Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief model
Abstract Background Pregnant women are at high risk for affliction by coronavirus disease 2019 (COVID-19). Vaccination is a main strategy to prevent and manage the COVID-19 pandemic. However, hesitancy about COVID-19 vaccination (HACV) is a major public health threat and a major barrier to herd immu...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-022-04941-3 |
| _version_ | 1818505117321658368 |
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| author | Mojgan Firouzbakht Hamid Sharif Nia Fatemeh Kazeminavaei Pegah Rashidian |
| author_facet | Mojgan Firouzbakht Hamid Sharif Nia Fatemeh Kazeminavaei Pegah Rashidian |
| author_sort | Mojgan Firouzbakht |
| collection | DOAJ |
| description | Abstract Background Pregnant women are at high risk for affliction by coronavirus disease 2019 (COVID-19). Vaccination is a main strategy to prevent and manage the COVID-19 pandemic. However, hesitancy about COVID-19 vaccination (HACV) is a major public health threat and a major barrier to herd immunity. The aim of the study was to evaluate pregnant women’s HACV based on the Health Belief Model (HBM). Methods This cross-sectional study was conducted in 2021–2022. Participants were 352 pregnant women selected from several healthcare centers in the north of Iran. Instruments for data collection were a demographic questionnaire, a COVID-19 Knowledge Questionnaire, a COVID-19 Health Belief Questionnaire, and a question about HACV. Logistic regression analysis was used to assess the effects of the study variables on HACV. Results The rate of HACV was 42.61%. In the regression model, the three factors of perceived benefits (aOR: 0.700; 95% CI: 0.594 to 0.825), cues to action (aOR: 0.621; 95% CI: 0.516 to 0.574), and history of reproductive problems (aOR: 2.327; 95% CI: 0.1.262 to 4.292) had significant effects on HACV (P < 0.001). Conclusion HACV is highly prevalent among pregnant women. The perceived benefits and cues to action components of HBM have significant effects on pregnant women’s HACV, while the perceived threat component has no significant effect on it. HBM is a good model to explain HACV among pregnant women. Educational interventions are necessary to improve pregnant women’s awareness of the risks of COVID-19 for them and their fetus. |
| first_indexed | 2024-12-10T21:46:22Z |
| format | Article |
| id | doaj.art-3ce8b6178ba94c5cba91336c750fa960 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-10T21:46:22Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-3ce8b6178ba94c5cba91336c750fa9602022-12-22T01:32:21ZengBMCBMC Pregnancy and Childbirth1471-23932022-08-012211910.1186/s12884-022-04941-3Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief modelMojgan Firouzbakht0Hamid Sharif Nia1Fatemeh Kazeminavaei2Pegah Rashidian3Department of Nursing- Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad UniversityAmol Faculty of Nursing and Midwifery, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical ScienceDepartment of Nursing- Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad UniversityStudent Research committee, Guilan University of Medical SciencesAbstract Background Pregnant women are at high risk for affliction by coronavirus disease 2019 (COVID-19). Vaccination is a main strategy to prevent and manage the COVID-19 pandemic. However, hesitancy about COVID-19 vaccination (HACV) is a major public health threat and a major barrier to herd immunity. The aim of the study was to evaluate pregnant women’s HACV based on the Health Belief Model (HBM). Methods This cross-sectional study was conducted in 2021–2022. Participants were 352 pregnant women selected from several healthcare centers in the north of Iran. Instruments for data collection were a demographic questionnaire, a COVID-19 Knowledge Questionnaire, a COVID-19 Health Belief Questionnaire, and a question about HACV. Logistic regression analysis was used to assess the effects of the study variables on HACV. Results The rate of HACV was 42.61%. In the regression model, the three factors of perceived benefits (aOR: 0.700; 95% CI: 0.594 to 0.825), cues to action (aOR: 0.621; 95% CI: 0.516 to 0.574), and history of reproductive problems (aOR: 2.327; 95% CI: 0.1.262 to 4.292) had significant effects on HACV (P < 0.001). Conclusion HACV is highly prevalent among pregnant women. The perceived benefits and cues to action components of HBM have significant effects on pregnant women’s HACV, while the perceived threat component has no significant effect on it. HBM is a good model to explain HACV among pregnant women. Educational interventions are necessary to improve pregnant women’s awareness of the risks of COVID-19 for them and their fetus.https://doi.org/10.1186/s12884-022-04941-3COVID-19Pregnant womenHesitancy about COVID-19 vaccinationIran |
| spellingShingle | Mojgan Firouzbakht Hamid Sharif Nia Fatemeh Kazeminavaei Pegah Rashidian Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief model BMC Pregnancy and Childbirth COVID-19 Pregnant women Hesitancy about COVID-19 vaccination Iran |
| title | Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief model |
| title_full | Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief model |
| title_fullStr | Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief model |
| title_full_unstemmed | Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief model |
| title_short | Hesitancy about COVID-19 vaccination among pregnant women: a cross-sectional study based on the health belief model |
| title_sort | hesitancy about covid 19 vaccination among pregnant women a cross sectional study based on the health belief model |
| topic | COVID-19 Pregnant women Hesitancy about COVID-19 vaccination Iran |
| url | https://doi.org/10.1186/s12884-022-04941-3 |
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