A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand
Abstract To identify pregnant women’s attitudes towards, and acceptance and rejection of, COVID-19 vaccination. This prospective, descriptive, implementation study was conducted in the Antenatal clinic of Siriraj Hospital, Bangkok, Thailand. In Phase I, 40 pregnant women were interviewed. Phase II c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-03-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-55867-z |
| _version_ | 1797275226418970624 |
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| author | Saifon Chawanpaiboon Sanitra Anuwutnavin Attapol Kanjanapongporn Julaporn Pooliam Vitaya Titapant |
| author_facet | Saifon Chawanpaiboon Sanitra Anuwutnavin Attapol Kanjanapongporn Julaporn Pooliam Vitaya Titapant |
| author_sort | Saifon Chawanpaiboon |
| collection | DOAJ |
| description | Abstract To identify pregnant women’s attitudes towards, and acceptance and rejection of, COVID-19 vaccination. This prospective, descriptive, implementation study was conducted in the Antenatal clinic of Siriraj Hospital, Bangkok, Thailand. In Phase I, 40 pregnant women were interviewed. Phase II consisted of questionnaire development and data validation. In Phase III, the questionnaire was administered to 400 participants. Pregnant women’s attitudes towards and acceptance and rejection of COVID-19 vaccination. Most pregnant women were uncertain about the potential harm of vaccination to themselves or their unborn child, including risks such as miscarriage or premature birth (59–66/101 [58.4%–65.3%]; OR 2.53–8.33; 95% CI 1.23–3.60, 5.17–19.30; P < 0.001) compared to those who disagreed with vaccination. Their vaccination decisions were significantly influenced by social media information regarding vaccination complications in pregnant women (74/101 [73.3%]; OR 15.95; 95% CI 2.15–118.55; P = 0.001) compared to those who disagreed with vaccination. Most pregnant women opined that they should not receive a COVID-19 vaccination during pregnancy (adjusted odds ratio [AOR] 6.57; 95% CI 2.44–17.70; P = 0.001). Most also rejected vaccination despite being aware of its benefits (AOR 17.14; 95% CI 6.89–42.62; P < 0.001). Social media messages and obligatory vaccination certifications influence maternal vaccination decisions. Pregnant women believe vaccination helps prevent COVID-19 infection and reduces its severity. Nevertheless, the primary reason for their refusal was concern about potential harm to their unborn child or themselves during pregnancy. The Thai clinical trials registry: TCTR20211126006. |
| first_indexed | 2024-03-07T15:11:18Z |
| format | Article |
| id | doaj.art-a9c216d0aeb74236835e00b9499f4337 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:11:18Z |
| publishDate | 2024-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-a9c216d0aeb74236835e00b9499f43372024-03-05T18:40:18ZengNature PortfolioScientific Reports2045-23222024-03-0114111410.1038/s41598-024-55867-zA qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in ThailandSaifon Chawanpaiboon0Sanitra Anuwutnavin1Attapol Kanjanapongporn2Julaporn Pooliam3Vitaya Titapant4Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of Maternal-Fetal Medicine, Department of Obstetrics & Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Social Sciences, Faculty of Social Sciences and Humanities, Mahidol UniversityClinical Epidemiological Unit, Office for Research and Development, Faculty of Medicine, Siriraj Hospital, Mahidol UniversityDivision of Maternal-Fetal Medicine, Department of Obstetrics & Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol UniversityAbstract To identify pregnant women’s attitudes towards, and acceptance and rejection of, COVID-19 vaccination. This prospective, descriptive, implementation study was conducted in the Antenatal clinic of Siriraj Hospital, Bangkok, Thailand. In Phase I, 40 pregnant women were interviewed. Phase II consisted of questionnaire development and data validation. In Phase III, the questionnaire was administered to 400 participants. Pregnant women’s attitudes towards and acceptance and rejection of COVID-19 vaccination. Most pregnant women were uncertain about the potential harm of vaccination to themselves or their unborn child, including risks such as miscarriage or premature birth (59–66/101 [58.4%–65.3%]; OR 2.53–8.33; 95% CI 1.23–3.60, 5.17–19.30; P < 0.001) compared to those who disagreed with vaccination. Their vaccination decisions were significantly influenced by social media information regarding vaccination complications in pregnant women (74/101 [73.3%]; OR 15.95; 95% CI 2.15–118.55; P = 0.001) compared to those who disagreed with vaccination. Most pregnant women opined that they should not receive a COVID-19 vaccination during pregnancy (adjusted odds ratio [AOR] 6.57; 95% CI 2.44–17.70; P = 0.001). Most also rejected vaccination despite being aware of its benefits (AOR 17.14; 95% CI 6.89–42.62; P < 0.001). Social media messages and obligatory vaccination certifications influence maternal vaccination decisions. Pregnant women believe vaccination helps prevent COVID-19 infection and reduces its severity. Nevertheless, the primary reason for their refusal was concern about potential harm to their unborn child or themselves during pregnancy. The Thai clinical trials registry: TCTR20211126006.https://doi.org/10.1038/s41598-024-55867-zAcceptanceAttitudeCOVID-19Pregnant womenRejectionVaccination |
| spellingShingle | Saifon Chawanpaiboon Sanitra Anuwutnavin Attapol Kanjanapongporn Julaporn Pooliam Vitaya Titapant A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand Scientific Reports Acceptance Attitude COVID-19 Pregnant women Rejection Vaccination |
| title | A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand |
| title_full | A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand |
| title_fullStr | A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand |
| title_full_unstemmed | A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand |
| title_short | A qualitative study of pregnant women’s perceptions and decision-making regarding COVID-19 vaccination in Thailand |
| title_sort | qualitative study of pregnant women s perceptions and decision making regarding covid 19 vaccination in thailand |
| topic | Acceptance Attitude COVID-19 Pregnant women Rejection Vaccination |
| url | https://doi.org/10.1038/s41598-024-55867-z |
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