Sociocultural factors affect COVID-19 vaccine hesitancy among pregnant women? A hospital-oriented cross-sectional study in Turkey: COVID-19 vaccine hesitancy

Ülkü Ayşe Türker Aras; Hilal Karasal; mine arslan; Ayşe Yumru

doi:10.5281/zenodo.8422777

Yazarlar

Ülkü Ayşe Türker Aras Kafkas Universty
Hilal Karasal Kafkas University, Public Health, Kars, Turkey https://orcid.org/0000-0003-1910-2309
mine arslan Kafkas University, Public Health, Kars, Turkey https://orcid.org/0009-0007-5186-3083
Ayşe Yumru Kafkas University, obstetrics and gynecology, Kars, Turkey https://orcid.org/0000-0001-6449-1839

DOI:

https://doi.org/10.5281/zenodo.8422777

Özet

Amaç: Gebelerde COVID-19 aşı tereddütlerinin değerlendirilmesi amaçlandı.

Materyal ve Metot: Hastane odaklı kesitsel bir çalışmadır. Araştırmanın evreni 8972 gebe kadındır. Örnekleme alınan gebe sayısı 368’dir. Bağımlı değişken gebenin aşı tereddüdü, bağımsız değişkenler gebenin sosyodemografik, biyodemografik, sosyoekonomik özellikleridir. İkili karşılaştırmalarda ki-kare analizleri, risk faktörlerinin belirlenmesinde ise lojistik regresyon analizi yapıldı.

Bulgular: araştırmada aşı yaptırma tereddüdü yaşayan gebe sıklığı %59,5’dir. Aşı tereddüdü formel eğitimi olan gebelere göre olmayanlarda 2,470 (CI:1,319-4,625) kat, evde yaşayan çocuğu olmayanlara göre olanlarda 8,136 (CI:3,461-19,122) kat, bu gebeliği istemeyenlere göre isteyenlerde 1,776 (CI:1,039-3,035) kat, sosyal medya ortamından etkilenmeyenlere göre etkilenenlerde 7,485 (CI:2,894-19,360) kat daha fazladır.

Sonuç: düşük eğitim seviyesi, ilk gebelik, gebeliği isteme ve sosyal medya ortamından etkilenme gebelerde COVİD-19 aşı tereddüdü için risk faktörleridir.

Referanslar

- Çantay H, Anuk T, Doğan G. The Effects of the Covid-19 Pandemic on the General Surgery Emergency Protocol. Kocaeli Medical Journal. 2021;10:56-60.

- Collin J, Byström E, Carnahan A. Public Health Agency of Sweden's Brief Report: Pregnant and postpartum women with severe acute respiratory syndrome coronavirus infection in intensive care in Sweden. Acta Obstet Gynecol Scand. 2020;99:819-822.

- Pfizer and BioNTech Announce Vaccine Candidate Against COVID-19 Achieved Success in First Interim Analysis from Phase 3 Study. Available at: URL: https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-announce-vaccine-candidate-against. (Accessed April 24,2021).

- Moderna Announces Primary Efficacy Analysis In Phase 3 Cove Study For Its Covid-19 Vaccine Candidate And Filing Today With U.S. Fda For Emergency Use Authorization. Available at: URL: https://investors.modernatx.com/news-releases/news-release-details/moderna-announces-primary-efficacy-analysis-phase-3-cove-study. (Accessed April 24,2021).

- Zimmer K, Corum J, Kristofferse M, Wee. Coronavirus Vaccine Tracker. Available at: URL: https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html. (Accessed April 29,2021).

-Bloom BR, Nowak GJ, Orenstein W. "When Will We Have a Vaccine?" - Understanding Questions and Answers about Covid-19 Vaccination. N Engl J Med. 2020;383(23):2202-2204.

-Farrell R, Michie M, Pope R. Pregnant Women in Trials of Covid-19: A Critical Time to Consider Ethical Frameworks of Inclusion in Clinical Trials. Ethics Hum Res. 2020;42(4):17-23.

-World Health Organization. Strategic Advisory Group of Experts on Immunization (SAGE). Available at: URL:https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_ GROUP_vaccine_hesitancy_final.pdf. (Accessed April 29,2021).

- Knoll MD, Wonodi C. Oxford-AstraZeneca COVID-19 vaccine efficacy. Lancet. 2021;397(10269):72-74.

- Covid-19 updated guide in Turkey. Available at: UR: https://dosyasb.saglik.gov.tr. (Accessed April 24,2021).

- Chen J, Spracklen CN, Marenne G. Meta-Analysis of Glucose and Insulin-related Traits Consortium (MAGIC). The trans-ancestral genomic architecture of glycemic traits. Nat Genet. 2021;53(6):840-860.

- Ahlers-Schmidt CR, Hervey AM, Neil T. Concerns of women regarding pregnancy and childbirth during the COVID-19 pandemic. Patient Educ Couns. 2020;103(12):2578–82.

- Park KS, Sun X, Aikins ME. Non-viral COVID-19 vaccine delivery systems. Adv Drug Deliv Rev. 2021;169:137-151.

- Salali GD, Uysal MS. COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel coronavirus in the UK and Turkey. Psychol Med. 2020;19:1-3.

- D'Souza R, Ashraf R, Rowe H. Pregnancy and COVID-19: pharmacologic considerations. Ultrasound Obstet Gynecol. 2021;57(2):195-203.

- Sallam M, Dababseh D, Eid H, et al. High Rates of COVID-19 Vaccine Hesitancy and Its Association with Conspiracy Beliefs: A Study in Jordan and Kuwait among Other Arab Countries. Vaccines (Basel). 2021;9(1):42.

- Catak B, Oner C. Sociocultural Factors Affecting Unplanned Deliveries at Home: A Community-Based Case Control Study. Soc Work Public Health. 2015;30(7):535-44.

- Harrison EA, Wu JW. Vaccine confidence in the time of COVID-19. Eur J Epidemiol. 2020;35(4):325-330.

- Yang J, Zheng Y, Gou X. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis. 2020;94:91-95.

- Kourlaba G, Kourkouni E, Maistreli S. Willingness of Greek general population to get a COVID-19 vaccine. Glob Health Res Policy. 2021;6(1):3.

-Khubchandani J, Saiki D, Kandiah J. Masks, gloves, and the COVID-19 pandemic: Rapid assessment of public behaviors in the United States. Epidemiologia. 2020;1(1):16.

- Applewhite A, Stancampiano FF, Harris DM. A Retrospective Analysis of Gender-Based Difference in Adherence to Influenza Vaccination during the 2018-2019 Season. J Prim Care Community Health. 2020;11:21-50.

- Razai MS, Osama T, McKechnie DGJ. Covid-19 vaccine hesitancy among ethnic minority groups. BMJ. 2021;26:372-513.

-Blankenship EB, Goff ME, Yin J. Sentiment, Contents, and Retweets: A Study of Two Vaccine-Related Twitter Datasets. Perm J. 2018;22:17-138.

-Basch CH, MacLean SA. A content analysis of HPV related posts on instagram. Hum Vaccin Immunother. 2019;15(7-8):1476-1478.

-Puri N, Coomes EA, Haghbayan H. Social media and vaccine hesitancy: new updates for the era of COVID-19 and globalized infectious diseases. Hum Vaccin Immunother. 2020;16(11):2586-2593.