Pregnant women were likely to be hesitant about the COVID-19 vaccines if they felt their health was good and had a family member who had received a COVID-19 shot, according to a hospital-based cross-sectional study conducted in Jos, Plateau State, Nigeria.
Abstract
Background
Vaccine hesitancy is a serious public health problem that contributes to poor vaccine uptake with associated poor health outcomes among the population. This study assessed the level of hesitancy of coronavirus disease 2019 (COVID-19) vaccination among pregnant women in Jos, Plateau State, Nigeria.
Methods
A hospital-based cross-sectional study involving 104 pregnant women was conducted at a specialist hospital antenatal clinic. COVID-19 vaccine hesitancy was assessed using a 10-item tool. Descriptive statistics and binary logistic regression were performed, with statistical significance set at p<0.05.
Results
The mean age of the participants was 30.3 y (standard deviation 6.3), with 49% ages 25-34 y. Most were married (96.2%), resided in urban areas (84.6%) and were employed (64.4%). About 72% of the participants had more than one child, were healthy (55.8%) and had no family members or friends who had been vaccinated against COVID-19 (70.2%). Overall, about 58% of the participants were hesitant regarding COVID-19 vaccine. Participants' parity, health status, social influence and negative perceptions towards vaccination influenced vaccine hesitancy.
Conclusion
Pregnant women were likely to be hesitant about the COVID-19 vaccines if they felt their health was good and had a family member who had received a COVID-19 shot. Public health efforts and education campaigns for pregnant women are needed to change their perception patterns to promote vaccination uptake and participation in vaccine trials.
The findings suggest that tailored, evidence-based vaccine communication during antenatal care is particularly relevant for women with lower educational attainment, as well as a significant demographic divide.
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