Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco

Background and aim: Vaccination against COVID-19 was one of the most important resolute to stop the spread of the pandemic; however, its acceptance was controversial especially by pregnant and lactating women. This study aims to assess the prevalence of vaccination among participants as well as to e...

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Main Authors: Fatima Zohra Benayad, Rachid Razine, Abbas Ermilo Haroun, Ahmed Oubaasri, Elmostafa El Fahim, Redouane Abouqal, Majdouline Obtel
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213398423000283
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author Fatima Zohra Benayad
Rachid Razine
Abbas Ermilo Haroun
Ahmed Oubaasri
Elmostafa El Fahim
Redouane Abouqal
Majdouline Obtel
author_facet Fatima Zohra Benayad
Rachid Razine
Abbas Ermilo Haroun
Ahmed Oubaasri
Elmostafa El Fahim
Redouane Abouqal
Majdouline Obtel
author_sort Fatima Zohra Benayad
collection DOAJ
description Background and aim: Vaccination against COVID-19 was one of the most important resolute to stop the spread of the pandemic; however, its acceptance was controversial especially by pregnant and lactating women. This study aims to assess the prevalence of vaccination among participants as well as to explore the determinants of reluctance or adherence to vaccination among this population, and to investigate the intention towards vaccination among the unvaccinated. Method: This is a cross-sectional study conducted among mothers (n = 458) residing in the prefecture of Skhirat-Temara in Morocco, and who have children aged between one month to 2 years, the survey was conducted on the basis of a semi-structured questionnaire. Result: The prevalence of vaccination among the participants was 61.8%, although they were all vaccinated after their delivery. Among the unvaccinated, 64% wanted to be vaccinated either because they believed the vaccines were useful or because they wanted to get the vaccine pass, while 36% absolutely refused to be vaccinated due to lack of sufficient information on the efficacy and safety of new vaccines against COVID-19. The age of the last child (p < 0.001) and no gestational diabetes during pregnancy (p = 0.016) were found to be positive predictors of vaccination adherence; however, the average or the high monthly income (p = 0.003) and the lack of medical coverage (p = 0.046) were predictive factors limiting adherence to vaccination. Conclusion: The results of this study suggest that public health decision-makers need to increase awareness of the benefits of vaccination and to address the economic and social factors limiting access to COVID-19 vaccination.
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spelling doaj.art-1f5a9994c1ee4cb89f72da48e332e9862023-04-10T04:03:55ZengElsevierClinical Epidemiology and Global Health2213-39842023-03-0120101241Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in MoroccoFatima Zohra Benayad0Rachid Razine1Abbas Ermilo Haroun2Ahmed Oubaasri3Elmostafa El Fahim4Redouane Abouqal5Majdouline Obtel6Laboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco; Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco; Corresponding author. Laboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco.Laboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco; Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, MoroccoLaboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco; Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, MoroccoLaboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco; Higher Institutes of Nursing Professions and Health Techniques, Guelmim, MoroccoMolecular Biology and Functional Genomics Platform, National Center for Scientific and Technical Research (CNRST), Rabat, Morocco; Neuroscience and Neurogenetics Research Team, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, MoroccoLaboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco; Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, MoroccoLaboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Morocco; Laboratory of Social Medicine (Public Health, Hygiene and Preventive Medicine), Department of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, MoroccoBackground and aim: Vaccination against COVID-19 was one of the most important resolute to stop the spread of the pandemic; however, its acceptance was controversial especially by pregnant and lactating women. This study aims to assess the prevalence of vaccination among participants as well as to explore the determinants of reluctance or adherence to vaccination among this population, and to investigate the intention towards vaccination among the unvaccinated. Method: This is a cross-sectional study conducted among mothers (n = 458) residing in the prefecture of Skhirat-Temara in Morocco, and who have children aged between one month to 2 years, the survey was conducted on the basis of a semi-structured questionnaire. Result: The prevalence of vaccination among the participants was 61.8%, although they were all vaccinated after their delivery. Among the unvaccinated, 64% wanted to be vaccinated either because they believed the vaccines were useful or because they wanted to get the vaccine pass, while 36% absolutely refused to be vaccinated due to lack of sufficient information on the efficacy and safety of new vaccines against COVID-19. The age of the last child (p < 0.001) and no gestational diabetes during pregnancy (p = 0.016) were found to be positive predictors of vaccination adherence; however, the average or the high monthly income (p = 0.003) and the lack of medical coverage (p = 0.046) were predictive factors limiting adherence to vaccination. Conclusion: The results of this study suggest that public health decision-makers need to increase awareness of the benefits of vaccination and to address the economic and social factors limiting access to COVID-19 vaccination.http://www.sciencedirect.com/science/article/pii/S2213398423000283Covid-19VaccinationBreastfeedingPregnantDeterminants
spellingShingle Fatima Zohra Benayad
Rachid Razine
Abbas Ermilo Haroun
Ahmed Oubaasri
Elmostafa El Fahim
Redouane Abouqal
Majdouline Obtel
Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco
Clinical Epidemiology and Global Health
Covid-19
Vaccination
Breastfeeding
Pregnant
Determinants
title Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco
title_full Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco
title_fullStr Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco
title_full_unstemmed Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco
title_short Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco
title_sort prevalence and predictive determinants of adherence to vaccination against covid 19 among mothers who gave birth in the last two years in morocco
topic Covid-19
Vaccination
Breastfeeding
Pregnant
Determinants
url http://www.sciencedirect.com/science/article/pii/S2213398423000283
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