Micro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte.
Marina Stuart Marques, Thales Philipe Rodrigues da Silva, Ana Paula Vieira Faria and 5 others
PMID 39813426WHAT IT FOUND
Pregnant and postpartum women who did not work, found prenatal care hard to access, or lacked support were more often unvaccinated.
Nurses can ask about these barriers in maternity care.
Key findings
01Of 360 pregnant women, 77.89% received the COVID-19 vaccine.
02Not working during pregnancy was associated with a 2.15 times higher prevalence of non-vaccination than working during pregnancy.
03Difficulty accessing prenatal care was associated with a 1.93 times higher prevalence of non-vaccination, and lacking a support network with a 2.47 times higher prevalence.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study was cross-sectional, so it cannot show that not working, poor access, or no support caused non-vaccination. Women were included only if they answered telephone follow-up, and refusals or unsuccessful contacts were excluded or substituted, which may have biased the sample. The authors noted that other associations were not found among the unvaccinated women, so important determinants may be missing. The findings come from maternity hospitals in one Brazilian city and may not apply to other settings.
The easy way to misread this
Do not read these factors as proof that not working, poor access, or no support caused non-vaccination. This cross-sectional study reported associations only.