COVID-19 Vaccine Acceptance of Pregnant and Lactating Women
(PLW) in Czechia: An Analytical Cross-Sectional Study

J 2021

COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study

RIAD, Abanoub, Anna JOUZOVÁ, Batuhan ÜSTÜN, Eliška LAGOVÁ, Lukáš HRUBAN et. al.

Basic information

Original name

COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study

Authors

RIAD, Abanoub (818 Egypt, guarantor, belonging to the institution), Anna JOUZOVÁ (203 Czech Republic, belonging to the institution), Batuhan ÜSTÜN, Eliška LAGOVÁ (203 Czech Republic, belonging to the institution), Lukáš HRUBAN (203 Czech Republic, belonging to the institution), Petr JANKŮ (203 Czech Republic, belonging to the institution), Andrea POKORNÁ (203 Czech Republic, belonging to the institution), Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution), Michal KOŠČÍK (203 Czech Republic, belonging to the institution) and Miloslav KLUGAR (203 Czech Republic, belonging to the institution)

Edition

International Journal of Environmental Research and Public Health, Basel, MDPI, 2021, 1660-4601

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.614

RIV identification code

RIV/00216224:14110/21:00123343

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.3390/ijerph182413373

UT WoS

000738060600001

Keywords in English

breastfeeding; COVID-19 vaccines; Czech Republic; decision making; health promotion; pregnant women; risk assessment

Abstract

V originále

Pregnant and lactating women (PLW) represent a particular population subset with increased susceptibility for COVID-19 morbidity and mortality, even though the evidence about the safety and efficacy of COVID-19 vaccines was delayed due to their initial exclusion from development trials. This unclear situation could have led to increased COVID-19 vaccine hesitancy levels among PLW; therefore, this study aimed to evaluate the attitudes of Czech PLW towards COVID-19 vaccines and the determinants of their attitudes. An analytical cross-sectional survey-based study was carried out in the University Hospital Brno (South Moravia, Czechia) between August and October 2021. The study utilised a self-administered questionnaire (SAQ) adapted from previous instruments used for the same purpose. The SAQ included closed-ended items covering demographic characteristics, clinical and obstetric characteristics, attitudes towards COVID-19 vaccination, and potential psychosocial predictors of vaccine acceptance. Out of the 362 included participants, 278 were pregnant (PW) and 84 were lactating women (LW). The overall COVID-19 vaccine acceptance (immediate and delayed) level was substantially high (70.2%), with a significant difference between PW (76.6%) and LW (48.8%). Out of the 70.2% who agreed to receive the vaccine, 3.6% indicated immediate acceptance, and 66.6% indicated delayed acceptance. Only 13.3% of the participants indicated their acceptance of their physician’s vaccination recommendation during pregnancy or while lactating, and 62.2% were against it. Our results agreed with the recent studies that revealed that PW tended to have a high level of COVID-19 vaccine acceptance, and they were also inclined to resist professional recommendations because they predominantly preferred to delay their vaccination. The pregnancy trimester, education level, employment status, and previous live births were significant determinants for COVID-19 vaccine acceptance. The most commonly preferred vaccine type was mRNA-based vaccines, followed by viral vector-based and inactivated virus vaccines. The first top priority of PLW was vaccine safety for their children, followed by vaccine safety for the PLW and vaccine effectiveness. Regarding psychosocial predictors, media/social media, trust in the government, the pharmaceutical industry, and healthcare professionals, partners, and a positive risk-benefit ratio were significant promoters for COVID-19 vaccine acceptance. Findings from this study suggest that promotional interventions targeting PLW should use web platforms and focus on vaccine safety evidence, the expected benefits of vaccines and potential harms of the infection.

Links

LTC20031, research and development project

Name: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic

Investor: Ministry of Education, Youth and Sports of the CR, INTER-COST

MUNI/A/1608/2020, interní kód MU

Name: Prohlubování znalostí v oblasti zdravotních rizik a benefitů výživy, prostředí a životního stylu III

Investor: Masaryk University

MUNI/IGA/1543/2020, interní kód MU

Name: Evidence-based Practice of Healthcare Professionals and Students in the Czech Republic (Acronym: Evidence-Based Practice in Czechia)

Investor: Masaryk University

Citovat

RIAD, Abanoub, Anna JOUZOVÁ, Batuhan ÜSTÜN, Eliška LAGOVÁ, Lukáš HRUBAN, Petr JANKŮ, Andrea POKORNÁ, Jitka KLUGAROVÁ, Michal KOŠČÍK and Miloslav KLUGAR. COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study. International Journal of Environmental Research and Public Health. Basel: MDPI, 2021, vol. 18, No 24, p. 1-24. ISSN 1660-4601. Available from: https://dx.doi.org/10.3390/ijerph182413373.

@article{1812917,
   author = {Riad, Abanoub and Jouzová, Anna and Üstün, Batuhan and Lagová, Eliška and Hruban, Lukáš and Janků, Petr and Pokorná, Andrea and Klugarová, Jitka and Koščík, Michal and Klugar, Miloslav},
   article_location = {Basel},
   article_number = {24},
   doi = {http://dx.doi.org/10.3390/ijerph182413373},
   keywords = {breastfeeding; COVID-19 vaccines; Czech Republic; decision making; health promotion; pregnant women; risk assessment},
   language = {eng},
   issn = {1660-4601},
   journal = {International Journal of Environmental Research and Public Health},
   title = {COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study},
   url = {https://www.mdpi.com/1660-4601/18/24/13373},
   volume = {18},
   year = {2021}
}

TY  - JOUR
ID  - 1812917
AU  - Riad, Abanoub - Jouzová, Anna - Üstün, Batuhan - Lagová, Eliška - Hruban, Lukáš - Janků, Petr - Pokorná, Andrea - Klugarová, Jitka - Koščík, Michal - Klugar, Miloslav
PY  - 2021
TI  - COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study
JF  - International Journal of Environmental Research and Public Health
VL  - 18
IS  - 24
SP  - 1-24
EP  - 1-24
PB  - MDPI
SN  - 16604601
KW  - breastfeeding
KW  - COVID-19 vaccines
KW  - Czech Republic
KW  - decision making
KW  - health promotion
KW  - pregnant women
KW  - risk assessment
UR  - https://www.mdpi.com/1660-4601/18/24/13373
N2  - Pregnant and lactating women (PLW) represent a particular population subset with increased susceptibility for COVID-19 morbidity and mortality, even though the evidence about the safety and efficacy of COVID-19 vaccines was delayed due to their initial exclusion from development trials. This unclear situation could have led to increased COVID-19 vaccine hesitancy levels among PLW; therefore, this study aimed to evaluate the attitudes of Czech PLW towards COVID-19 vaccines and the determinants of their attitudes. An analytical cross-sectional survey-based study was carried out in the University Hospital Brno (South Moravia, Czechia) between August and October 2021. The study utilised a self-administered questionnaire (SAQ) adapted from previous instruments used for the same purpose. The SAQ included closed-ended items covering demographic characteristics, clinical and obstetric characteristics, attitudes towards COVID-19 vaccination, and potential psychosocial predictors of vaccine acceptance. Out of the 362 included participants, 278 were pregnant (PW) and 84 were lactating women (LW). The overall COVID-19 vaccine acceptance (immediate and delayed) level was substantially high (70.2%), with a significant difference between PW (76.6%) and LW (48.8%). Out of the 70.2% who agreed to receive the vaccine, 3.6% indicated immediate acceptance, and 66.6% indicated delayed acceptance. Only 13.3% of the participants indicated their acceptance of their physician’s vaccination recommendation during pregnancy or while lactating, and 62.2% were against it. Our results agreed with the recent studies that revealed that PW tended to have a high level of COVID-19 vaccine acceptance, and they were also inclined to resist professional recommendations because they predominantly preferred to delay their vaccination. The pregnancy trimester, education level, employment status, and previous live births were significant determinants for COVID-19 vaccine acceptance. The most commonly preferred vaccine type was mRNA-based vaccines, followed by viral vector-based and inactivated virus vaccines. The first top priority of PLW was vaccine safety for their children, followed by vaccine safety for the PLW and vaccine effectiveness. Regarding psychosocial predictors, media/social media, trust in the government, the pharmaceutical industry, and healthcare professionals, partners, and a positive risk-benefit ratio were significant promoters for COVID-19 vaccine acceptance. Findings from this study suggest that promotional interventions targeting PLW should use web platforms and focus on vaccine safety evidence, the expected benefits of vaccines and potential harms of the infection.
ER  -

RIAD, Abanoub, Anna JOUZOVÁ, Batuhan ÜSTÜN, Eliška LAGOVÁ, Lukáš HRUBAN, Petr JANKŮ, Andrea POKORNÁ, Jitka KLUGAROVÁ, Michal KOŠČÍK and Miloslav KLUGAR. COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study. \textit{International Journal of Environmental Research and Public Health}. Basel: MDPI, 2021, vol.~18, No~24, p.~1-24. ISSN~1660-4601. Available from: https://dx.doi.org/10.3390/ijerph182413373.

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