Attitudes Toward COVID-19 Vaccines Among Pregnant and Recently Pregnant Individuals
Pregnant people and infants are at high risk of severe COVID-19 outcomes. Understanding changes in attitudes toward COVID-19 vaccines among pregnant and recently pregnant people is important for public health messaging. To assess attitudinal trends regarding COVID-19 vaccines by (1) vaccination stat...
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| Veröffentlicht in: | JAMA network open 2024-04, Vol.7 (4), p.e245479 |
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| creator | Williams, Joshua T B Kurlandsky, Kate Breslin, Kristin Durfee, M Joshua Stein, Amy Hurley, Laura Shoup, Jo Ann Reifler, Liza M Daley, Matthew F Lewin, Bruno J Goddard, Kristin Henninger, Michelle L Nelson, Jennifer C Vazquez-Benitez, Gabriela Hanson, Kayla E Fuller, Candace C Weintraub, Eric S McNeil, Michael M Hambidge, Simon J |
| description | Pregnant people and infants are at high risk of severe COVID-19 outcomes. Understanding changes in attitudes toward COVID-19 vaccines among pregnant and recently pregnant people is important for public health messaging.
To assess attitudinal trends regarding COVID-19 vaccines by (1) vaccination status and (2) race, ethnicity, and language among samples of pregnant and recently pregnant Vaccine Safety Datalink (VSD) members from 2021 to 2023.
This cross-sectional surveye study included pregnant or recently pregnant members of the VSD, a collaboration of 13 health care systems and the US Centers for Disease Control and Prevention. Unvaccinated, non-Hispanic Black, and Spanish-speaking members were oversampled. Wave 1 took place from October 2021 to February 2022, and wave 2 took place from November 2022 to February 2023. Data were analyzed from May 2022 to September 2023.
Self-reported or electronic health record (EHR)-derived race, ethnicity, and preferred language.
Self-reported vaccination status and attitudes toward monovalent (wave 1) or bivalent Omicron booster (wave 2) COVID-19 vaccines. Sample- and response-weighted analyses assessed attitudes by vaccination status and 3 race, ethnicity, and language groupings of interest.
There were 1227 respondents; all identified as female, the mean (SD) age was 31.7 (5.6) years, 356 (29.0%) identified as Black race, 555 (45.2%) identified as Hispanic ethnicity, and 445 (36.3%) preferred the Spanish language. Response rates were 43.5% for wave 1 (652 of 1500 individuals sampled) and 39.5% for wave 2 (575 of 1456 individuals sampled). Respondents were more likely than nonrespondents to be White, non-Hispanic, and vaccinated per EHR. Overall, 76.8% (95% CI, 71.5%-82.2%) reported 1 or more COVID-19 vaccinations; Spanish-speaking Hispanic respondents had the highest weighted proportion of respondents with 1 or more vaccination. Weighted estimates of somewhat or strongly agreeing that COVID-19 vaccines are safe decreased from wave 1 to 2 for respondents who reported 1 or more vaccinations (76% vs 50%; χ21 = 7.8; P |
| doi_str_mv | 10.1001/jamanetworkopen.2024.5479 |
| format | Article |
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To assess attitudinal trends regarding COVID-19 vaccines by (1) vaccination status and (2) race, ethnicity, and language among samples of pregnant and recently pregnant Vaccine Safety Datalink (VSD) members from 2021 to 2023.
This cross-sectional surveye study included pregnant or recently pregnant members of the VSD, a collaboration of 13 health care systems and the US Centers for Disease Control and Prevention. Unvaccinated, non-Hispanic Black, and Spanish-speaking members were oversampled. Wave 1 took place from October 2021 to February 2022, and wave 2 took place from November 2022 to February 2023. Data were analyzed from May 2022 to September 2023.
Self-reported or electronic health record (EHR)-derived race, ethnicity, and preferred language.
Self-reported vaccination status and attitudes toward monovalent (wave 1) or bivalent Omicron booster (wave 2) COVID-19 vaccines. Sample- and response-weighted analyses assessed attitudes by vaccination status and 3 race, ethnicity, and language groupings of interest.
There were 1227 respondents; all identified as female, the mean (SD) age was 31.7 (5.6) years, 356 (29.0%) identified as Black race, 555 (45.2%) identified as Hispanic ethnicity, and 445 (36.3%) preferred the Spanish language. Response rates were 43.5% for wave 1 (652 of 1500 individuals sampled) and 39.5% for wave 2 (575 of 1456 individuals sampled). Respondents were more likely than nonrespondents to be White, non-Hispanic, and vaccinated per EHR. Overall, 76.8% (95% CI, 71.5%-82.2%) reported 1 or more COVID-19 vaccinations; Spanish-speaking Hispanic respondents had the highest weighted proportion of respondents with 1 or more vaccination. Weighted estimates of somewhat or strongly agreeing that COVID-19 vaccines are safe decreased from wave 1 to 2 for respondents who reported 1 or more vaccinations (76% vs 50%; χ21 = 7.8; P < .001), non-Hispanic White respondents (72% vs 43%; χ21 = 5.4; P = .02), and Spanish-speaking Hispanic respondents (76% vs 53%; χ21 = 22.8; P = .002).
Decreasing confidence in COVID-19 vaccine safety in a large, diverse pregnant and recently pregnant insured population is a public health concern.</description><identifier>ISSN: 2574-3805</identifier><identifier>EISSN: 2574-3805</identifier><identifier>DOI: 10.1001/jamanetworkopen.2024.5479</identifier><identifier>PMID: 38587844</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Adult ; Attitudes ; Black or African American ; COVID-19 - prevention & control ; COVID-19 Vaccines ; Cross-Sectional Studies ; Electronic health records ; Ethnicity ; Female ; Health Knowledge, Attitudes, Practice ; Hispanic or Latino ; Humans ; Immunization ; Infant ; Infectious Diseases ; Online Only ; Original Investigation ; Pregnancy ; Public health ; Self Report ; United States - epidemiology ; Vaccination - statistics & numerical data ; White</subject><ispartof>JAMA network open, 2024-04, Vol.7 (4), p.e245479</ispartof><rights>2024. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2024 Williams JTB et al. .</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-3b2fbb74cdc1746018b251e7955a51cbc57f097f9a9238ad2a6b3e9831db9063</citedby><cites>FETCH-LOGICAL-c452t-3b2fbb74cdc1746018b251e7955a51cbc57f097f9a9238ad2a6b3e9831db9063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38587844$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, Joshua T B</creatorcontrib><creatorcontrib>Kurlandsky, Kate</creatorcontrib><creatorcontrib>Breslin, Kristin</creatorcontrib><creatorcontrib>Durfee, M Joshua</creatorcontrib><creatorcontrib>Stein, Amy</creatorcontrib><creatorcontrib>Hurley, Laura</creatorcontrib><creatorcontrib>Shoup, Jo Ann</creatorcontrib><creatorcontrib>Reifler, Liza M</creatorcontrib><creatorcontrib>Daley, Matthew F</creatorcontrib><creatorcontrib>Lewin, Bruno J</creatorcontrib><creatorcontrib>Goddard, Kristin</creatorcontrib><creatorcontrib>Henninger, Michelle L</creatorcontrib><creatorcontrib>Nelson, Jennifer C</creatorcontrib><creatorcontrib>Vazquez-Benitez, Gabriela</creatorcontrib><creatorcontrib>Hanson, Kayla E</creatorcontrib><creatorcontrib>Fuller, Candace C</creatorcontrib><creatorcontrib>Weintraub, Eric S</creatorcontrib><creatorcontrib>McNeil, Michael M</creatorcontrib><creatorcontrib>Hambidge, Simon J</creatorcontrib><title>Attitudes Toward COVID-19 Vaccines Among Pregnant and Recently Pregnant Individuals</title><title>JAMA network open</title><addtitle>JAMA Netw Open</addtitle><description>Pregnant people and infants are at high risk of severe COVID-19 outcomes. Understanding changes in attitudes toward COVID-19 vaccines among pregnant and recently pregnant people is important for public health messaging.
To assess attitudinal trends regarding COVID-19 vaccines by (1) vaccination status and (2) race, ethnicity, and language among samples of pregnant and recently pregnant Vaccine Safety Datalink (VSD) members from 2021 to 2023.
This cross-sectional surveye study included pregnant or recently pregnant members of the VSD, a collaboration of 13 health care systems and the US Centers for Disease Control and Prevention. Unvaccinated, non-Hispanic Black, and Spanish-speaking members were oversampled. Wave 1 took place from October 2021 to February 2022, and wave 2 took place from November 2022 to February 2023. Data were analyzed from May 2022 to September 2023.
Self-reported or electronic health record (EHR)-derived race, ethnicity, and preferred language.
Self-reported vaccination status and attitudes toward monovalent (wave 1) or bivalent Omicron booster (wave 2) COVID-19 vaccines. Sample- and response-weighted analyses assessed attitudes by vaccination status and 3 race, ethnicity, and language groupings of interest.
There were 1227 respondents; all identified as female, the mean (SD) age was 31.7 (5.6) years, 356 (29.0%) identified as Black race, 555 (45.2%) identified as Hispanic ethnicity, and 445 (36.3%) preferred the Spanish language. Response rates were 43.5% for wave 1 (652 of 1500 individuals sampled) and 39.5% for wave 2 (575 of 1456 individuals sampled). Respondents were more likely than nonrespondents to be White, non-Hispanic, and vaccinated per EHR. Overall, 76.8% (95% CI, 71.5%-82.2%) reported 1 or more COVID-19 vaccinations; Spanish-speaking Hispanic respondents had the highest weighted proportion of respondents with 1 or more vaccination. Weighted estimates of somewhat or strongly agreeing that COVID-19 vaccines are safe decreased from wave 1 to 2 for respondents who reported 1 or more vaccinations (76% vs 50%; χ21 = 7.8; P < .001), non-Hispanic White respondents (72% vs 43%; χ21 = 5.4; P = .02), and Spanish-speaking Hispanic respondents (76% vs 53%; χ21 = 22.8; P = .002).
Decreasing confidence in COVID-19 vaccine safety in a large, diverse pregnant and recently pregnant insured population is a public health concern.</description><subject>Adult</subject><subject>Attitudes</subject><subject>Black or African American</subject><subject>COVID-19 - prevention & control</subject><subject>COVID-19 Vaccines</subject><subject>Cross-Sectional Studies</subject><subject>Electronic health records</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hispanic or Latino</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Infectious Diseases</subject><subject>Online Only</subject><subject>Original Investigation</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Self Report</subject><subject>United States - epidemiology</subject><subject>Vaccination - statistics & numerical data</subject><subject>White</subject><issn>2574-3805</issn><issn>2574-3805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1PGzEQhq2KqkSUv1BtxYXLpv5c26cqCtBGigSiEVfLa3vTTXftYO8myr_HEZRSTjOaeefVzDwAfEVwiiBE3za6194N-xD_hK3zUwwxnTLK5QcwwYzTkgjITt7kp-A8pQ2EEENEZMU-gVMimOCC0gn4NRuGdhitS8Uq7HW0xfz2YXFVIlk8aGNanxuzPvh1cRfd2ms_FNrb4t4Z54fu8K-68LbdtXbUXfoMPjY5uPOXeAZWN9er-c9yeftjMZ8tS0MZHkpS46auOTXWIE4riESNGXJcMqYZMrVhvIGSN1JLTIS2WFc1cVIQZGsJK3IGvj_bbse6d_a4UNSd2sa21_Gggm7V_x3f_lbrsFMo_xFXkmeHyxeHGB5HlwbVt8m4rssPDmNSBBLKOWdCZOnFO-kmjNHn8xRBFBEusCRZJZ9VJoaUomtet0FQHempd_TUkZ460suzX96e8zr5lxV5AnuSmvM</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Williams, Joshua T B</creator><creator>Kurlandsky, Kate</creator><creator>Breslin, Kristin</creator><creator>Durfee, M Joshua</creator><creator>Stein, Amy</creator><creator>Hurley, Laura</creator><creator>Shoup, Jo Ann</creator><creator>Reifler, Liza M</creator><creator>Daley, Matthew F</creator><creator>Lewin, Bruno J</creator><creator>Goddard, Kristin</creator><creator>Henninger, Michelle L</creator><creator>Nelson, Jennifer C</creator><creator>Vazquez-Benitez, Gabriela</creator><creator>Hanson, Kayla E</creator><creator>Fuller, Candace C</creator><creator>Weintraub, Eric S</creator><creator>McNeil, Michael M</creator><creator>Hambidge, Simon J</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240401</creationdate><title>Attitudes Toward COVID-19 Vaccines Among Pregnant and Recently Pregnant Individuals</title><author>Williams, Joshua T B ; Kurlandsky, Kate ; Breslin, Kristin ; Durfee, M Joshua ; Stein, Amy ; Hurley, Laura ; Shoup, Jo Ann ; Reifler, Liza M ; Daley, Matthew F ; Lewin, Bruno J ; Goddard, Kristin ; Henninger, Michelle L ; Nelson, Jennifer C ; Vazquez-Benitez, Gabriela ; Hanson, Kayla E ; Fuller, Candace C ; Weintraub, Eric S ; McNeil, Michael M ; Hambidge, Simon J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-3b2fbb74cdc1746018b251e7955a51cbc57f097f9a9238ad2a6b3e9831db9063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Attitudes</topic><topic>Black or African American</topic><topic>COVID-19 - prevention & control</topic><topic>COVID-19 Vaccines</topic><topic>Cross-Sectional Studies</topic><topic>Electronic health records</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Hispanic or Latino</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>Infectious Diseases</topic><topic>Online Only</topic><topic>Original Investigation</topic><topic>Pregnancy</topic><topic>Public health</topic><topic>Self Report</topic><topic>United States - epidemiology</topic><topic>Vaccination - statistics & numerical data</topic><topic>White</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, Joshua T B</creatorcontrib><creatorcontrib>Kurlandsky, Kate</creatorcontrib><creatorcontrib>Breslin, Kristin</creatorcontrib><creatorcontrib>Durfee, M Joshua</creatorcontrib><creatorcontrib>Stein, Amy</creatorcontrib><creatorcontrib>Hurley, Laura</creatorcontrib><creatorcontrib>Shoup, Jo Ann</creatorcontrib><creatorcontrib>Reifler, Liza M</creatorcontrib><creatorcontrib>Daley, Matthew F</creatorcontrib><creatorcontrib>Lewin, Bruno J</creatorcontrib><creatorcontrib>Goddard, Kristin</creatorcontrib><creatorcontrib>Henninger, Michelle L</creatorcontrib><creatorcontrib>Nelson, Jennifer C</creatorcontrib><creatorcontrib>Vazquez-Benitez, Gabriela</creatorcontrib><creatorcontrib>Hanson, Kayla E</creatorcontrib><creatorcontrib>Fuller, Candace C</creatorcontrib><creatorcontrib>Weintraub, Eric S</creatorcontrib><creatorcontrib>McNeil, Michael M</creatorcontrib><creatorcontrib>Hambidge, Simon J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JAMA network open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, Joshua T B</au><au>Kurlandsky, Kate</au><au>Breslin, Kristin</au><au>Durfee, M Joshua</au><au>Stein, Amy</au><au>Hurley, Laura</au><au>Shoup, Jo Ann</au><au>Reifler, Liza M</au><au>Daley, Matthew F</au><au>Lewin, Bruno J</au><au>Goddard, Kristin</au><au>Henninger, Michelle L</au><au>Nelson, Jennifer C</au><au>Vazquez-Benitez, Gabriela</au><au>Hanson, Kayla E</au><au>Fuller, Candace C</au><au>Weintraub, Eric S</au><au>McNeil, Michael M</au><au>Hambidge, Simon J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attitudes Toward COVID-19 Vaccines Among Pregnant and Recently Pregnant Individuals</atitle><jtitle>JAMA network open</jtitle><addtitle>JAMA Netw Open</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>7</volume><issue>4</issue><spage>e245479</spage><pages>e245479-</pages><issn>2574-3805</issn><eissn>2574-3805</eissn><abstract>Pregnant people and infants are at high risk of severe COVID-19 outcomes. Understanding changes in attitudes toward COVID-19 vaccines among pregnant and recently pregnant people is important for public health messaging.
To assess attitudinal trends regarding COVID-19 vaccines by (1) vaccination status and (2) race, ethnicity, and language among samples of pregnant and recently pregnant Vaccine Safety Datalink (VSD) members from 2021 to 2023.
This cross-sectional surveye study included pregnant or recently pregnant members of the VSD, a collaboration of 13 health care systems and the US Centers for Disease Control and Prevention. Unvaccinated, non-Hispanic Black, and Spanish-speaking members were oversampled. Wave 1 took place from October 2021 to February 2022, and wave 2 took place from November 2022 to February 2023. Data were analyzed from May 2022 to September 2023.
Self-reported or electronic health record (EHR)-derived race, ethnicity, and preferred language.
Self-reported vaccination status and attitudes toward monovalent (wave 1) or bivalent Omicron booster (wave 2) COVID-19 vaccines. Sample- and response-weighted analyses assessed attitudes by vaccination status and 3 race, ethnicity, and language groupings of interest.
There were 1227 respondents; all identified as female, the mean (SD) age was 31.7 (5.6) years, 356 (29.0%) identified as Black race, 555 (45.2%) identified as Hispanic ethnicity, and 445 (36.3%) preferred the Spanish language. Response rates were 43.5% for wave 1 (652 of 1500 individuals sampled) and 39.5% for wave 2 (575 of 1456 individuals sampled). Respondents were more likely than nonrespondents to be White, non-Hispanic, and vaccinated per EHR. Overall, 76.8% (95% CI, 71.5%-82.2%) reported 1 or more COVID-19 vaccinations; Spanish-speaking Hispanic respondents had the highest weighted proportion of respondents with 1 or more vaccination. Weighted estimates of somewhat or strongly agreeing that COVID-19 vaccines are safe decreased from wave 1 to 2 for respondents who reported 1 or more vaccinations (76% vs 50%; χ21 = 7.8; P < .001), non-Hispanic White respondents (72% vs 43%; χ21 = 5.4; P = .02), and Spanish-speaking Hispanic respondents (76% vs 53%; χ21 = 22.8; P = .002).
Decreasing confidence in COVID-19 vaccine safety in a large, diverse pregnant and recently pregnant insured population is a public health concern.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>38587844</pmid><doi>10.1001/jamanetworkopen.2024.5479</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Attitudes Black or African American COVID-19 - prevention & control COVID-19 Vaccines Cross-Sectional Studies Electronic health records Ethnicity Female Health Knowledge, Attitudes, Practice Hispanic or Latino Humans Immunization Infant Infectious Diseases Online Only Original Investigation Pregnancy Public health Self Report United States - epidemiology Vaccination - statistics & numerical data White |
| title | Attitudes Toward COVID-19 Vaccines Among Pregnant and Recently Pregnant Individuals |
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