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- Title
Factors associated with COVID-19 vaccination among pregnant women in Rio De Janeiro City, Brazil.
- Authors
Borges, Moara Alves Santa Bárbara; Florentino, Pilar Tavares Veras; Cerqueira-Silva, Thiago; de Carvalho, Luciana Freire; de Araújo Oliveira, Vinícius; Aguilar, Gislani Mateus Oliveira; Prado, Rodrigo de Sousa; Soranz, Daniel; Werneck, Guilherme Loureiro; Pescarini, Julia M.; da Costa, Paulo Sérgio Sucasas; Barreto, Mauricio Lima; de Oliveira Garcia, Márcio Henrique; Penna, Gerson Oliveira; Barral-Netto, Manoel; Paixão, Enny S.
- Abstract
COVID-19 vaccination during pregnancy is safe and effective in reducing the risk of complications. However, the uptake is still below targets worldwide. This study aimed to explore the factors associated with COVID-19 vaccination uptake among pregnant women since data on this topic is scarce in low-to-middle-income countries. A retrospective cohort study included linked data on COVID-19 vaccination and pregnant women who delivered a singleton live birth from August 1, 2021, to July 31, 2022, in Rio de Janeiro City, Brazil. Multiple logistic regression was performed to identify factors associated with vaccination during pregnancy, applying a hierarchical model and describing odds ratio with 95% confidence intervals. Of 65,304 pregnant women included in the study, 53.0% (95% CI, 52–53%) received at least one dose of COVID-19 vaccine during pregnancy. Higher uptake was observed among women aged older than 34 (aOR 1.21, 95%CI 1.15–1.28), black (aOR 1.10, 1.04–1.16), or parda/brown skin colour (aOR 1.05, 1.01–1.09), with less than eight years of education (aOR 1.09, 1.02–1.17), living without a partner (aOR 2.24, 2.16–2.34), more than six antenatal care appointments (aOR 1.92, 1.75–2.09), and having a previous child loss (OR 1.06, 1.02–1.11). These results highlight the need for targeted educational campaigns, trustful communication, and accessibility strategies for specific populations to improve vaccination uptake during pregnancy.
- Subjects
BRAZIL; RIO de Janeiro (Brazil); PREGNANT women; COVID-19 vaccines; COVID-19 pandemic; PRENATAL care; CHILD death
- Publication
Scientific Reports, 2023, Vol 13, Issue 1, p1
- ISSN
2045-2322
- Publication type
Article
- DOI
10.1038/s41598-023-44370-6