High rates of vaccine hesitancy among pregnant women during the coronavirus disease 2019 (COVID-19) pandemic in Japan

Saitoh, Aya; Takaku, Mayumi; Saitoh, Akihiko

doi:10.1080/21645515.2022.2064686

Cited by 13 publications

(9 citation statements)

References 35 publications

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“…Pregnant women demonstrate a lower level of acceptance of the COVID-19 vaccine, with rates ranging from 13.7 to 77% (26,27). A study conducted in Japan during the first year of the pandemic demonstrated a high rate of vaccine hesitancy among pregnant women with primipara twice more likely to be vaccine-hesitant (odd ratio OR 2.38, p = 0.04) (28). The vaccine acceptance of our cohort of urban Malaysian mothers (77.1%) is among the highest reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study

Kalok

Dali

Sharip

et al. 2023

Front. Public Health

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IntroductionThe coronavirus disease 2019 (COVID-19) caused a global pandemic that resulted in devastating health, economic and social disruption. Pregnant mothers are susceptible to COVID-19 complications due to physiological and immunity changes in pregnancy. We aimed to assess the maternal vaccine acceptance of the COVID-19 vaccine.MethodsA multi-center study across four teaching hospitals in the Klang Valley, Malaysia was conducted between September 2021 and May 2022. A survey was conducted using a self-administered electronic questionnaire. The survey instruments included; (1) maternal perception and attitude toward COVID-19 vaccination, (2) COVID-19 pregnancy-related anxiety, and 3) generalized anxiety disorder.ResultsThe response rate was 96.6%, with a final number for analysis of 1,272. The majority of our women were Malays (89.5%), with a mean age (standard deviation, SD) of 32.2 (4.6). The maternal vaccine acceptance in our study was 77.1%. Household income (p < 0.001), employment status (p = 0.011), and health sector worker (p = 0.001) were independent predictors of maternal willingness to be vaccinated. COVID-19 infection to self or among social contact and greater COVID-19 pregnancy-related anxiety were associated with increased odds of accepting the SARS-CoV-2 vaccine. Women who rely on the internet and social media as a source of vaccine information were more likely to be receptive to vaccination (adjusted odd ratio, AOR 1.63; 95% CI 1.14–2.33). Strong correlations were observed between maternal vaccine acceptance and the positive perception of (1) vaccine information (p < 0.001), (2) protective effects of vaccine (p < 0.001), and (3) getting vaccinated as a societal responsibility (p < 0.001).DiscussionThe high maternal vaccine acceptance rate among urban pregnant women in Malaysia is most likely related to their high socio-economic status. Responsible use of the internet and social media, alongside appropriate counseling by health professionals, is essential in reducing vaccine hesitancy among pregnant women.

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Section: Discussionmentioning

confidence: 99%

Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study

Kalok

Dali

Sharip

et al. 2023

Front. Public Health

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“…In an online questionnaire survey conducted during October–November 2021 to investigate the immunization status and adverse reactions to the COVID‐19 vaccine among pregnant women in Japan, 4840/6576 (73.6%) participants received two doses of the vaccine, 557/6576 (8.5%) received a single dose, and 1179/6576 (17.9%) had not been vaccinated 35 . The prevalence of COVID‐19 vaccine hesitancy during August–December 2020 was 46/113 (40.7%) among pregnant women between 28 and 32 weeks of gestation who had received antenatal care at four clinics and hospitals in Niigata city, Japan, and 825/1621 (50.9%) in a cross‐sectional, internet‐based survey conducted as part of the Japan COVID‐19 and Society Internet Survey during July–August 2021 36,37 …”

Section: Coverage Of Maternal Vaccinationmentioning

confidence: 99%

“…Pregnant Japanese women who were hesitant to receive the COVID‐19 vaccine were concerned about the adverse reactions of the vaccine and its possible negative effects on the fetus and on subsequent breastfeeding 37 . Primiparous Japanese women had higher rates of hesitancy about receiving the COVID‐19 vaccine compared with multiparous pregnant women (odds ratio [OR]: 2.38; p = 0.04) 36 …”

Section: Vaccine Hesitancy Among Pregnant Women and Factors Influenci...mentioning

confidence: 99%

“…37 Primiparous Japanese women had higher rates of hesitancy about receiving the COVID-19 vaccine compared with multiparous pregnant women (odds ratio [OR]: 2.38; p = 0.04). 36 In a questionnaire survey performed in Kanagawa, Japan, from June to July 2020 across 125 delivery service facilities (excluding midwifery clinics) of which 72 provided valid responses, none of the facilities offered pertussis vaccine to pregnant women. 46 The possibility of severe pertussis in newborns and infants was recognized by 40/72 (55.6%) facilities, whereas 23/72 (31.9%) recognized the preventive effects of maternal vaccination against pertussis.…”

Section: The United Statesmentioning

confidence: 99%

“…35 The prevalence of COVID-19 vaccine hesitancy during August-December 2020 was 46/113 (40.7%) among pregnant women between 28 and 32 weeks of gestation who had received antenatal care at four clinics and hospitals in Niigata city, Japan, and 825/1621 (50.9%) in a cross-sectional, internet-based survey conducted as part of the Japan COVID-19 and Society Internet Survey during July-August 2021. 36,37 To the best of our knowledge, there are no studies on the coverage of maternal vaccination with DTaP in Japan.…”

Section: Coverage Of Maternal Vaccination Japanmentioning

confidence: 99%

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Maternal vaccination—current status, challenges, and opportunities

Kurasawa

2022

J of Obstet and Gynaecol

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Aim Maternal vaccination is a promising strategy for protecting pregnant women and newborns against severe infections. This review aims to describe the current status and challenges associated with maternal vaccination against seasonal influenza, tetanus‐diphtheria‐pertussis (Tdap/DTaP), and novel coronavirus disease of 2019 (COVID‐19) in Japan and other countries, mainly the United States and the United Kingdom. Methods A literature search was conducted in PubMed and other public websites (e.g., Centers for Disease Control and Prevention) to obtain information on maternal vaccination. Results Inactivated vaccines are recommended for pregnant women by gynecologic societies in Japan, the United States, and the United Kingdom. Among pregnant Japanese women, the influenza and COVID‐19 (two doses) vaccine coverage rates were 27.0%–53.5% (six studies) and 73.6% (one study), respectively; there are no studies on maternal vaccination with DTaP. Concerns regarding vaccine safety are a major barrier to maternal vaccination across countries. Maternal vaccination is effective in preventing severe disease in pregnant women and protecting infants aged <6 months, is generally safe, and does not increase the risk of adverse maternal and fetal outcomes. Providing accurate information regarding vaccination through healthcare providers and the government and government funding for vaccines may help improve maternal vaccination rates in Japan. Conclusion Current coverage for maternal vaccination is still low globally mainly because of vaccine hesitancy among pregnant women. The government, drug‐regulatory authorities, and healthcare professionals must educate pregnant women about the effectiveness and safety of maternal vaccines and encourage vaccination when the benefits outweigh the risks.

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“Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines

Reñosa,

Endoma,

Sornillo

et al. 2023

Public Health Challenges

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BackgroundDespite the instrumental role of vaccines, public confidence is declining, and anti‐vaccine movements have increased worldwide. With the goal of informing policy decisions and the development of interventions, we explore the concerns and challenges related to vaccine uptake (of childhood, maternal, and COVID‐19 vaccines) among parents or caregivers of under‐two children and pregnant women in urban and rural communities in the Philippines.MethodsBetween May and June 2022, we conducted combined in‐person and online interviews with purposively selected caregivers and pregnant women in the Calabarzon region (Naic, Cavite and Tanay, Rizal), and National Capital Region (Pasay and Muntinlupa Cities), Philippines. A total of 43 interviews were completed, audio‐recorded, transcribed, and analyzed according to the tenets of hermeneutic phenomenology.ResultsOur results, grounded on the social ecological model, underlined the interplays of contextual or logistical challenges on vaccine uptake, respondents’ overarching concerns about vaccines, and their informational needs that affected their vaccine decision‐making. Respondents described that the long‐established maternal and childhood vaccines no longer represent a high‐risk concern but highlighted their fears and hesitancy particularly to newer vaccines.ConclusionOur findings underscore the multilayered challenges in vaccine decision‐making among caregivers and pregnant women. The volatility of vaccine decision‐making necessitates rethinking the current immunization process, recalibrating the health workforce, and reinvigorating the health information delivery channels for more inclusive and responsive health care.

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High rates of vaccine hesitancy among pregnant women during the coronavirus disease 2019 (COVID-19) pandemic in Japan

Cited by 13 publications

References 35 publications

Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study

Maternal COVID-19 vaccine acceptance among Malaysian pregnant women: A multicenter cross-sectional study

Maternal vaccination—current status, challenges, and opportunities

“Respect my opinion and I'll respect yours!”: Exploring the challenges, concerns, and informational needs of vaccine‐hesitant caregivers and pregnant women in the Philippines

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