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Early COVID-19 Vaccine Hesitancy Characteristics in Mothers Following Bariatric Surgery.
Obes Surg. 2022 03; 32(3):852-860.OS

Abstract

BACKGROUND

Obesity has played a central role in heightened coronavirus disease 2019 (COVID-19) risk and vaccine response. COVID-19 vaccine intention among those with a history of severe obesity, specifically those who have undergone bariatric surgery, has not been described. This study aims to examine early COVID-19 vaccine intention among mothers with a history of severe obesity who underwent bariatric surgery.

METHODS

Sixty-four mothers (Mage = 39.3 years) who underwent bariatric surgery (Mtime since surgery = 19.6 months) completed surveys online (November 2020-February 2021). Information obtained included their COVID-19 vaccine intention (vaccine ready, undecided, vaccine opposed). Analyses examined group differences in demographics, body mass index (BMI = kg/m2), knowledge of obesity-related COVID-19 risk, flu vaccination history, general beliefs about vaccine safety/effectiveness, and factors increasing confidence/motivation to obtain a COVID-19 vaccine.

RESULTS

Thirty-six (56.3%) mothers had severe obesity (≥ Class II [BMI = ≥ 35 kg/m2]). The majority were vaccine hesitant (undecided [n = 28; 43.8%]; vaccine opposed [n = 15; 23.4%]). Compared to the vaccine-ready group, vaccine-hesitant groups were younger (p < .05). For the vaccine opposed, recent flu vaccination rates (p = .012) and general belief that vaccines are safe (p = .028) were lower than expected. Among hesitant participants, no reported side effects and the health of self and others were endorsed as top factors increasing vaccine confidence and motivation respectively.

CONCLUSIONS

While preliminary, the prominence of early vaccine hesitancy in this sample of mothers who have undergone bariatric surgery, with most persisting with severe obesity, indicates a subgroup at high risk. Factors to address through targeted messaging and intervention were identified.

Links

PMC Free PDF

Authors+Show Affiliations

Strong H
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA. Heather.Strong@cchmc.org.
Reiter-Purtill J
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
Howarth T
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
West-Smith L
Department of Psychiatry and Behavioral Neuroscience & Department of Surgery, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH, 45267, USA.
Zeller MH
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA. Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH, 45267, USA.

MeSH

AdultBariatric SurgeryCOVID-19COVID-19 VaccinesFemaleHumansMothersObesity, MorbidSARS-CoV-2Vaccination Hesitancy

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

34997432

Citation

Strong, Heather, et al. "Early COVID-19 Vaccine Hesitancy Characteristics in Mothers Following Bariatric Surgery." Obesity Surgery, vol. 32, no. 3, 2022, pp. 852-860.
Strong H, Reiter-Purtill J, Howarth T, et al. Early COVID-19 Vaccine Hesitancy Characteristics in Mothers Following Bariatric Surgery. Obes Surg. 2022;32(3):852-860.
Strong, H., Reiter-Purtill, J., Howarth, T., West-Smith, L., & Zeller, M. H. (2022). Early COVID-19 Vaccine Hesitancy Characteristics in Mothers Following Bariatric Surgery. Obesity Surgery, 32(3), 852-860. https://doi.org/10.1007/s11695-021-05872-2
Strong H, et al. Early COVID-19 Vaccine Hesitancy Characteristics in Mothers Following Bariatric Surgery. Obes Surg. 2022;32(3):852-860. PubMed PMID: 34997432.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early COVID-19 Vaccine Hesitancy Characteristics in Mothers Following Bariatric Surgery. AU - Strong,Heather, AU - Reiter-Purtill,Jennifer, AU - Howarth,Taylor, AU - West-Smith,Lisa, AU - Zeller,Meg H, Y1 - 2022/01/08/ PY - 2021/08/13/received PY - 2021/12/29/accepted PY - 2021/12/24/revised PY - 2022/1/9/pubmed PY - 2022/3/1/medline PY - 2022/1/8/entrez KW - COVID-19; Obesity; Bariatric surgery; Vaccine hesitancy SP - 852 EP - 860 JF - Obesity surgery JO - Obes Surg VL - 32 IS - 3 N2 - BACKGROUND: Obesity has played a central role in heightened coronavirus disease 2019 (COVID-19) risk and vaccine response. COVID-19 vaccine intention among those with a history of severe obesity, specifically those who have undergone bariatric surgery, has not been described. This study aims to examine early COVID-19 vaccine intention among mothers with a history of severe obesity who underwent bariatric surgery. METHODS: Sixty-four mothers (Mage = 39.3 years) who underwent bariatric surgery (Mtime since surgery = 19.6 months) completed surveys online (November 2020-February 2021). Information obtained included their COVID-19 vaccine intention (vaccine ready, undecided, vaccine opposed). Analyses examined group differences in demographics, body mass index (BMI = kg/m2), knowledge of obesity-related COVID-19 risk, flu vaccination history, general beliefs about vaccine safety/effectiveness, and factors increasing confidence/motivation to obtain a COVID-19 vaccine. RESULTS: Thirty-six (56.3%) mothers had severe obesity (≥ Class II [BMI = ≥ 35 kg/m2]). The majority were vaccine hesitant (undecided [n = 28; 43.8%]; vaccine opposed [n = 15; 23.4%]). Compared to the vaccine-ready group, vaccine-hesitant groups were younger (p < .05). For the vaccine opposed, recent flu vaccination rates (p = .012) and general belief that vaccines are safe (p = .028) were lower than expected. Among hesitant participants, no reported side effects and the health of self and others were endorsed as top factors increasing vaccine confidence and motivation respectively. CONCLUSIONS: While preliminary, the prominence of early vaccine hesitancy in this sample of mothers who have undergone bariatric surgery, with most persisting with severe obesity, indicates a subgroup at high risk. Factors to address through targeted messaging and intervention were identified. SN - 1708-0428 UR - https://www.unboundmedicine.com/medline/citation/34997432/Early_COVID_19_Vaccine_Hesitancy_Characteristics_in_Mothers_Following_Bariatric_Surgery_ DB - PRIME DP - Unbound Medicine ER -