期刊
PUBLIC HEALTH REPORTS
卷 137, 期 5, 页码 988-999出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/00333549221099244
关键词
COVID-19; pregnancy; vaccination; intent; attitudes
资金
- Centers for Disease Control and Prevention
Vaccination coverage and intent among pregnant women in the United States were assessed in this study. The results showed that a relatively low percentage of pregnant women received the COVID-19 vaccine, and there were varying levels of intent to receive the vaccine. Pregnant women who had a healthcare provider recommendation, lived with someone at risk for serious complications, or had received the influenza vaccine were more likely to receive the COVID-19 vaccine. Concerns about safety risks to both the baby and themselves, as well as distrust in the rapid development and approval process of the vaccine, were common reasons for nonvaccination.
Objectives: National data on COVID-19 vaccination coverage among pregnant women are limited. We assessed COVID-19 vaccination coverage and intent, factors associated with COVID-19 vaccination, reasons for nonvaccination, and knowledge, attitudes, and beliefs related to COVID-19 illness and vaccination among pregnant women in the United States. Methods: Data from an opt-in internet panel survey of pregnant women conducted March 31-April 16, 2021, assessed receipt of >= 1 dose of any COVID-19 vaccine during pregnancy. The sample included 1516 women pregnant any time during December 1, 2020-April 16, 2021, who were not fully vaccinated before pregnancy. We used multivariable logistic regression to determine variables independently associated with receipt of COVID-19 vaccine. Results: As of April 16, 2021, 21.7% of pregnant women had received >= 1 dose of COVID-19 vaccine during pregnancy, 24.0% intended to receive a vaccine, 17.2% were unsure, and 37.1% did not intend to receive a vaccine. Pregnant women with (vs without) a health care provider recommendation (adjusted prevalence ratio [aPR] = 4.86), those who lived (vs not) with someone with a condition that could increase risk for serious medical complications of COVID-19 (aPR = 2.11), and those who had received (vs not) an influenza vaccination (aPR = 2.35) were more likely to receive a COVID-19 vaccine. Common reasons for nonvaccination included concerns about safety risk to baby (37.2%) or self (34.6%) and about rapid vaccine development (29.7%) and approval (30.9%). Conclusions: Our findings indicate a continued need to emphasize the benefits of COVID-19 vaccination during pregnancy and to widely disseminate the recommendations of the Centers for Disease Control and Prevention and other clinical professional societies for all pregnant women to be vaccinated.
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