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Perceived barriers to Palestinian pregnant women's acceptance of COVID-19 vaccination using the Health Believe Model: a cross-sectional study.
Women Health. 2022 09; 62(8):678-687.WH

Abstract

This study aims to explore pregnant women's attitudes to COVID-19 vaccination and determinants of vaccine acceptance. We conducted a cross-sectional study among pregnant women attending PHC clinics and hospitals in the West-bank of Palestine. We used an interviewer-administered questionnaire based on Health Belief Model. The study's primary outcome was COVID-19 vaccination acceptance. We used the Chi-square test to compare those who accepted the vaccine versus those who refused it and conducted binary logistic regression to explore independent determinants of vaccination acceptance. Among the 728 pregnant women who took part in the study, 20.7 percent showed positive attitudes (acceptance) toward COVID-19 vaccination. Employment (aOR 4.0; 95 percentCI: 2.2-7.3), a history of COVID-19 (aOR 1.9; 95 percentCI: 1.2-3.1), and having a relative who died from COVID-19 (aOR 2.3; 95 percentCI: 1.2-4.7) increased the likelihood of vaccine acceptance, as did vaccine perceived effectiveness (aOR 1.9; 95 percentCI: 1.2-3.2) and perceived protection from severe disease (aOR 2.0; 95 percentCI: 1.2-3.5). On the other hand, perceived limited access (aOR 0.540; 95 percentCI: 0.31-0.87) and perceived harm to the baby (aOR 0.346; 95 percentCI 0.22-0.54) remained the main barriers toward vaccine acceptance. In conclusion, pregnant women's acceptance of the COVID-19 vaccine is unsatisfactory. Concerns about its effect on unborn babies were major barriers to vaccination.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Qasrawi H
Radiology department, An-Najah National University Hospital, Nablus, Palestine.
Abdullah I
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Masri H
Women's Health & Development Unit, Ministry of Health, Ramallah, Palestine.
Maraqa B
Family Medicine department,Family & Public Health, Ministry of Health, Ramallah, Palestine. Faculty of Medicine, Hebron University, Hebron, Palestine.
Mohammad A
Thabet Thabet governmental hospital, Ministry of Health, Tulkarem, Palestine.
Qub L
Thabet Thabet governmental hospital, Ministry of Health, Tulkarem, Palestine.
Alkarajeh M
Hebron governmental hospital, Ministry of Health, Hebron, Palestine.
Dweik M
Hebron governmental hospital, Ministry of Health, Hebron, Palestine.
Atabeh S
Rafedia Surgical hospital, Ministry of Health, Nablus, Palestine.
Jalamneh T
Jenin governmental hospital, Ministry of Health, Jenin, Palestine.
Alajrami Y
Palestine Medical Complex, Ministry of Health, Ramallah, Palestine.
Nazzal Z
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

MeSH

ArabsCOVID-19COVID-19 VaccinesCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansPatient Acceptance of Health CarePregnancyPregnant WomenVaccination

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35922887

Citation

Qasrawi, Hala, et al. "Perceived Barriers to Palestinian Pregnant Women's Acceptance of COVID-19 Vaccination Using the Health Believe Model: a Cross-sectional Study." Women & Health, vol. 62, no. 8, 2022, pp. 678-687.
Qasrawi H, Abdullah I, Masri H, et al. Perceived barriers to Palestinian pregnant women's acceptance of COVID-19 vaccination using the Health Believe Model: a cross-sectional study. Women Health. 2022;62(8):678-687.
Qasrawi, H., Abdullah, I., Masri, H., Maraqa, B., Mohammad, A., Qub, L., Alkarajeh, M., Dweik, M., Atabeh, S., Jalamneh, T., Alajrami, Y., & Nazzal, Z. (2022). Perceived barriers to Palestinian pregnant women's acceptance of COVID-19 vaccination using the Health Believe Model: a cross-sectional study. Women & Health, 62(8), 678-687. https://doi.org/10.1080/03630242.2022.2108194
Qasrawi H, et al. Perceived Barriers to Palestinian Pregnant Women's Acceptance of COVID-19 Vaccination Using the Health Believe Model: a Cross-sectional Study. Women Health. 2022;62(8):678-687. PubMed PMID: 35922887.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived barriers to Palestinian pregnant women's acceptance of COVID-19 vaccination using the Health Believe Model: a cross-sectional study. AU - Qasrawi,Hala, AU - Abdullah,Ibtesam, AU - Masri,Hadeel, AU - Maraqa,Beesan, AU - Mohammad,Ahmad, AU - Qub,Lama, AU - Alkarajeh,Mohammad, AU - Dweik,Mohammad, AU - Atabeh,Salam, AU - Jalamneh,Tala, AU - Alajrami,Yara, AU - Nazzal,Zaher, Y1 - 2022/08/03/ PY - 2022/8/4/pubmed PY - 2022/10/12/medline PY - 2022/8/3/entrez KW - Acceptance KW - COVID-19 vaccine KW - Palestine KW - attitudes KW - health belief model KW - pregnant SP - 678 EP - 687 JF - Women & health JO - Women Health VL - 62 IS - 8 N2 - This study aims to explore pregnant women's attitudes to COVID-19 vaccination and determinants of vaccine acceptance. We conducted a cross-sectional study among pregnant women attending PHC clinics and hospitals in the West-bank of Palestine. We used an interviewer-administered questionnaire based on Health Belief Model. The study's primary outcome was COVID-19 vaccination acceptance. We used the Chi-square test to compare those who accepted the vaccine versus those who refused it and conducted binary logistic regression to explore independent determinants of vaccination acceptance. Among the 728 pregnant women who took part in the study, 20.7 percent showed positive attitudes (acceptance) toward COVID-19 vaccination. Employment (aOR 4.0; 95 percentCI: 2.2-7.3), a history of COVID-19 (aOR 1.9; 95 percentCI: 1.2-3.1), and having a relative who died from COVID-19 (aOR 2.3; 95 percentCI: 1.2-4.7) increased the likelihood of vaccine acceptance, as did vaccine perceived effectiveness (aOR 1.9; 95 percentCI: 1.2-3.2) and perceived protection from severe disease (aOR 2.0; 95 percentCI: 1.2-3.5). On the other hand, perceived limited access (aOR 0.540; 95 percentCI: 0.31-0.87) and perceived harm to the baby (aOR 0.346; 95 percentCI 0.22-0.54) remained the main barriers toward vaccine acceptance. In conclusion, pregnant women's acceptance of the COVID-19 vaccine is unsatisfactory. Concerns about its effect on unborn babies were major barriers to vaccination. SN - 1541-0331 UR - https://www.unboundmedicine.com/medline/citation/35922887/Perceived_barriers_to_Palestinian_pregnant_women's_acceptance_of_COVID_19_vaccination_using_the_Health_Believe_Model:_a_cross_sectional_study_ DB - PRIME DP - Unbound Medicine ER -