Please use this identifier to cite or link to this item:
https://hdl.handle.net/2445/191244
Title: | 'Maternal vaccination greatly depends on your trust in the healtcare system': a qualitative study on the acceptability of maternal vaccines among pregnant women and healthcare workers in Barcelona, Spain |
Author: | Marín Cos, Anna Marbán Castro, Elena Nedic, Ivana Ferrari, Mara Crespo Mirasol, Esther Ferrer, Laia Noya Zamora, Berta Fumadó, Victoria Menéndez, Clara Martínez Bueno, Cristina Llupià, Anna López, Marta Goncé Mellgren, Anna |
Keywords: | Embaràs Vacunació dels infants Personal sanitari Pregnancy Vaccination of children Medical personnel |
Issue Date: | 25-Nov-2022 |
Publisher: | MDPI |
Abstract: | The World Health Organization (WHO) identified vaccine hesitancy as one of the top 10 threats to global health in 2019. Health promotion and education have been seen to improve knowledge and uptake of vaccinations in pregnancy. This qualitative study was conducted based on phenomenology, a methodological approach to understand first-hand experiences, and grounded theory, an inductive approach to analyse data, where theoretical generalisations emerge. Data were collected through semi-structured interviews with pregnant women attending antenatal care services and healthcare workers (HCWs) in Barcelona, Spain. Interviews were audio-recorded, transcribed, and coded, and notes were taken. Inductive thematic analysis was performed, and data were manually coded. Pertussis was reported as the most trusted vaccine among pregnant women due to its long-standing background as a recommended vaccine in pregnancy. The influenza vaccine was regarded as less important since it was perceived to cause mild disease. The COVID-19 vaccine was the least trustworthy for pregnant women due to uncertainties about effectiveness, health effects in the mid- and long-term, the fast development of the vaccine mRNA technology, and the perceptions of limited data on vaccine safety. However, the necessity to be vaccinated was justified by pregnant women due to the exceptional circumstances of the COVID-19 pandemic. The recommendations provided by HCW and the established relationship between the HCW, particularly midwives, and pregnant women were the main factors affecting decision-making. The role of mass media was perceived as key to helping provide reliable messages about the need for vaccines during pregnancy. Overall, vaccines administered during pregnancy were perceived as great tools associated with better health and improved quality of life. Pregnancy was envisioned as a vulnerable period in women's lives that required risk-benefits assessments for decision-making about maternal vaccinations. A holistic approach involving the community and society was considered crucial for health education regarding maternal vaccines in support of the work conducted by HCWs. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/vaccines10122015 |
It is part of: | Vaccines, 2022, vol. 10, num. 12 |
URI: | https://hdl.handle.net/2445/191244 |
Related resource: | https://doi.org/10.3390/vaccines10122015 |
ISSN: | 2076-393X |
Appears in Collections: | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
727035.pdf | 1.01 MB | Adobe PDF | View/Open |
This item is licensed under a
Creative Commons License