Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making Factors
<b>Background and Objectives:</b> In response to the COVID-19 pandemic, Israel prioritized pregnant women for vaccination, recognizing them as a high-risk group. This study aims to explore factors influencing the acceptance of Influenza, Pertussis (T-dap), and COVID-19 vaccines among pre...
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MDPI AG
2024-12-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/12/12/1404 |
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| author | Noa Feldman Michal Bitan Maya Alayev Orna Tal |
| author_facet | Noa Feldman Michal Bitan Maya Alayev Orna Tal |
| author_sort | Noa Feldman |
| collection | DOAJ |
| description | <b>Background and Objectives:</b> In response to the COVID-19 pandemic, Israel prioritized pregnant women for vaccination, recognizing them as a high-risk group. This study aims to explore factors influencing the acceptance of Influenza, Pertussis (T-dap), and COVID-19 vaccines among pregnant women, focusing on attitudes, social norms, perceived control, and risk perceptions. Additionally, the study compares acceptance patterns between traditional vaccines and the newer COVID-19 vaccine. <b>Methods:</b> A prospective cohort study was conducted between December 2019 and December 2021 involving 449 predominantly Israeli pregnant women. A survey was administered to gather data on demographics, obstetric history, vaccination history, and factors influencing vaccination decisions. <b>Results:</b> COVID-19 vaccine uptake was the highest at 64% (202/314), followed by T-dap at 49% (221/449) and Influenza at 32% (146/449). Multivariable logistic regression showed that non-religious women and those with academic education were more likely to accept vaccines, especially the COVID-19 vaccine. Physician recommendations were the most influential factor in vaccine acceptance, while internet and media sources played a significant role in shaping COVID-19 vaccine decisions. Perceived risks varied: Whooping Cough was seen as the greatest threat to newborns, while COVID-19 posed the highest risk to mothers. Analyzing maternal and neonatal disease perception using multivariable linear regression, we found that information on maternal and neonatal Flu, Whooping Cough, and COVID-19 was significantly positively correlated with disease perception for each condition. <b>Conclusions:</b> Healthcare providers play a crucial role in influencing vaccine decisions, especially through personalized communication. Strategies targeting religious communities and leveraging media can help address vaccine hesitancy, ultimately improving maternal and neonatal health outcomes. |
| format | Article |
| id | doaj-art-89d1b23f47c04faa83ff0fdcfa3d8bf9 |
| institution | OA Journals |
| issn | 2076-393X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Vaccines |
| spelling | doaj-art-89d1b23f47c04faa83ff0fdcfa3d8bf92025-08-20T02:01:29ZengMDPI AGVaccines2076-393X2024-12-011212140410.3390/vaccines12121404Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making FactorsNoa Feldman0Michal Bitan1Maya Alayev2Orna Tal3The Shamir Medical Center (Assaf Harofeh), Rishon LeZion, 4 Icet, Zrifin 7033001, IsraelSchool of Computer Science, The College of Management, Rishon LeZion 7570724, IsraelThe Shamir Medical Center (Assaf Harofeh), Rishon LeZion, 4 Icet, Zrifin 7033001, IsraelThe Shamir Medical Center (Assaf Harofeh), Rishon LeZion, 4 Icet, Zrifin 7033001, Israel<b>Background and Objectives:</b> In response to the COVID-19 pandemic, Israel prioritized pregnant women for vaccination, recognizing them as a high-risk group. This study aims to explore factors influencing the acceptance of Influenza, Pertussis (T-dap), and COVID-19 vaccines among pregnant women, focusing on attitudes, social norms, perceived control, and risk perceptions. Additionally, the study compares acceptance patterns between traditional vaccines and the newer COVID-19 vaccine. <b>Methods:</b> A prospective cohort study was conducted between December 2019 and December 2021 involving 449 predominantly Israeli pregnant women. A survey was administered to gather data on demographics, obstetric history, vaccination history, and factors influencing vaccination decisions. <b>Results:</b> COVID-19 vaccine uptake was the highest at 64% (202/314), followed by T-dap at 49% (221/449) and Influenza at 32% (146/449). Multivariable logistic regression showed that non-religious women and those with academic education were more likely to accept vaccines, especially the COVID-19 vaccine. Physician recommendations were the most influential factor in vaccine acceptance, while internet and media sources played a significant role in shaping COVID-19 vaccine decisions. Perceived risks varied: Whooping Cough was seen as the greatest threat to newborns, while COVID-19 posed the highest risk to mothers. Analyzing maternal and neonatal disease perception using multivariable linear regression, we found that information on maternal and neonatal Flu, Whooping Cough, and COVID-19 was significantly positively correlated with disease perception for each condition. <b>Conclusions:</b> Healthcare providers play a crucial role in influencing vaccine decisions, especially through personalized communication. Strategies targeting religious communities and leveraging media can help address vaccine hesitancy, ultimately improving maternal and neonatal health outcomes.https://www.mdpi.com/2076-393X/12/12/1404COVID-19InfluenzaWhooping CoughT-daphesitancyvaccine |
| spellingShingle | Noa Feldman Michal Bitan Maya Alayev Orna Tal Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making Factors Vaccines COVID-19 Influenza Whooping Cough T-dap hesitancy vaccine |
| title | Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making Factors |
| title_full | Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making Factors |
| title_fullStr | Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making Factors |
| title_full_unstemmed | Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making Factors |
| title_short | Vaccine Acceptance Among Pregnant Women in Israel During COVID-19: Influences and Decision-Making Factors |
| title_sort | vaccine acceptance among pregnant women in israel during covid 19 influences and decision making factors |
| topic | COVID-19 Influenza Whooping Cough T-dap hesitancy vaccine |
| url | https://www.mdpi.com/2076-393X/12/12/1404 |
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