Knowledge, Attitudes, and Subjective Norms Associated with COVID-19 Vaccination among Pregnant Women in Kenya: An Online Cross-Sectional Pilot Study Using WhatsApp
COVID-19 vaccination during pregnancy has been recommended, but the perceptions related to uptake remain unexplored. This pilot study aimed to explore how perceptions influence COVID-19 vaccine uptake among a sample of 115 pregnant women in Kenya, recruited via WhatsApp. Data were collected using an...
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| Veröffentlicht in: | International journal of environmental research and public health 2024-01, Vol.21 (1), p.98 |
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| creator | Ayieko, Sylvia Jaoko, Walter Opiyo, Rose Okoyo Orang'o, Elkanah Omenge Messiah, Sarah E Baker, Kimberly Markham, Christine |
| description | COVID-19 vaccination during pregnancy has been recommended, but the perceptions related to uptake remain unexplored. This pilot study aimed to explore how perceptions influence COVID-19 vaccine uptake among a sample of 115 pregnant women in Kenya, recruited via WhatsApp. Data were collected using an adapted online questionnaire between May and October 2022. Logistic analyses assessed the relationship between COVID-19 vaccination uptake and the Theory of Reasoned Action (TRA) constructs: attitudes and subjective norms. COVID-19 vaccination coverage was 73%, with vaccine hesitancy estimated at 41.4% among the unvaccinated group. Most participants had completed college education and had good knowledge of COVID-19 vaccines. There was no significant effect of enrollment in WhatsApp pregnancy groups on attitudes toward COVID-19 vaccination. Pregnant women were concerned about vaccine effectiveness (31.1%), and almost one-half (47.3%) were discouraged from receiving COVID-19 vaccines. Positive attitudes towards vaccination were associated with COVID-19 vaccination (aOR 2.81; 95% CI 1.12-7.04;
= 0.027), but no significant relationship was found between COVID-19 vaccination and strong subjective norms (influences to get COVID-19 vaccines). Our findings suggest that strategies to improve vaccination should consider targeting attitudes and proximal social networks (friends/family) to facilitate vaccination decision-making. WhatsApp can be used for research distribution and enhance the dissemination of accurate information. |
| doi_str_mv | 10.3390/ijerph21010098 |
| format | Article |
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= 0.027), but no significant relationship was found between COVID-19 vaccination and strong subjective norms (influences to get COVID-19 vaccines). Our findings suggest that strategies to improve vaccination should consider targeting attitudes and proximal social networks (friends/family) to facilitate vaccination decision-making. WhatsApp can be used for research distribution and enhance the dissemination of accurate information.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph21010098</identifier><identifier>PMID: 38248561</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Attitudes ; COVID-19 - prevention & control ; COVID-19 vaccines ; COVID-19 Vaccines - therapeutic use ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Immunization ; Kenya - epidemiology ; Pilot Projects ; Pregnancy ; Pregnant Women ; Vaccination ; Womens health</subject><ispartof>International journal of environmental research and public health, 2024-01, Vol.21 (1), p.98</ispartof><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2788-c6e56e82f1036f424ab1969d6e1fbc55667d6b6ae5154990dd4d72447237ecf3</citedby><cites>FETCH-LOGICAL-c2788-c6e56e82f1036f424ab1969d6e1fbc55667d6b6ae5154990dd4d72447237ecf3</cites><orcidid>0000-0001-6685-2175 ; 0000-0003-0587-894X ; 0000-0002-9967-5432 ; 0000-0002-1169-1666 ; 0000-0003-1551-244X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38248561$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ayieko, Sylvia</creatorcontrib><creatorcontrib>Jaoko, Walter</creatorcontrib><creatorcontrib>Opiyo, Rose Okoyo</creatorcontrib><creatorcontrib>Orang'o, Elkanah Omenge</creatorcontrib><creatorcontrib>Messiah, Sarah E</creatorcontrib><creatorcontrib>Baker, Kimberly</creatorcontrib><creatorcontrib>Markham, Christine</creatorcontrib><title>Knowledge, Attitudes, and Subjective Norms Associated with COVID-19 Vaccination among Pregnant Women in Kenya: An Online Cross-Sectional Pilot Study Using WhatsApp</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>COVID-19 vaccination during pregnancy has been recommended, but the perceptions related to uptake remain unexplored. This pilot study aimed to explore how perceptions influence COVID-19 vaccine uptake among a sample of 115 pregnant women in Kenya, recruited via WhatsApp. Data were collected using an adapted online questionnaire between May and October 2022. Logistic analyses assessed the relationship between COVID-19 vaccination uptake and the Theory of Reasoned Action (TRA) constructs: attitudes and subjective norms. COVID-19 vaccination coverage was 73%, with vaccine hesitancy estimated at 41.4% among the unvaccinated group. Most participants had completed college education and had good knowledge of COVID-19 vaccines. There was no significant effect of enrollment in WhatsApp pregnancy groups on attitudes toward COVID-19 vaccination. Pregnant women were concerned about vaccine effectiveness (31.1%), and almost one-half (47.3%) were discouraged from receiving COVID-19 vaccines. Positive attitudes towards vaccination were associated with COVID-19 vaccination (aOR 2.81; 95% CI 1.12-7.04;
= 0.027), but no significant relationship was found between COVID-19 vaccination and strong subjective norms (influences to get COVID-19 vaccines). Our findings suggest that strategies to improve vaccination should consider targeting attitudes and proximal social networks (friends/family) to facilitate vaccination decision-making. 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| subjects | Attitudes COVID-19 - prevention & control COVID-19 vaccines COVID-19 Vaccines - therapeutic use Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Humans Immunization Kenya - epidemiology Pilot Projects Pregnancy Pregnant Women Vaccination Womens health |
| title | Knowledge, Attitudes, and Subjective Norms Associated with COVID-19 Vaccination among Pregnant Women in Kenya: An Online Cross-Sectional Pilot Study Using WhatsApp |
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