Abstract
Objective: To explore psychological factors influencing decision-making regarding Covid-19 vaccination among pregnant women.
Design: Cross-sectional mixed-methods online survey comprising sociodemographic factors, health beliefs, trust and anticipated regret, and open-ended qualitative questions. Pregnant respondents living in the UK or Ireland (n=191) completed the online survey during June and July 2021.
Main outcome measures: Intention to vaccinate against Covid-19 during pregnancy, with response options yes (vaccine accepting), no (vaccine resistant), unsure (vaccine hesitant). Qualitative questions about perceived benefits and risks of Covid-19 vaccination during pregnancy.
Results: Multivariate analysis of correlates of vaccine hesitancy and resistance revealed independent associations for perceived barriers to the Covid-19 vaccine, anticipated regret, and social influences. Most respondents described making a decision regarding Covid-19 vaccination in the absence of satisfactory information or guidance from a health care professional. Vaccine hesitant and resistant respondents reported significantly greater barriers to the Covid-19 vaccination than vaccine accepting respondents. Concerns about the vaccine focussed on the speed of its development and roll-out and lack of evidence regarding its safe use in pregnancy.
Conclusion: Participants who did not intend to be vaccinated against Covid-19 in pregnancy focused on vaccine fears as opposed to virus fears. Results indicate that pregnant women need balanced vaccine information and unequivocal health care provider recommendation to aid maternal vaccination decision-making.
Design: Cross-sectional mixed-methods online survey comprising sociodemographic factors, health beliefs, trust and anticipated regret, and open-ended qualitative questions. Pregnant respondents living in the UK or Ireland (n=191) completed the online survey during June and July 2021.
Main outcome measures: Intention to vaccinate against Covid-19 during pregnancy, with response options yes (vaccine accepting), no (vaccine resistant), unsure (vaccine hesitant). Qualitative questions about perceived benefits and risks of Covid-19 vaccination during pregnancy.
Results: Multivariate analysis of correlates of vaccine hesitancy and resistance revealed independent associations for perceived barriers to the Covid-19 vaccine, anticipated regret, and social influences. Most respondents described making a decision regarding Covid-19 vaccination in the absence of satisfactory information or guidance from a health care professional. Vaccine hesitant and resistant respondents reported significantly greater barriers to the Covid-19 vaccination than vaccine accepting respondents. Concerns about the vaccine focussed on the speed of its development and roll-out and lack of evidence regarding its safe use in pregnancy.
Conclusion: Participants who did not intend to be vaccinated against Covid-19 in pregnancy focused on vaccine fears as opposed to virus fears. Results indicate that pregnant women need balanced vaccine information and unequivocal health care provider recommendation to aid maternal vaccination decision-making.
| Original language | English |
|---|---|
| Number of pages | 21 |
| Journal | Psychology and Health |
| Early online date | 22 May 2023 |
| DOIs | |
| Publication status | E-pub ahead of print - 22 May 2023 |
