COVID‐19 vaccine hesitancy and acceptance among pregnant people contacting a teratogen information service

Pregnant people are at increased risk of severe illness from SARS‐CoV‐2 infection and are more likely to be admitted to an intensive care unit, be put on a mechanical ventilator, and die, if infected. Having COVID‐19 during pregnancy also increases the risk of preterm delivery. Vaccination is a crit...

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Published inJournal of genetic counseling Vol. 31; no. 6; pp. 1341 - 1348
Main Authors Perrotta, Kirstie, Messer, Angela, Alvarado, Sonia, Gaudette, Mara, Tran, Cindy, Bandoli, Gretchen
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.12.2022
John Wiley and Sons Inc
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Abstract Pregnant people are at increased risk of severe illness from SARS‐CoV‐2 infection and are more likely to be admitted to an intensive care unit, be put on a mechanical ventilator, and die, if infected. Having COVID‐19 during pregnancy also increases the risk of preterm delivery. Vaccination is a critical tool for controlling the COVID‐19 pandemic; however, to date, just over 30% of pregnant people in the United States have been vaccinated. It is important to identify any barriers to acceptance of the COVID‐19 vaccine among the pregnant population so that specific hesitancy concerns can be addressed. Our objective was to identify the proportion of pregnant people who are unsure or not planning to be vaccinated against COVID‐19 and collect information about their reasons for hesitancy. A questionnaire examining views on COVID‐19 vaccine interest was administered to 299 pregnant people who contacted MotherToBaby 3/1/21–7/23/21. Questions obtained information about the perception of COVID‐19 risk in pregnancy, interest in receiving a COVID‐19 vaccine while pregnant, and reasons for acceptance or hesitancy. Within the sample, 21% had already been vaccinated against COVID‐19, 43% were planning to get vaccinated, 9% were not planning to receive the vaccine, and 27% were undecided. Women who were not planning to get vaccinated and those that were undecided both said their concern was ‘not enough safety information for pregnancy’. Individuals aged 18–25, those who made less than $50,000/year, and those who lived in the Northeast were more likely to be hesitant. Based on these data, continued efforts to collect and communicate high‐quality and understandable information to pregnant people about vaccine safety should be a key priority in efforts to increase vaccine acceptance among this group.
AbstractList Pregnant people are at increased risk of severe illness from SARS-CoV-2 infection and are more likely to be admitted to an intensive care unit, be put on a mechanical ventilator, and die, if infected. Having COVID-19 during pregnancy also increases the risk of preterm delivery. Vaccination is a critical tool for controlling the COVID-19 pandemic; however, to date, just over 30% of pregnant people in the United States have been vaccinated. It is important to identify any barriers to acceptance of the COVID-19 vaccine among the pregnant population so that specific hesitancy concerns can be addressed. Our objective was to identify the proportion of pregnant people who are unsure or not planning to be vaccinated against COVID-19 and collect information about their reasons for hesitancy. A questionnaire examining views on COVID-19 vaccine interest was administered to 299 pregnant people who contacted MotherToBaby 3/1/21-7/23/21. Questions obtained information about the perception of COVID-19 risk in pregnancy, interest in receiving a COVID-19 vaccine while pregnant, and reasons for acceptance or hesitancy. Within the sample, 21% had already been vaccinated against COVID-19, 43% were planning to get vaccinated, 9% were not planning to receive the vaccine, and 27% were undecided. Women who were not planning to get vaccinated and those that were undecided both said their concern was 'not enough safety information for pregnancy'. Individuals aged 18-25, those who made less than $50,000/year, and those who lived in the Northeast were more likely to be hesitant. Based on these data, continued efforts to collect and communicate high-quality and understandable information to pregnant people about vaccine safety should be a key priority in efforts to increase vaccine acceptance among this group.
Author Bandoli, Gretchen
Messer, Angela
Alvarado, Sonia
Perrotta, Kirstie
Tran, Cindy
Gaudette, Mara
AuthorAffiliation 2 Department of Pediatrics University of California, San Diego La Jolla California USA
1 MotherToBaby California San Diego California USA
AuthorAffiliation_xml – name: 1 MotherToBaby California San Diego California USA
– name: 2 Department of Pediatrics University of California, San Diego La Jolla California USA
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Issue 6
Keywords COVID-19
health behavior
communication
attitudes
pregnancy
vaccination
Language English
License 2022 National Society of Genetic Counselors.
This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.
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Snippet Pregnant people are at increased risk of severe illness from SARS‐CoV‐2 infection and are more likely to be admitted to an intensive care unit, be put on a...
Pregnant people are at increased risk of severe illness from SARS-CoV-2 infection and are more likely to be admitted to an intensive care unit, be put on a...
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SubjectTerms Acceptance
Adolescent
Adult
attitudes
communication
COVID-19
COVID-19 - prevention & control
COVID-19 Vaccines
Female
health behavior
Humans
Immunization
Infant, Newborn
Information Services
Intensive care
Original
Pandemics
Pregnancy
Premature birth
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Teratogens
Vaccination
Vaccination Hesitancy
Vaccines
Women
Young Adult
Title COVID‐19 vaccine hesitancy and acceptance among pregnant people contacting a teratogen information service
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjgc4.1608
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