Models of determinants of COVID-19 vaccine hesitancy in non-pregnant and pregnant population: Review of current literature”

Tostrud, Lauren; Thelen, Julia; Palatnik, Anna

doi:10.1080/21645515.2022.2138047

Cited by 26 publications

(25 citation statements)

References 151 publications

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“…At the same time, we need to summarize the main reasons for each Weibo in the expressed vaccine hesitancy based on the output keyword results and the definition of the 5C model. In this study, confidence indicates users’ confidence in the COVID-19 vaccine, government, medical organizations, and vaccine development organizations; complacency indicates users’ contempt for Covid risk; constraints indicate users’ vaccination behavior is limited by their own psychological or physical conditions; calculation indicates the user’s search for and knowledge of vaccine information and the judgment of vaccination necessity obtained through information evaluation; and collective responsibility indicates the user’s willingness to protect others or promote herd immunity through vaccination [ 25 , 26 , 27 ]. The specific operations are as follows.…”

Section: Methodsmentioning

confidence: 99%

“…Confidence (confidence in vaccines, healthcare workers, policymakers), complacency (not perceiving diseases as high risk), constraints (structural and psychological barriers), the calculation (engagements in extensive information searching), and collective responsibility (willingness to protect others) [ 24 ]. Tostrud et al [ 25 ] argue that the 5C model is comprehensive in considering vaccine hesitancy causes. It can better match the complex information environment of social media and has also achieved good results in examining COVID-19 vaccine hesitancy [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 Vaccine Hesitancy in China: An Analysis of Reasons through Mixed Methods

Sun

Guo

2023

Vaccines

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This study aims to investigate the causes of COVID-19 vaccine hesitancy among the Chinese population. The LDA model and content analysis were used to analyze the content of COVID-19 vaccine hesitancy expressed by the Chinese on Weibo from 2020 to 2022, the leading causes of vaccine hesitancy, and the changes in the reasons for vaccine hesitancy over time. The study found that when the Chinese expressed vaccine hesitancy, it usually involved themes such as information access (18.59%), vaccination services (13.91%), and physical illness (13.24%), and topics such as vaccination process (6.83%), allergic diseases (6.59%), and international news (6.43%). Constraints (35.48%), confidence (17.94%), and calculation (15.99%) are the leading causes of vaccine hesitancy on Weibo. These findings provide a comprehensive picture of how the Chinese express vaccine hesitancy in social media and the reasons and changes for vaccine hesitancy, which can help inspire public health experts, health organizations, or governments in various countries to improve the phenomenon of vaccine hesitancy.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Hesitancy in China: An Analysis of Reasons through Mixed Methods

Sun

Guo

2023

Vaccines

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“…There is a paucity of information on the perception of pregnant women about COVID-19 vaccination programmes, particularly among low-income countries and, especially, those in the sub-Saharan African (SSA) region. Considering the low uptake of COVID-19 vaccines among pregnant women, previous findings from a review study suggested different strategies to increase vaccination among pregnant individuals, including promoting evidence-based information on vaccine safety among pregnant women [ 26 ]. Therefore, the present study was designed to evaluate the acceptance and risk perception of pregnant and non pregnant women towards COVID-19 vaccines using a cross-sectional matched-sample study approach.…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Risk Perception of COVID-19 Vaccination among Pregnant and Non Pregnant Women in Sub-Saharan Africa: A Cross-Sectional Matched-Sample Study

et al. 2023

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This study aims to evaluate the acceptance and risk perception of pregnant and non pregnant women towards COVID-19 vaccines using a cross-sectional matched-sample study approach. A web-based questionnaire with closed- and open-ended questions was administered to adults older than 18 years in the sub–Saharan African (SSA) region. Respondents (n = 131) were grouped based on their pregnancy status (54 pregnant and 77 non pregnant women) and matched for comparison by age. The matched groups were compared using the chi-square test and the t-test where appropriate. Compared to non pregnant women, pregnant women reported significantly lower risk perception scores of COVID-19 infection (3.74 vs. 5.78, p < 0.001) and were less likely to take the COVID-19 vaccine (odds ratio = 0.12, 95% confidence interval (CI) 0.06–0.27, p < 0.001). A similar proportion of pregnant and non pregnant women believed in false information about the COVID-19 vaccine, and 40% of unvaccinated pregnant women (n = 40) were concerned about the safety of the vaccine. After adjustment, women’s education, marital status, belief in misconceptions and risk perception were associated with non-vaccination among pregnant women. The content analysis revealed that pregnant women refused the vaccine due to mistrust of their countries’ health systems, concerns about the country where the vaccines were manufactured and a lack of confidence in the production process of the vaccines. This study shows the poor acceptance of COVID-19 vaccines among pregnant women in SSA, who perceived a lower risk of COVID-19 infection. Understanding the reasons for non-acceptance and the motivation to accept the COVID-19 vaccine could guide the development of health education and promotion programmes, and aid governments and policymakers in implementing targeted policy changes.

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“…First of all, the present study had a cross-sectional design: by definition, cross-sectional studies have no dimension of time, so they cannot support conclusions on the risk factors of the targeted outcome, nor on causal relationships [ 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 ]. Without a well-defined dimension of time, cross-sectional studies can be poorly suited for examining conditions of short duration [ 92 , 93 , 94 ]: from this point of view, a cross-sectional design may be well suited for studying the acceptance of vaccine interventions [ 65 , 95 ], as the research would inquire about the overall status of the targeted individuals before the intervention [ 83 , 96 , 97 ], while retrieved information on infectious diseases and associated risk factors should be more cautiously assessed [ 94 , 95 , 98 ].…”

Section: Discussionmentioning

confidence: 99%

Invasive Meningococcal Disease and Meningococcal Serogroup B Vaccination in Adults and Their Offspring: Knowledge, Attitudes, and Practices in Italy (2019)

et al. 2023

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Despite its effectiveness in preventing invasive meningococcal disease (IMD), pediatric uptake of recombinant meningococcal vaccination for serogroup B meningitis (MenB) is low in Italy. This study aimed to investigate knowledge, attitudes, and practice (KAP) about IMD and the vaccine uptake for MenB from July to December 2019, in a sample collected from a series of local Facebook discussion groups from the provinces of Parma and Reggio Emilia (North-Eastern Italy; 337,104 registered users). A self-administered anonymous web-based questionnaire was used to collect demographics, knowledge status, perceived risk for contracting meningitis, attitude towards the utility of meningococcal vaccine, and willingness to receive/perform MenB vaccine in their offspring. In total, 541 parents returned a fully completed questionnaire (response rate of 1.6% of potential recipients), with a mean age of 39.2 years ± 6.3 (78.1% females). Meningococcal infection was identified as severe or highly severe by most participants (88.9%), while it was recognized as being frequent/highly frequent in the general population by 18.6% of respondents. The overall knowledge status was unsatisfactory (57.6% ± 33.6 of correct answers to the knowledge test). Even though 63.4% of participants were somewhat favorable to MenB/MenC vaccines, offspring’s vaccination towards MenB was reported by only 38.7% of participants. In a binary logistic regression model, the male gender of respondents (adjusted odds ratio [aOR] 3.184, 95% confidence interval [95%CI] 1.772 to 5.721), living in a municipality >15,000 inhabitants (aOR 1.675, 95%CI 1.051 to 2.668), reporting a favorable attitude on meningococcus B vaccine (aOR 12.472, 95%CI 3.030 to 51.338), having been vaccinated against serogroup B (aOR 5.624, 95%CI 1.936 to 16.337) and/or serogroup C (aOR 2.652, 95%CI 1.442 to 4.872), and having previously vaccinated their offspring against serogroup C meningococcus (aOR 6.585, 95%CI 3.648 to 11.888) were characterized as positive effectors of offspring’s vaccination. On the contrary, having a higher risk perception on vaccines was identified as the only negative effector (aOR 0.429, 95%CI 0.241 to 0.765). Our results hint towards extensive knowledge gaps on IMD and preventive interventions in the general population, suggesting that a positive attitude towards vaccines and vaccinations could be identified as the main effector also for MenB acceptance. Interventions in the general population aimed at improving confidence, compliance, and acknowledgment of the collective responsibility, as well as preventing actual constraints and the sharing of false beliefs on infectious diseases and their preventive measures, could therefore increase vaccination acceptance in both targeted individuals and their offspring.

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Models of determinants of COVID-19 vaccine hesitancy in non-pregnant and pregnant population: Review of current literature”

Cited by 26 publications

References 151 publications

COVID-19 Vaccine Hesitancy in China: An Analysis of Reasons through Mixed Methods

COVID-19 Vaccine Hesitancy in China: An Analysis of Reasons through Mixed Methods

Acceptance and Risk Perception of COVID-19 Vaccination among Pregnant and Non Pregnant Women in Sub-Saharan Africa: A Cross-Sectional Matched-Sample Study

Invasive Meningococcal Disease and Meningococcal Serogroup B Vaccination in Adults and Their Offspring: Knowledge, Attitudes, and Practices in Italy (2019)

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