Is It Safe for Me to Get It? Factors Influencing COVID-19 Vaccination Decision-Making among Postpartum Women Who Are Black and Hispanic in Deep South.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2025-04-01 Epub Date: 2024-02-14 DOI:10.1007/s40615-024-01931-3

Ran Zhang, Tiffany Byrd, Shan Qiao, Myriam E Torres, Xiaoming Li, Jihong Liu

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Abstract

Background: COVID-19 vaccination is vital for ending the pandemic, yet safety concerns persist among pregnant and postpartum women, especially those who are Black and Hispanic. This study aims to explore factors that influence postpartum women's vaccination decision-making during pregnancy and postpartum through women's lived experiences and maternal care providers' (MCPs) observations.

Methods: From January to August 2022, we conducted semi-structured interviews with postpartum women who are Black and Hispanic and with MCPs. Participants were recruited from obstetric and pediatric clinics in South Carolina and had given birth in 2021. Thematic analysis was employed for data analysis.

Results: The study involved 19 Black and 20 Hispanic women, along with 9 MCPs, and revealed both barriers and facilitators to COVID-19 vaccination. The factors that influence pregnant and postpartum women's decision about COVID-19 vaccine uptake included: 1) awareness of health threats associated with COVID-19 vaccines, 2) vaccine availability and accessibility, 3) vaccine-related knowledge and exposure to misinformation, 4) concerns regarding pre-existing health conditions and potential side effects of COVID-19 vaccines, 5) emotional factors associated with vaccination decision-making processes, 6) concerns about the well-being of infants, 7) cultural perspectives, and 8) encouragement by trusted supporters.

Conclusion: The findings suggest that reliable information, social support, and trusted MCPs' advice can motivate COVID-19 vaccination among pregnant and postpartum women who are Black and Hispanic. However, barriers such as misinformation, mistrust in the health care system, and fears of potential side effects impede vaccination uptake. Future interventions should address these barriers, consider health disparities, involve trusted MCPs, and initiate conversations about vaccines to promote vaccination among these populations.

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我接种安全吗？影响南部黑人和西班牙裔产后妇女 COVID-19 疫苗接种决策的因素。

背景：接种 COVID-19 疫苗对终止大流行至关重要，但孕妇和产后妇女，尤其是黑人和西班牙裔妇女对疫苗接种的安全性仍然存在担忧。本研究旨在通过妇女的亲身经历和孕产妇保健提供者（MCPs）的观察，探讨影响产后妇女在孕期和产后做出疫苗接种决策的因素：2022 年 1 月至 8 月，我们对黑人和西班牙裔产后妇女以及产妇护理人员进行了半结构化访谈。访谈对象来自南卡罗来纳州的产科和儿科诊所，于 2021 年分娩。数据分析采用了主题分析法：该研究涉及 19 名黑人妇女和 20 名西班牙裔妇女，以及 9 名产妇和新生儿护理人员，揭示了接种 COVID-19 疫苗的障碍和促进因素。影响孕妇和产后妇女决定接种 COVID-19 疫苗的因素包括1) 对 COVID-19 疫苗相关健康威胁的认识；2) 疫苗的可用性和可及性；3) 疫苗相关知识和错误信息的接触；4) 对已有健康状况和 COVID-19 疫苗潜在副作用的担忧；5) 与疫苗接种决策过程相关的情感因素；6) 对婴儿健康的担忧；7) 文化视角；8) 可信赖的支持者的鼓励：研究结果表明，可靠的信息、社会支持和可信赖的医学保健人员的建议可促使黑人和西班牙裔孕妇及产后妇女接种 COVID-19 疫苗。然而，错误信息、对医疗保健系统的不信任以及对潜在副作用的恐惧等障碍阻碍了疫苗的接种。未来的干预措施应解决这些障碍，考虑健康差异，让可信赖的 MCP 参与进来，并发起有关疫苗的对话，以促进这些人群的疫苗接种。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.