Micro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte.

IF 1.2 Q3 NURSING Revista Brasileira De Enfermagem Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI:10.1590/0034-7167-2023-0235

Marina Stuart Marques, Thales Philipe Rodrigues da Silva, Ana Paula Vieira Faria, Nágela Cristine Pinheiro Santos, Janaína Fonseca Almeida Souza, Marla Ariana Silva, Patrícia Feliciano Pereira, Fernanda Penido Matozinhos

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Abstract

Objective: To analyze the determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte, Minas Gerais, Brazil.

Methods: An epidemiological study with a cross-sectional design was conducted using data from the project titled "Childbirth and Breastfeeding in Children of Mothers Infected by SARS-CoV-2," developed during the pandemic in the city of Belo Horizonte, Minas Gerais, Brazil.

Results: The study sample consisted of 360 pregnant women, of whom 77.89% received the COVID-19 vaccine. External, social, and institutional determinants can influence lower adherence to COVID-19 vaccination, especially the absence of employment during pregnancy, difficult access to prenatal consultations, and a compromised or deficient support network.

Conclusions: In light of this scenario, greater encouragement for health education is necessary, especially during prenatal care, resulting in lower rates of morbidity and mortality and favorable perinatal outcomes.

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贝洛奥里藏特孕妇未接种COVID-19疫苗的微观和宏观政治决定因素。

目的：分析巴西米纳斯吉拉斯州贝洛奥里藏特市孕妇未接种COVID-19疫苗的影响因素。方法：采用横断面设计的流行病学研究，使用巴西米纳斯吉拉斯州贝洛奥里藏特市在大流行期间开展的题为“感染SARS-CoV-2的母亲的孩子的分娩和母乳喂养”项目的数据。结果：研究样本包括360名孕妇，其中77.89%的孕妇接种了COVID-19疫苗。外部、社会和体制决定因素可能影响COVID-19疫苗接种依从性降低，特别是怀孕期间缺乏就业、难以获得产前咨询以及支持网络受损或不足。结论：在这种情况下，更大的鼓励健康教育是必要的，特别是在产前护理，导致较低的发病率和死亡率和良好的围产期结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.

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