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COVID-19 vaccine acceptance among pregnant, breastfeeding, and nonpregnant reproductive-aged women.
Sutton, Desmond; D'Alton, Mary; Zhang, Yijia; Kahe, Ka; Cepin, Ana; Goffman, Dena; Staniczenko, Anna; Yates, Hope; Burgansky, Anna; Coletta, Jaclyn; Williams, Zev; Gyamfi-Bannerman, Cynthia.
  • Sutton D; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • D'Alton M; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Zhang Y; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Kahe K; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Cepin A; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Goffman D; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Staniczenko A; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Yates H; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Burgansky A; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Coletta J; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Williams Z; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY.
  • Gyamfi-Bannerman C; From the Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY. Electronic address: cg2231@cumc.columbia.edu.
Am J Obstet Gynecol MFM ; 3(5): 100403, 2021 09.
Article in English | MEDLINE | ID: covidwho-1326902
ABSTRACT

BACKGROUND:

Although mass vaccination against COVID-19 may prove to be the most efficacious end to this deadly pandemic, there remain concern and indecision among the public toward vaccination. Because pregnant and reproductive-aged women account for a large proportion of the population with particular concerns regarding vaccination against COVID-19, this survey aimed at investigating their current attitudes and beliefs within our own institution.

OBJECTIVE:

This study aimed to understand vaccine acceptability among pregnant, nonpregnant, and breastfeeding respondents and elucidate factors associated with COVID-19 vaccine acceptance. STUDY

DESIGN:

We administered an anonymous online survey to all women (including patients, providers, and staff) at our institution assessing rates of acceptance of COVID-19 vaccination. Respondents were contacted in 1 of 3 ways by email, advertisement flyers, and distribution of quick response codes at virtual town halls regarding the COVID-19 vaccine. Based on their responses, respondents were divided into 3 mutually exclusive groups (1) nonpregnant respondents, (2) pregnant respondents, and (3) breastfeeding respondents. The primary outcome was acceptance of vaccination. Prevalence ratios were calculated to ascertain the independent effects of multiple patient-level factors on vaccine acceptability.

RESULTS:

The survey was administered from January 7, 2021, to January 29, 2021, with 1012 respondents of whom 466 (46.9%) identified as non-Hispanic White, 108 (10.9%) as non-Hispanic Black, 286 (28.8%) as Hispanic, and 82 (8.2%) as non-Hispanic Asian. The median age was 36 years (interquartile range, 25-47 years). Of all the respondents, 656 respondents (64.8%) were nonpregnant, 216 (21.3%) were pregnant, and 122 (12.1%) were breastfeeding. There was no difference in chronic comorbidities when evaluated as a composite variable (Table 1). A total of 390 respondents (39.2%) reported working in healthcare. Nonpregnant respondents were most likely to accept vaccination (457 respondents, 76.2%; P<.001) with breastfeeding respondents the second most likely (55.2%). Pregnant respondents had the lowest rate of vaccine acceptance (44.3%; P<.001). Prevalence ratios revealed all non-White races except for non-Hispanic Asian respondents, and Spanish-speaking respondents were less likely to accept vaccination (Table 3). Working in healthcare was not found to be associated with vaccine acceptance among our cohort.

CONCLUSION:

In this survey study of only women at a single institution, pregnant respondents of non-White or non-Asian races were more likely to decline vaccination than nonpregnant and breastfeeding respondents. Working in healthcare was not associated with vaccine acceptance.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Vaccines / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Am J Obstet Gynecol MFM Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Vaccines / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Am J Obstet Gynecol MFM Year: 2021 Document Type: Article