of adverse events for either the woman, the child, or both, was the main driver for hesitancy. Other determinants of hesitancy included religious concerns, socioeconomic factors, inadequate information regarding the vaccine and lack of trust towards institutions. SARS-CoV-2 vaccine hesitancy in hospitalized pregnant women appears to be significant, and efforts for a more effective communication to these subjects are required.

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A Systematic Review of Population-Based Studies Assessing Knowledge, Attitudes, Acceptance, and Hesitancy of Pregnant and Breastfeeding Women towards the COVID-19 Vaccine

Cited by 7 publications

References 68 publications

Attitudes toward COVID-19 vaccines during pregnancy and breastfeeding

Attitudes toward COVID-19 vaccines during pregnancy and breastfeeding

Vaccination Open Day: A Cross-Sectional Study on the 2023 Experience in Lombardy Region, Italy

COVID-19 Vaccine Knowledge, Attitude, Acceptance and Hesitancy among Pregnancy and Breastfeeding: Systematic Review of Hospital-Based Studies

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