关键词: Antenatal care COVID-19 vaccine Gender inequality Pregnant women,

来  源:   DOI:10.1007/s13224-023-01882-5   PDF(Pubmed)

Abstract:
UNASSIGNED: Gender inequality influences access to and demand for healthcare services including vaccines. The gender gap in the COVID-19 vaccine coverage doesn\'t account for the skewed male-female ratio in India. The pandemic response has failed to recognize the barriers faced by women in accessing healthcare. These barriers are intensified in the case of pregnant women who are considered as a high-risk group for COVID-19 infection. The present study was aimed to examine the factors influencing the uptake of the COVID-19 vaccine in pregnant women.
UNASSIGNED: The study was carried out in the Department of OBGY, GMCH, Aurangabad, Maharashtra. Pregnant women above 18 years who had at least one antenatal visit were considered for the purpose of the study. Women who consented to participate in the study were administered a survey questionnaire by a healthcare provider which included a demographic, socio-economic, and obstetric profile of pregnant women, knowledge and attitude toward vaccines, and gender-related barriers. The chi-square test and independent t test were done to identify the factors influencing the uptake of the vaccine.
UNASSIGNED: About 22% of the women had not taken the vaccine (100 out of 444). Factors like age, residence, and education of women were not found to be associated with the uptake of vaccines. Husband\'s education was found to be significantly associated (p < 0.05) with vaccine uptake. The presence of complications during pregnancy also significantly deterred women from taking the vaccine. Concerns about the safety of the vaccine, side effects for the fetus, and negative opinions of family members about the vaccine were also found to be associated with non-uptake of the vaccine by pregnant women.
UNASSIGNED: Healthcare providers during antenatal care can play an important role by addressing concerns regarding the safety of the COVID-19 vaccine in pregnant women.
摘要:
性别不平等影响对包括疫苗在内的医疗服务的获取和需求。COVID-19疫苗覆盖率的性别差距并不能解释印度男女比例的偏差。大流行应对措施未能认识到妇女在获得医疗保健方面面临的障碍。对于被认为是COVID-19感染的高危人群的孕妇,这些障碍会加剧。本研究旨在研究影响孕妇接种COVID-19疫苗的因素。
这项研究是在OBGY部门进行的,GMCH,奥兰加巴德,马哈拉施特拉邦.为了研究的目的,考虑了至少有一次产前检查的18岁以上的孕妇。同意参加这项研究的女性接受了医疗保健提供者的调查问卷,其中包括人口统计,社会经济,和孕妇的产科概况,对疫苗的知识和态度,和性别相关的障碍。进行卡方检验和独立t检验以确定影响疫苗摄取的因素。
约22%的妇女没有接种疫苗(444人中有100人)。像年龄这样的因素,residence,和妇女的教育没有发现与疫苗的摄取有关。发现丈夫的教育程度与疫苗摄取显着相关(p<0.05)。怀孕期间并发症的存在也大大阻止了妇女接种疫苗。对疫苗安全性的担忧,对胎儿有副作用,家庭成员对疫苗的负面意见也被发现与孕妇不接种疫苗有关。
产前保健期间的医疗保健提供者可以通过解决有关孕妇使用COVID-19疫苗的安全性的担忧来发挥重要作用。
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