Resumo
Objetivo: Analisar os fatores que influenciaram a decisão de gestantes vinculadas à Atenção Primária em Saúde, em se vacinarem contra Covid-19. Método: Estudo misto faz parte de um projeto guarda-chuva, cujo recorte foi realizado com 42 gestantes, que responderam ao questionário e participaram de entrevista semiestruturada. Os dados passaram por análise estatística simples e análise temática. Resultados: Fatores significativos associados à aceitação vacinal: orientação/estímulo para vacinação realizados pelo enfermeiro, apoio de familiares, medo de estar contaminado ou morrer por Covid-19 e possibilidade de proteger o feto. Fatores atrelados a hesitação: medo de efeitos adversos provenientes da vacinação, medo de agulha e notícias falsas em mídias digitais. Conclusão: A hesitação vacinal pode impactar diretamente na imunização coletiva dificultando a ampliação da cobertura vacinal necessária para proteger a população. A necessidade permanente de estratégias profissionais e políticas públicas contribui para ampliar confiança na vacinação contra a Covid-19 no país.
Referências
Maciel E, Fernandez M, Calife K, Garrett D, Domingues C, Kerr L, et al. The SARS-CoV-2 vaccination campaign in Brazil and the invisibility of science evidences. Cien Saude Colet. 2022;27:951-956. https://doi.org/10.1590/1413-81232022273.21822021. PMID: 35293472
Nassaralla APA, Doumit AM, Melo CF, Léon LC, Vidal RAR, Moura LR. Dimensões e consequências do movimento antivacina na realidade brasileira. Revista Educação em Saúde. 2019 [cited 2022 Oct 18];7:120-125. Available from: https://periodicos.unievangelica.edu.br/index.php/educacaoemsaude/article/view/3813
Fundação Oswaldo Cruz. Boletim Observatório Covid-19. Boletim Extraordinário. 25 July 2021 [cited 2022 Oct 18];9-13. Available from: https://portal.fiocruz.br/sites/portal.fiocruz.br/files/documentos/boletim_covid_2021_extraordinario_junho_parte2.pdf
Rawal S, Tackett RL, Stone RH, Young HN. COVID-19 vaccination among pregnant people in the United States: a systematic review. Am J Obstet Gynecol MFM. 2022;4(4):100616. https://doi.org/10.1016/j.ajogmf.2022.100616. PMID: 35283351
Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. Am J Obstet Gynecol. 2020;222(5):415-426. https://doi.org/10.1016/j.ajog.2020.02.017. PMID: 32105680
Chervenak FA, McCullough LB, Bornstein E, Johnson L, Katz A, McLeod-Sordjan R, et al. Professionally responsible coronavirus disease 2019 vaccination counseling of obstetrical and gynecologic patients. Am J Obstet Gynecol. 2021;224(5):470-478. https://doi.org/10.1016/j.ajog.2021.01.027. PMID: 33539825
Giubilini A, Minerva F, Schuklenk U, Savulescu J. The ‘Ethical’ COVID-19 vaccine is the one that preserves lives: religious and moral beliefs on the COVID-19 vaccine. Public Health Ethics. 2021;14(3):242-255. https://doi.org/10.1093/phe/phab018
Citu C, Chiriac VD, Citu IM, Gorun OM, Burlea B, Bratosin F, et al. Appraisal of COVID-19 vaccination acceptance in the Romanian pregnant population. Vaccines (Basel). 2022;10(6):952. https://doi.org/10.3390/vaccines10060952. PMID: 35746560
Skjefte M, Ngirbabul M, Akeju O, Escudero D, Hernandez-Diaz S, Wyszynski DF, et al. COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries. Eur J Epidemiol. 2021;36(2):197-211. https://doi.org/10.1007/s10654-021-00728-6. PMID: 33649879
Sato APS. What is the importance of vaccine hesitancy in the drop of vaccination coverage in Brazil? Rev Saude Publica. 2018;52:96. https://doi.org/10.11606/S1518-8787.2018052001199
Razai MS, Oakeshott P, Esmail A, Wiysonge CS, Viswanath K, Mills MC. COVID-19 vaccine hesitancy: the five Cs to tackle behavioural and sociodemographic factors. J R Soc Med. 2021;114(6):295-298. https://doi.org/10.1177/01410768211018951. PMID: 34077688
Prasad S, Kalafat E, Blakeway H, Townsend R, O’Brien P, Morris E, et al. Systematic review and meta-analysis of the effectiveness and perinatal outcomes of COVID-19 vaccination in pregnancy. Nat Commun. 2022;13(1):2414. https://doi.org/10.1038/s41467-022-30052-w. PMID: 35538060
Shakeel CS, Mujeeb AA, Mirza MS, Chaudhry B, Khan SJ. Global COVID-19 vaccine acceptance: a systematic review of associated social and behavioral factors. Vaccines (Basel). 2022;10(1):110. https://doi.org/10.3390/vaccines10010110. PMID: 35062771
Bhuyan MR, Zhang Y. A mixed methods research strategy to study children’s play and urban physical environments in Dhaka. J Mix Methods Res. 2020;14(3):358-378. https://doi.org/10.1177/1558689819871820
Kennedy-Shaffer L, Qiu X, Hanage WP. Snowball sampling study design for serosurveys early in disease outbreaks. Am J Epidemiol. 2021;190(9):1918-1927. https://doi.org/10.1093/aje/kwab098. PMID: 33831177
Bardin L. Análise de Conteúdo. São Paulo: Edições 70; 2016.
Marzo RR, Sami W, Alam MdZ, Acharya S, Jermsittiparsert K, Songwathana K, et al. Hesitancy in COVID-19 vaccine uptake and its associated factors among the general adult population: a cross-sectional study in six Southeast Asian countries. Trop Med Health. 2022;50(1):4. https://doi.org/10.1186/s41182-021-00393-1. PMID: 34983692
Fujita DM, Nali LHDS, Sartori GP, Galisteo AJ, Andrade Jr HFD, Luna EJDA. Fake news and covid-19: a concern due to the low vaccine coverage in Brazil. Saúde e Sociedade. 2022;31(1):e210298. https://doi.org/10.1590/S0104-12902022210298
Galhardi CP, Freire NP, Fagundes MCM, Minayo MCDS, Cunha ICKO. Fake News and vaccine hesitancy in the COVID-19 pandemic in Brazil. Cien Saude Colet. 2022;27(5):1849-1858. https://doi.org/10.1590/1413-81232022275.24092021
Dara S, Sharma SK, Kumar A, Goel AD, Jain V, Sharma MC, et al. Awareness, attitude, and acceptability of healthcare workers about COVID-19 vaccination in western India. Cureus. 2021;13(9):e18400. https://doi.org/10.7759/cureus.18400. PMID: 34729277
Abuown A, Ellis T, Miller J, Davidson R, Kachwala Q, Medeiros M, et al. COVID-19 vaccination intent among London healthcare workers. Occup Med (Lond). 2021;71(4–5):211-214. https://doi.org/10.1093/occmed/kqab057. PMID: 34002797
Huré M, Peyronnet V, Sibiude J, Cazenave MG, Anselem O, Luton D, et al. [SARS-Cov-2 vaccine's acceptance among pregnant women: a cross-sectional survey]. Gynecol Obstet Fertil Senol. 2022;50(11):712-720. French. https://doi.org/10.1016/j.gofs.2022.07.004. PMID: 35914734
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