tetano
Editor, Senior Moderator
Open Forum Infect Dis
. 2023 Apr 13;10(5)
fad201.
doi: 10.1093/ofid/ofad201. eCollection 2023 May. Factors Associated With Coronavirus Disease 2019 Vaccine Uptake Among Pregnant Women and Nonpregnant Women of Reproductive Age in Jamaica
Jodian A Pinkney[SUP] 1 2 3 [/SUP], Laura M Bogart[SUP] 4 [/SUP], Kamali N Carroll[SUP] 5 [/SUP], Lenroy Bryan[SUP] 5 [/SUP], Givana Witter[SUP] 5 [/SUP], Dina Ashour[SUP] 1 [/SUP], Fatma M Shebl[SUP] 1 3 [/SUP], Rocio M Hurtado[SUP] 2 3 [/SUP], Ilona T Goldfarb[SUP] 3 6 [/SUP], Emily P Hyle[SUP] 1 2 3 [/SUP], Christina Psaros[SUP] 3 7 [/SUP], Bisola O Ojikutu[SUP] 2 3 8 9 [/SUP]
Affiliations
Background: Despite high rates of coronavirus disease 2019 (COVID-19)-related maternal mortality, Jamaica currently has little data on COVID-19 vaccine uptake among pregnant women.
Methods: We conducted a cross-sectional, web-based survey of 192 reproductive-aged women in Jamaica from February 1 to 8, 2022. Participants were recruited from a convenience sample of patients, providers, and staff at a teaching hospital. We assessed self-reported COVID-19 vaccination status and COVID-19-related medical mistrust (operationalized as vaccine confidence, government mistrust, and race-based mistrust). We used multivariable modified Poisson regression to test the association between vaccine uptake and pregnancy.
Results: Of 192 respondents, 72 (38%) were pregnant. Most (93%) were Black. Vaccine uptake was 35% in pregnant women versus 75% in nonpregnant women. Pregnant women were more likely to cite healthcare providers versus the government as trustworthy sources of COVID-19 vaccine information (65% vs 28%). Pregnancy, low vaccine confidence, and government mistrust were associated with a lower likelihood of COVID-19 vaccination (adjusted prevalence ratio [aPR] = 0.68 [95% confidence interval {CI}, .49-.95], aPR = 0.61 [95% CI, .40-.95], and aPR = 0.68 [95% CI, .52-.89], respectively). Race-based mistrust was not associated with COVID-19 vaccination in the final model.
Conclusions: Pregnancy, low vaccine confidence, and government mistrust were associated with a lower likelihood of COVID-19 vaccination among reproductive-aged women in Jamaica. Future studies should evaluate the efficacy of strategies proven to improve maternal vaccination coverage, including standing "opt-out" vaccination orders and collaborative provider and patient-led educational videos tailored for pregnant individuals. Strategies that decouple vaccine messaging from government agencies also warrant evaluation.
Keywords: COVID-19; jamaica; mistrust; pregnant; vaccine confidence.
. 2023 Apr 13;10(5)
fad201.doi: 10.1093/ofid/ofad201. eCollection 2023 May. Factors Associated With Coronavirus Disease 2019 Vaccine Uptake Among Pregnant Women and Nonpregnant Women of Reproductive Age in Jamaica
Jodian A Pinkney[SUP] 1 2 3 [/SUP], Laura M Bogart[SUP] 4 [/SUP], Kamali N Carroll[SUP] 5 [/SUP], Lenroy Bryan[SUP] 5 [/SUP], Givana Witter[SUP] 5 [/SUP], Dina Ashour[SUP] 1 [/SUP], Fatma M Shebl[SUP] 1 3 [/SUP], Rocio M Hurtado[SUP] 2 3 [/SUP], Ilona T Goldfarb[SUP] 3 6 [/SUP], Emily P Hyle[SUP] 1 2 3 [/SUP], Christina Psaros[SUP] 3 7 [/SUP], Bisola O Ojikutu[SUP] 2 3 8 9 [/SUP]
Affiliations
- PMID: 37234512
- PMCID: PMC10208745
- DOI: 10.1093/ofid/ofad201
Background: Despite high rates of coronavirus disease 2019 (COVID-19)-related maternal mortality, Jamaica currently has little data on COVID-19 vaccine uptake among pregnant women.
Methods: We conducted a cross-sectional, web-based survey of 192 reproductive-aged women in Jamaica from February 1 to 8, 2022. Participants were recruited from a convenience sample of patients, providers, and staff at a teaching hospital. We assessed self-reported COVID-19 vaccination status and COVID-19-related medical mistrust (operationalized as vaccine confidence, government mistrust, and race-based mistrust). We used multivariable modified Poisson regression to test the association between vaccine uptake and pregnancy.
Results: Of 192 respondents, 72 (38%) were pregnant. Most (93%) were Black. Vaccine uptake was 35% in pregnant women versus 75% in nonpregnant women. Pregnant women were more likely to cite healthcare providers versus the government as trustworthy sources of COVID-19 vaccine information (65% vs 28%). Pregnancy, low vaccine confidence, and government mistrust were associated with a lower likelihood of COVID-19 vaccination (adjusted prevalence ratio [aPR] = 0.68 [95% confidence interval {CI}, .49-.95], aPR = 0.61 [95% CI, .40-.95], and aPR = 0.68 [95% CI, .52-.89], respectively). Race-based mistrust was not associated with COVID-19 vaccination in the final model.
Conclusions: Pregnancy, low vaccine confidence, and government mistrust were associated with a lower likelihood of COVID-19 vaccination among reproductive-aged women in Jamaica. Future studies should evaluate the efficacy of strategies proven to improve maternal vaccination coverage, including standing "opt-out" vaccination orders and collaborative provider and patient-led educational videos tailored for pregnant individuals. Strategies that decouple vaccine messaging from government agencies also warrant evaluation.
Keywords: COVID-19; jamaica; mistrust; pregnant; vaccine confidence.