We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
COVID-19 Vaccine Acceptance in Pregnant Women in the United States: A Systematic Review and Meta-Analysis.
- Authors
Patel, Amy; Puglisi, Jose L.; Patel, Seeta; Tarn, Derjung M.
- Abstract
Purpose: Pregnant women are vulnerable to Coronavirus Disease 2019 (COVID-19) complications, yet may hesitate to get vaccinated. It is important to identify racial/ethnic and other individual characteristics associated with COVID-19 vaccine acceptance in the United States during pregnancy. Methods: We searched PubMed, Embase, and Web of Science for articles published through January 2023 for keywords/terms related to immunization, COVID-19, and pregnancy, and performed a systematic review and meta-analysis to examine characteristics associated with vaccine acceptance. Results: Of 1,592 articles, 23 met inclusion criteria (focused on pregnant women in the United States, and their willingness or hesitation to vaccinate). Twenty-two of the studies examined receipt of ≥1 COVID-19 vaccine dose and/or intention to vaccinate, while one examined vaccine hesitancy. Vaccine acceptance rates ranged from 7% to 78.3%. Meta-analyses demonstrated that compared with Whites, Hispanics (odds ratios [OR] 0.72; 95% confidence interval [CI] 0.58–0.91) and Blacks (OR 0.44; 95% CI 0.30–0.63) had less COVID-19 vaccine acceptance, while Asians (OR 1.78; 95% CI 1.10–2.88) had greater vaccine acceptance. College graduation or more (OR 3.25; 95% CI 2.53–4.17), receipt or intention to receive the influenza vaccine (OR 3.46; 95% CI 2.22–5.41), and at least part-time employment (OR 2.12; 95% CI 1.66–2.72) were significantly associated with vaccine acceptance. Conclusions: COVID-19 vaccine nonacceptance in pregnant women is associated with Hispanic ethnicity and Black race, while acceptance is associated with Asian race, college education or more, at least part-time employment, and acceptance of the influenza vaccine. Future COVID-19 vaccination campaigns can target identified subgroups of pregnant women who are less likely to accept vaccination.
- Subjects
UNITED States; MEDICAL information storage &; retrieval systems; AFRICAN Americans; VACCINATION; SOCIOECONOMIC factors; HISPANIC Americans; INFLUENZA vaccines; COVID-19 vaccines; META-analysis; WHITE people; ASIANS; DESCRIPTIVE statistics; ATTITUDE (Psychology); SYSTEMATIC reviews; MEDLINE; RACE; ODDS ratio; VACCINE hesitancy; INTENTION; ONLINE information services; CONFIDENCE intervals; PSYCHOSOCIAL factors; EDUCATIONAL attainment; EMPLOYMENT; PREGNANCY
- Publication
Journal of Women's Health (15409996), 2024, Vol 33, Issue 4, p453
- ISSN
1540-9996
- Publication type
Article
- DOI
10.1089/jwh.2023.0498