Aceptación de la de vacunación contra la COVID-19 en mujeres peruanas embarazadas: Actitudes y factores asociados

Daniella Vinelli-Arzubiaga, Amparo W. Marquez-B, Amparo W. Marquez-B, Ivone Gabriel Ortega-A, Ivone Gabriel Ortega-A, J. Franco Rodriguez-Alarcón, J. Franco Rodriguez-Alarcón, Dennis Arias-Chavez, Dennis Arias-Chavez, Martin A. Vilela-Estrada, Martin A. Vilela-Estrada, Victor Serna-Alarcón, Victor Serna-Alarcón, Christian R. Mejia, Christian R. Mejia

Resumen


Ahora que contamos con las vacunas contra la COVID-19 para mujeres embarazadas, es importante conocer su percepción y su intención de vacunarse. El objetivo fue determinar la actitud de las mujeres embarazadas hacia la vacunación contra la COVID-19 en el Perú y los factores asociados a esta. Estudio del tipo transversal analítico, esto se realizó en los 24 departamentos peruanos durante los meses de diciembre del 2020 y enero del 2021. El 50% de las encuestadas aún no decidía si se vacunaría, el 36% mencionaban que sí se vacunarían, el 8% mencionó que por ninguna circunstancia lo haría y el 6% lo haría solo si la obligaban. En el análisis multivariado se encontró que no se vacunarían debido a que no confían en el sistema de salud (valor p=0,002; siendo más las gestantes que desconfiaban del sector salud), en cambio, en los motivos por los que si se vacunarían, se encontró que esta vacunación mejoraría la salud de su familia o seres queridos (valor p=0,005; fueron menos las gestantes que se vacunarían por esta razón).

Palabras clave


COVID-19, gestación, vacunación, Perú

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Referencias


Babarinsa, I. A., Okunoye, G. O., & Odukoya, O. (2021). Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-1) and Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infections in pregnancy – An overview. European Journal of Obstetrics and Gynecology and Reproductive Biology, 263(1), 171-175. https://doi.org/10.1016/j.ejogrb.2021.06.020

Baños, J. (2021). Israel levanta el confinamiento gracias a su eficacia al vacunar. La Vanguardia. Disponivble en: https://www.lavanguardia.com/internacional/20210221/6257361/israel-vacunacion-efectividad-pandemia-confinamiento-impacto.html (Acceso marzo 2021)

Battarbee, A. N., Stockwell, M. S., Varner, M., Newes-Adeyi, G., Daugherty, M., Gyamfi-Bannerman, C., Tita, A., Vorwaller, K., Vargas, C., Subramaniam, A., Reichle, L., Galang, R., Powers, E., Lucca-Susana, M., Parks, M., Chen, T. J., Razzaghi, H., & Dawood, F. S. (2021). Attitudes toward COVID-19 illness and COVID-19 vaccination among pregnant women: A cross-sectional multicenter study during August-December 2020. MedRxiv, Preprint. https://doi.org/10.1101/2021.03.26.21254402

BBC. (2021). Inglaterra levanta la mayoría de las restricciones para combatir el contagio de coronavirus, en medio de llamados a la cautela. BBC News Mundo. Disponivble en: https://www.bbc.com/mundo/noticias-internacional-57883427 (Acceso marzo 2021)

Bookstein Peretz, S., Regev, N., Novick, L., Nachshol, M., Goffer, E., Ben-David, A., Asraf, K., Doolman, R., Sapir, E., Yochay, G. R., & Yinon, Y. (2021). Short-term outcome of pregnant women vaccinated by BNT162b2 mRNA COVID-19 vaccine. Ultrasound in Obstetrics & Gynecology, Preprint. https://doi.org/10.1002/uog.23729

Brillo, E., Tosto, V., Gerli, S., & Buonomo, E. (2021). COVID-19 vaccination in pregnancy and postpartum. The Journal of Maternal-Fetal & Neonatal Medicine, 0(0), 1-20. https://doi.org/10.1080/14767058.2021.1920916

Burd, I., Kino, T., & Segars, J. (2021). The Israeli study of Pfizer BNT162b2 vaccine in pregnancy: Considering maternal and neonatal benefits. The Journal of Clinical Investigation, 131(13), e150790. https://doi.org/10.1172/JCI150790

Cabezas, C. (2021). Pandemia de la COVID-19: Tormentas y retos. Revista Peruana de Medicina Experimental y Salud Pública, 37(4), 603-604. https://doi.org/10.17843/rpmesp.2020.374.6866

CDC. (2021, julio 7). Datos sobre las vacunas contra el COVID-19. Centers for Disease Control and Prevention. Disponible en: https://espanol.cdc.gov/coronavirus/2019-ncov/vaccines/facts.html (Acceso marzo 2021)

Chavan, M., Qureshi, H., Karnati, S., & Kollikonda, S. (2021). COVID-19 Vaccination in Pregnancy: The Benefits Outweigh the Risks. Journal of Obstetrics and Gynaecology Canada, 43(7), 814-816. https://doi.org/10.1016/j.jogc.2021.03.010

Chemaitelly, H., Yassine, H. M., Benslimane, F. M., Al Khatib, H. A., Tang, P., Hasan, M. R., Malek, J. A., Coyle, P., Ayoub, H. H., Al Kanaani, Z., Al Kuwari, E., Jeremijenko, A., Kaleeckal, A. H., Latif, A. N., Shaik, R. M., Abdul Rahim, H. F., Nasrallah, G. K., Al Kuwari, M. G., Al Romaihi, H. E., … Abu-Raddad, L. J. (2021). MRNA-1273 COVID-19 vaccine effectiveness against the B.1.1.7 and B.1.351 variants and severe COVID-19 disease in Qatar. Nature Medicine, 1-8. https://doi.org/10.1038/s41591-021-01446-y

Chen, M., Zeng, J., Liu, X., Sun, G., Gao, Y., Liao, J., Yu, J., Luo, X., & Qi, H. (2020). Changes in physiology and immune system during pregnancy and coronavirus infection: A review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 255(1), 124-128. https://doi.org/10.1016/j.ejogrb.2020.10.035

Dashraath, P., Wong, J. L. J., Lim, M. X. K., Lim, L. M., Li, S., Biswas, A., Choolani, M., Mattar, C., & Su, L. L. (2020). Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. American Journal of Obstetrics and Gynecology, 222(6), 521-531. https://doi.org/10.1016/j.ajog.2020.03.021

Geoghegan, S., Stephens, L. C., Feemster, K. A., Drew, R. J., Eogan, M., & Butler, K. M. (2021). “This choice does not just affect me.” Attitudes of pregnant women toward COVID-19 vaccines: A mixed-methods study. Human Vaccines & Immunotherapeutics, 1-6. https://doi.org/10.1080/21645515.2021.1924018

Goncu Ayhan, S., Oluklu, D., Atalay, A., Beser, D. M., Tanacan, A., Tekin, O. M., & Sahin, D. (2021). COVID-19 vaccine acceptance in pregnant women. International Journal of Gynecology & Obstetrics, 154(2), 291-296. https://doi.org/10.1002/ijgo.13713

Hall, V. J., Foulkes, S., Saei, A., Andrews, N., Oguti, B., Charlett, A., Wellington, E., Stowe, J., Gillson, N., Atti, A., Islam, J., Karagiannis, I., Munro, K., Khawam, J., Chand, M. A., Brown, C. S., Ramsay, M., Lopez-Bernal, J., Hopkins, S., … Heeney, J. (2021). COVID-19 vaccine coverage in health-care workers in England and effectiveness of BNT162b2 mRNA vaccine against infection (SIREN): A prospective, multicentre, cohort study. The Lancet, 397(10286), 1725-1735. https://doi.org/10.1016/S0140-6736(21)00790-X

Harris, R. J., Hall, J. A., Zaidi, A., Andrews, N. J., Dunbar, J. K., & Dabrera, G. (2021). Effect of Vaccination on Household Transmission of SARS-CoV-2 in England. N Engl J Med, Preprint.

Herrera-Añazco, P., Uyen-Cateriano, A., Urrunaga-Pastor, D., Bendezu-Quispe, G., Toro-Huamanchumo, C. J., Rodriguez-Morales, A. J., Hernandez, A. V., & Benites-Zapata, V. A. (2021). Prevalence and factors associated with the intention of vaccination against COVID-19 in Peru. Prevalence and factors associated with the intention of vaccination against COVID-19 in Peru, Preprint.

Hotez, P., Batista, C., Ergonul, O., Figueroa, J. P., Gilbert, S., Gursel, M., Hassanain, M., Kang, G., Kim, J. H., Lall, B., Larson, H., Naniche, D., Sheahan, T., Shoham, S., Wilder-Smith, A., Strub-Wourgaft, N., Yadav, P., & Bottazzi, M. E. (2021). Correcting COVID-19 vaccine misinformation: Lancet Commission on COVID-19 Vaccines and Therapeutics Task Force Members*. EClinicalMedicine, 33(1), 1-3. https://doi.org/10.1016/j.eclinm.2021.100780

Islam, S., Mostofa Kamal, A.-H., Kabir, A., Southern, D. L., Khan, S. H., Hasan, S. M. M., Sarkar, T., Sharmin, S., Das, S., Roy, T., Harun, M. G. D., Chughtai, A. A., Homaira, N., & Seale, H. (2021). COVID-19 vaccine rumors and conspiracy theories: The need for cognitive inoculation against misinformation to improve vaccine adherence. PLOS ONE, 16(5), e0251605. https://doi.org/10.1371/journal.pone.0251605

Jayagobi, P. A., Ong, C., Thai, Y. K., Lim, C. C., Jiun, S. M., Koon, K. L., Wai, K. C., Chan, J. K., Mathur, M., & Chien, C. M. (2021). Perceptions and acceptance of COVID-19 vaccine among pregnant and lactating women in Singapore: A cross-sectional study. MedRxiv, Preprint. https://doi.org/10.1101/2021.06.29.21259741

Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., & El-Mohandes, A. (2021). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine, 27(2), 225-228. https://doi.org/10.1038/s41591-020-1124-9

Levy, A. T., Singh, S., Riley, L. E., & Prabhu, M. (2021). Acceptance of COVID-19 vaccination in pregnancy: A survey study. American Journal of Obstetrics & Gynecology Mfm, 3(5), 100399. https://doi.org/10.1016/j.ajogmf.2021.100399

Male, V. (2021). Are COVID-19 vaccines safe in pregnancy? Nature Reviews Immunology, 21(4), 200-201. https://doi.org/10.1038/s41577-021-00525-y

Mejia, C. R., Rodriguez-Alarcon, J. F., Ticona, D., Flores-Lovon, K., Paredes Obando, M., Avalos-Reyes, M. S., Ccasa-Valero, L., Carbajal, M., Carranza-Esteban, R. F., Mamani-Benito, O., Rivera-Lozada, O., & Tovani-Palone, M. R. (2021). Validation of a Scale to Measure the Perception of SARS-CoV-2 Vaccines Acceptance: The VAC-COVID-19 Scale. Eelectron J Gen Med, 18(5), em303. https://doi.org/10.29333/ejgm/11012

Salo, J., Hägg, M., Kortelainen, M., Leino, T., Saxell, T., Siikanen, M., & Sääksvuori, L. (2021). The indirect effect of mRNA-based Covid-19 vaccination on unvaccinated household members. MedRxiv, Preprint. https://doi.org/10.1101/2021.05.27.21257896

Skirrow, H., Barnett, S., Bell, S., Riaposova, L., Mounier-Jack, S., Kampmann, B., & Holder, B. (2021). Women’s views on accepting COVID-19 vaccination during and after pregnancy, and for their babies: A multi-methods study in the UK. MedRxiv, 2021.04.30.21256240. https://doi.org/10.1101/2021.04.30.21256240

Skjefte, M., Ngirbabul, M., Akeju, O., Escudero, D., Hernandez-Diaz, S., Wyszynski, D. F., & Wu, J. W. (2021). COVID-19 vaccine acceptance among pregnant women and mothers of young children: Results of a survey in 16 countries. European Journal of Epidemiology, 36(2), 197-211. https://doi.org/10.1007/s10654-021-00728-6

Sutton, D., D’Alton, M., Zhang, Y., Kahe, K., Cepin, A., Goffman, D., Staniczenko, A., Yates, H., Burgansky, A., Coletta, J., Williams, Z., & Gyamfi-Bannerman, C. (2021). COVID-19 vaccine acceptance among pregnant, breastfeeding, and nonpregnant reproductive-aged women. American Journal of Obstetrics & Gynecology MFM, 3(5), 100403. https://doi.org/10.1016/j.ajogmf.2021.100403

Tao, L., Wang, R., Han, N., Liu, J., Yuan, C., Deng, L., Han, C., Sun, F., Liu, M., & Liu, J. (2021). Acceptance of a COVID-19 vaccine and associated factors among pregnant women in China: A multi-center cross-sectional study based on health belief model. Human Vaccines & Immunotherapeutics, Preprint(0), 1-10. https://doi.org/10.1080/21645515.2021.1892432


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