Vaccine Willingness and Impact of the COVID-19 Pandemic on Women’s Perinatal Experiences and Practices—A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic

Ceulemans, Michael; Foulon, Veerle; Panchaud, Alice; Winterfeld, Ursula; Pomar, Léo; Lambelet, Valentine; Cleary, Brian; O’Shaughnessy, Fergal; Passier, Anneke; Richardson, Jonathan L.; Allegaert, Karel; Nordeng, Hedvig

doi:10.3390/ijerph18073367

Cited by 94 publications

(128 citation statements)

References 40 publications

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“…Although not statistically significant, women with an associate's degree or higher were more willing to receive the COVID-19 vaccine when compared to women with a high school education or less. This result is consistent with a study discussed in Ceulemans et al (6), which reported that pregnant and breastfeeding women with low to medium education levels were less likely to get the COVID-19 vaccine when it became available to them. Similarly, unemployment was associated with vaccine hesitancy.…”

Section: Conclusion/discussionsupporting

confidence: 92%

COVID-19 Vaccine Acceptance In Pregnancy

et al. 2021

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Background: Early in the COVID-19 pandemic, limited data existed regarding the safety and efficacy of the COVID-19 vaccine in pregnant women. As such, many pregnant women have reservations about receiving the COVID-19 vaccine. However, pregnant women are of particular concern as they are considered a vulnerable population due to the increased risk of severe complications from COVID-19. This study investigates the willingness of pregnant patients to receive the vaccine before and after discussion with a health care provider. Methods: 124 pregnant women were surveyed from February to March of 2021 at a perinatal center. Patients were queried about their willingness to receive the COVID-19 vaccine before and after reading a fact sheet and discussing the vaccine's safety with a provider. Results: There was a statistically significant effect of discussing the vaccine with a physician regarding patients' willingness to receive the COVID-19 vaccine. Additionally, patients who received the annual influenza vaccine were significantly more likely to get the COVID-19 vaccine. Conclusion: Pregnant women were more willing to receive the COVID-19 vaccine after discussion with a health care provider. The importance and impact of health education should be given special consideration in medical offices.

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Section: Conclusion/discussionsupporting

confidence: 92%

COVID-19 Vaccine Acceptance In Pregnancy

et al. 2021

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“…In the literature of the subject, various attitudes regarding willingness to get vaccinated can be noticed and the willingness ranges from 40% to 94% of the respondents, depending on the country [20,21]. Among others, a survey conducted in six European countries: Ireland, Norway, Switzerland, the Netherlands, Great Britain and Belgium, among pregnant or breastfeeding women indicates 40-50% willingness to undergo vaccination depending on the country [22]. Surprisingly, in the literature, there are downward trends observed as the pandemic continues and such a correlation has been observed, i.e., in the USA, where there was a decline of support toward vaccination from 76% in April 2020 to 56% in December 2020, despite numerous positive information regarding the effectiveness of the preparations [23].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The vast majority of women, persons with a higher level of education and younger people, i.e., <50 years old may have significantly affected the final results of the study. However, as it is well known, those are the individuals who are more likely to take part in any kind of survey distributed over the Internet [ 22 , 23 , 25 ]. It should be noted that, based on available information, this study is the first one conducted in Poland that compares the willingness of people to vaccinate against COVID-19 before and during the vaccination programme.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes toward Vaccination against COVID-19 in Poland. A Longitudinal Study Performed before and Two Months after the Commencement of the Population Vaccination Programme in Poland

Babicki

Mastalerz-Migas

2021

Vaccines

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Despite the fact that more than a year has passed since the WHO declared the pandemic, there is still no effectivetreatment of COVID-19. According to current knowledge, the only method to stop the virus from spreading is prophylactic vaccination of the population. However, to achieve herd immunity, 60–72% of the population needs to be vaccinated, which is a significant challenge for current healthcare systems. As it has already been proven, having an effective vaccine is not the same as using it. Public acceptance is essential here. The study aimed to assess the changes in the attitudes of online respondents toward vaccination against COVID-19 over time. In the research, a questionnaire designed by the author of the study was used and it was distributed via the Internet in two stages. The questionnaire included a section assessing a sociodemographic status as well as the questions, designed by the author, evaluating the willingness of the respondents to get vaccinated and their main concerns associated with it. The first stage covered the period before the commencement of the population vaccination programme in Poland, i.e., 14–27 December 2020. Then, the survey was redistributed 2 months after the vaccination programme was started, i.e., 1–19 March 2021. Participation in the study was fully anonymous, voluntary and there was a possibility to opt out at any stage of the research. A total of 2048 respondents were surveyed and 26 persons refused to be involved in the research. A total number of 2022 responses were analysed. Stage I of the research involved 22.9% of the respondents (463 persons). The questions were answered by 1559 persons (72.9%) after the survey was redistributed. Among the participants of stage II of the study, 422 (27.1%) persons have already been vaccinated against COVID-19. A comparison of the responses that were collected from both stages of the study showed a slight increase in the willingness to get vaccinated against COVID-19 over time. It turned out that women, residents of large cities, people with a higher level of education and healthcare workers showed a more favourable attitude toward vaccination. According to the results of the survey, chronic diseases do not have a significant impact on the attitude toward vaccinations (p = 0.155). As the social vaccination promotion campaign continued, a slight increase in the willingness to get vaccinated was observed. According to the survey, women, residents of large cities and those with higher education demonstrated more favourable attitudes toward getting vaccinated against COVID-19. It should be stressed that despite the passage of time and the increasing experience with the new types of vaccines against COVID-19, the percentage of people who are afraid of the complications after the vaccination has not decreased significantly and the concern related to the ineffectiveness of vaccination has dramatically increased. This demonstrates the limited effectiveness of the current information system regarding passing the knowledge on of the safety and efficiency of vaccination and it indicates a necessity to modernise it as soon as possible.

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“…The goal was to examine the overall impact of the SARS-CoV-2 pandemic on pregnant and breastfeeding women (i.e., pregnancy/breastfeeding experience, life and professional habits, mental health status, relationship with the healthcare system, medication use, and vaccine perceptions during pregnancy/breastfeeding) [ 24 ]. The COVID-19 vaccine willingness of pregnant and breastfeeding women included in the multi-center study has already been published [ 25 ], and the Swiss rate was among the lowest, hence the need to investigate the factors associated with vaccine acceptance in a Swiss-specific study.…”

Section: Methodsmentioning

confidence: 99%

SARS-CoV-2 Vaccine Willingness among Pregnant and Breastfeeding Women during the First Pandemic Wave: A Cross-Sectional Study in Switzerland

Stückelberger

Favre

Ceulemans

et al. 2021

Viruses

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As pregnant women are at high risk of severe SARS-CoV-2 infection and COVID-19 vaccines are available in Switzerland, this study aimed to assess the willingness of Swiss pregnant and breastfeeding women to become vaccinated. Through a cross-sectional online study conducted after the first pandemic wave, vaccination practices and willingness to become vaccinated against SARS-CoV-2 if a vaccine was available were evaluated through binary, multi-choice, and open-ended questions. Factors associated with vaccine willingness were evaluated through univariable and multivariable analysis. A total of 1551 women responded to questions related to the primary outcome. Only 29.7% (153/515) of pregnant and 38.6% (400/1036) of breastfeeding women were willing to get vaccinated against SARS-CoV-2 if a vaccine had been available during the first wave. Positive predictors associated with SARS-CoV-2 vaccine acceptance were an age older than 40 years, a higher educational level, history of influenza vaccination within the previous year, having an obstetrician as the primary healthcare practitioner, and being in their third trimester of pregnancy. After the first pandemic wave, Switzerland had a low SARS-CoV-2 vaccination acceptance rate, emphasizing the need to identify and reduce barriers for immunization in pregnant and breastfeeding women, particularly among the youngest and those with a lower educational level.

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Vaccine Willingness and Impact of the COVID-19 Pandemic on Women’s Perinatal Experiences and Practices—A Multinational, Cross-Sectional Study Covering the First Wave of the Pandemic

Cited by 94 publications

References 40 publications

COVID-19 Vaccine Acceptance In Pregnancy

COVID-19 Vaccine Acceptance In Pregnancy

Attitudes toward Vaccination against COVID-19 in Poland. A Longitudinal Study Performed before and Two Months after the Commencement of the Population Vaccination Programme in Poland

SARS-CoV-2 Vaccine Willingness among Pregnant and Breastfeeding Women during the First Pandemic Wave: A Cross-Sectional Study in Switzerland

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