IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i24p13373-d706022.html
   My bibliography  Save this article

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

Author

Listed:
  • Abanoub Riad

    (Department of Public Health, Faculty of Medicine, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic
    Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Faculty of Medicine, Institute of Biostatistics and Analyses, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic)

  • Anna Jouzová

    (Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Obilní Trh 11, 60200 Brno, Czech Republic)

  • Batuhan Üstün

    (Department of Gynecology and Obstetrics, Faculty of Medicine, Namık Kemal University, Namık Kemal Kampüs Caddesi No. 1, Merkez, Tekirdağ 59030, Turkey)

  • Eliška Lagová

    (Department of Public Health, Faculty of Medicine, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic)

  • Lukáš Hruban

    (Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Obilní Trh 11, 60200 Brno, Czech Republic)

  • Petr Janků

    (Department of Obstetrics and Gynecology, University Hospital Brno and Medical Faculty, Masaryk University, Obilní Trh 11, 60200 Brno, Czech Republic
    Department of Health Sciences, Faculty of Medicine, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic)

  • Andrea Pokorná

    (Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Faculty of Medicine, Institute of Biostatistics and Analyses, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic
    Department of Health Sciences, Faculty of Medicine, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic)

  • Jitka Klugarová

    (Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Faculty of Medicine, Institute of Biostatistics and Analyses, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic
    Department of Health Sciences, Faculty of Medicine, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic)

  • Michal Koščík

    (Department of Public Health, Faculty of Medicine, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic
    Equal contribution as senior authorship.)

  • Miloslav Klugar

    (Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Faculty of Medicine, Institute of Biostatistics and Analyses, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic
    Department of Health Sciences, Faculty of Medicine, Masaryk University, Kamenice 5, 62500 Brno, Czech Republic
    Equal contribution as senior authorship.)

Abstract

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.

Suggested Citation

  • Abanoub Riad & Anna Jouzová & Batuhan Üstün & Eliška Lagová & Lukáš Hruban & Petr Janků & Andrea Pokorná & Jitka Klugarová & Michal Koščík & Miloslav Klugar, 2021. "COVID-19 Vaccine Acceptance of Pregnant and Lactating Women (PLW) in Czechia: An Analytical Cross-Sectional Study," IJERPH, MDPI, vol. 18(24), pages 1-24, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13373-:d:706022
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/24/13373/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/24/13373/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Farnoush Khojasteh & Azizollah Arbabisarjou & Tahere Boryri & Amneh Safarzadeh & Mohammad Pourkahkhaei, 2016. "The Relationship between Maternal Employment Status and Pregnancy Outcomes," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(9), pages 1-37, September.
    2. Solís Arce, Julio S. & Warren, Shana S. & Meriggi, Niccolò F. & Scacco, Alexandra & McMurry, Nina & Voors, Maarten & Syunyaev, Georgiy & Malik, Amyn Abdul & Aboutajdine, Samya & Adeojo, Opeyemi & Anig, 2021. "COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 27, pages 1-1.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Klára Papežová & Zlata Kapounová & Veronika Zelenková & Abanoub Riad, 2023. "Nutritional Health Knowledge and Literacy among Pregnant Women in the Czech Republic: Analytical Cross-Sectional Study," IJERPH, MDPI, vol. 20(5), pages 1-19, February.
    2. Sam Schoenmakers & E. J. (Joanne) Verweij & Roseriet Beijers & Hilmar H. Bijma & Jasper V. Been & Régine P. M. Steegers-Theunissen & Marion P. G. Koopmans & Irwin K. M. Reiss & Eric A. P. Steegers, 2022. "The Impact of Maternal Prenatal Stress Related to the COVID-19 Pandemic during the First 1000 Days: A Historical Perspective," IJERPH, MDPI, vol. 19(8), pages 1-23, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Borisova, Ekaterina & Gründler, Klaus & Hackenberger, Armin & Harter, Anina & Potrafke, Niklas & Schoors, Koen, 2023. "Crisis experience and the deep roots of COVID-19 vaccination preferences," European Economic Review, Elsevier, vol. 160(C).
    2. Wen Jiao & Peter Johannes Schulz & Angela Chang, 2024. "Addressing the role of eHealth literacy in shaping popular attitudes towards post-COVID-19 vaccination among Chinese adults," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-11, December.
    3. Josh Bullock & Justin E. Lane & F. LeRon Shults, 2022. "What causes COVID-19 vaccine hesitancy? Ignorance and the lack of bliss in the United Kingdom," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-7, December.
    4. Wu, Jian & Shen, Zhanlei & Li, Quanman & Tarimo, Clifford Silver & Wang, Meiyun & Gu, Jianqin & Wei, Wei & Zhang, Xinyu & Huang, Yanli & Ma, Mingze & Xu, Dongyang & Ojangba, Theodora & Miao, Yudong, 2023. "How urban versus rural residency relates to COVID-19 vaccine hesitancy: A large-scale national Chinese study," Social Science & Medicine, Elsevier, vol. 320(C).
    5. Bonsang, Eric & Pronkina, Elizaveta, 2023. "Family size and vaccination among older individuals: The case of COVID-19 vaccine," Economics & Human Biology, Elsevier, vol. 50(C).
    6. Hess, Stephane & Lancsar, Emily & Mariel, Petr & Meyerhoff, Jürgen & Song, Fangqing & van den Broek-Altenburg, Eline & Alaba, Olufunke A. & Amaris, Gloria & Arellana, Julián & Basso, Leonardo J. & Ben, 2022. "The path towards herd immunity: Predicting COVID-19 vaccination uptake through results from a stated choice study across six continents," Social Science & Medicine, Elsevier, vol. 298(C).
    7. Armand, Alex & Augsburg, Britta & Bancalari, Antonella & Kameshwara, Kalyan Kumar, 2024. "Religious proximity and misinformation: Experimental evidence from a mobile phone-based campaign in India," Journal of Health Economics, Elsevier, vol. 96(C).
    8. Bussolo, Maurizio & Sarma, Nayantara & Torre, Iván, 2023. "The links between COVID-19 vaccine acceptance and non-pharmaceutical interventions," Social Science & Medicine, Elsevier, vol. 320(C).
    9. Islam, Asad & Kusnadi, Gita & Rezki, Jahen & Sim, Armand & van Empel, Giovanni & Vlassopoulos, Michael & Zenou, Yves, 2024. "Addressing vaccine hesitancy using local ambassadors: A randomized controlled trial in Indonesia," European Economic Review, Elsevier, vol. 163(C).
    10. Mishaal M. Almutairi & Mohammad Yamin & George Halikias & Adnan Ahmed Abi Sen, 2021. "A Framework for Crowd Management during COVID-19 with Artificial Intelligence," Sustainability, MDPI, vol. 14(1), pages 1-13, December.
    11. Armand, Alex & Augsburg, Britta & Bancalari, Antonella & Kameshwara, Kalyan Kumar, 2022. "Social Proximity and Misinformation: Experimental Evidence from a Mobile Phone-Based Campaign in India," CEPR Discussion Papers 16492, C.E.P.R. Discussion Papers.
    12. Maureen Ayikoru, & Cole, Jennifer & Dodds, Klaus & Atcero, Milburga & Bada, Joseph K. & Petrikova, Ivica & Worodria, William, 2023. "Addressing vaccine concerns through the spectrum of vaccine acceptance," Social Science & Medicine, Elsevier, vol. 333(C).
    13. Stoler, Justin & Klofstad, Casey A. & Enders, Adam M. & Uscinski, Joseph E., 2022. "Sociopolitical and psychological correlates of COVID-19 vaccine hesitancy in the United States during summer 2021," Social Science & Medicine, Elsevier, vol. 306(C).
    14. Mahmud, Priom & Ahmed, Mushaer & Janan, Farhatul & Xames, Md Doulotuzzaman & Chowdhury, Naimur Rahman, 2023. "Strategies to develop a sustainable and resilient vaccine supply chain in the context of a developing economy," Socio-Economic Planning Sciences, Elsevier, vol. 87(PB).
    15. Candio, Paolo & Violato, Mara & Clarke, Philip M & Duch, Raymond & Roope, Laurence SJ, 2023. "Prevalence, predictors and reasons for COVID-19 vaccine hesitancy: Results of a global online survey," Health Policy, Elsevier, vol. 137(C).
    16. Bruno Arpino & Valeria Bordone & Giorgio Di Gessa, 2022. "Close kin influence COVID-19 precautionary behaviors and vaccine acceptance of older individuals," Econometrics Working Papers Archive 2022_02, Universita' degli Studi di Firenze, Dipartimento di Statistica, Informatica, Applicazioni "G. Parenti".
    17. Brooks, Wyatt & Donovan, Kevin & Johnson, Terence R. & Oluoch-Aridi, Jackline, 2022. "Cash transfers as a response to COVID-19: Experimental evidence from Kenya," Journal of Development Economics, Elsevier, vol. 158(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13373-:d:706022. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.