Investigation of the Effect of COVID-19 Fear and Prenatal Stress on COVID-19 Vaccine Acceptance in Pregnant Women
Year 2024,
Volume: 13 Issue: 1, 1 - 13, 30.06.2024
Sena Kaplan
,
Acar Koç
,
Esma Atasoy
,
Cemile Alaca
,
Esra Altun
,
Özlem Öztürk
Abstract
Aim: The study was conducted to examine the effect of fear of COVID-19 and prenatal distress levels on COVID-19 vaccine acceptance in pregnant women during the COVID-19 pandemic period in Türkiye. Materials and Methods: This cross-sectional type descriptive study was conducted with 363 pregnant women at a university hospital in Ankara between January and May 2022. Data were collected face to face with an individual information form, Prenatal Distress Scale, COVID-19 Fear Scale, Vaccine Hesitancy Scale in Pandemics. In addition, the participants' anxiety levels about getting the COVID-19 vaccine before and during pregnancy were evaluated with the Visual Analogue Scale (VAS). Results: It was determined that the participants' mean score for fear of COVID-19 (19.39 ± 6.90) and the mean score for the vaccine hesitancy scale in pandemics (27.01 ± 6.27) were moderate. It was determined that the prenatal distress level of the pregnant women who participated in the study during the pandemic period was at a moderate level (p <.05). A positive relationship was detected between VAS values before pregnancy and during pregnancy and fear of COVID-19 and vaccine hesitancy scale scores in pandemics (p<.001). A positive relationship was detected between VAS value during pregnancy and prenatal distress scale scores (p<.001). As VAS values increase, levels of fear of COVID-19, vaccine hesitancy and prenatal distress increase. Conclusion: During the pandemic period, not knowing the risks of the vaccine in pregnant women and creating uncertainties in the process cause an increase in the level of prenatal distress and vaccine hesitancy. It is recommended to conduct studies examining the effects of the vaccine on the newborns and mothers in the long term after birth.
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Gebe Kadınlarda COVID-19 Korkusu ve Prenatal Stresin COVID-19 Aşı Kabulü Üzerine Etkisinin İncelenmesi
Year 2024,
Volume: 13 Issue: 1, 1 - 13, 30.06.2024
Sena Kaplan
,
Acar Koç
,
Esma Atasoy
,
Cemile Alaca
,
Esra Altun
,
Özlem Öztürk
Abstract
Amaç: Çalışma Türkiye’de COVID-19 pandemisi döneminde gebe kadınlarda COVID-19 korkusu ve prenatal distres düzeylerinin COVID-19 aşı kabulüne etkisini incelemek amacı ile yapılmıştır. Örneklem ve Yöntem: Kesitsel tipte tanımlayıcı çalışma, Ankara ilinde Ocak-Mayıs 2022 tarihleri arasında bir üniversite hastanesinde 363 gebe ile yapılmıştır. Veriler bireysel bilgi formu, Prenatal Distres Ölçeği, COVID-19 Korku Ölçeği, Pandemilerde Aşı Tereddüt Ölçeği ile yüz yüze toplanmıştır. Ayrıca, katılımcıların gebelik öncesi ve gebelik döneminde COVID-19 aşısı yaptırma endişe düzeyleri Görsel Analog Skalası (VAS) ile değerlendirilmiştir. Bulgular: Katılımcıların COVID-19 korkusu puan ortalaması (19.39 ±6.90) ve pandemilerde aşı tereddüt ölçek puanı ortalamasının (27.01 ± 6.27) orta düzeyde olduğu belirlenmiştir. Pandemi döneminde çalışmaya katılan gebelerin prenatal distres düzeyinin orta düzeyde olduğu belirlenmiştir (p<.05). Gebelik öncesi ve gebelik döneminde VAS değeri ile COVID-19 korkusu ve pandemilerde aşı tereddüt ölçek puanları arasında pozitif ilişki tespit edilmiştir (p<.001). Gebelik döneminde VAS değeri ile prenatal distres ölçeği puanları arasında pozitif ilişki tespit edilmiştir (p<.001). VAS değerleri arttıkça, COVID-19 korkusu, aşı tereddütü ve prenatal distres düzeyleri artmaktadır. Sonuç: Pandemi döneminde gebe kadınlarda aşının getireceği risklerin bilinmemesi, süreçte belirsizliklerin oluşması, prenatal distres düzeyinde artışa ve aşı tereddütüne neden olmaktadır. Doğum sonu uzun dönem yeni doğan ve anne üzerindeki aşı etkileri inceleyen çalışmaların yapılması önerilmektedir.
References
- Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The Fear of COVID-19 Scale: Development and İnitial Validation. International Journal of Mental Health and Addiction, 20(3), 1537-1545. https://doi.org/10.1007/s11469-020-00270-8.
- Albayrak, S. (2006). Uygulamalı Çok Değişkenli İstatistik Teknikleri, Asil Yayın Dağıtım.
- Altınçelep, F. (2011). Gebelerdeki prenatal distres düzeyinin belirlenmesi [Yayımlanmamış Yüksek Lisans Tezi]. İstanbul Bilim Üniversitesi, Sağlık Bilimleri Enstitüsü. http://acikerisim.demiroglu.bilim.edu.tr:8080/xmlui/handle/11446/121
- Anadolu Ajansı. (01.02.2022). Koronavirüs bilim kurulu üyesi Prof. Dr. Şener’den hamilelere aşı çağrısı. https://www.aa.com.tr/tr/koronavirus/koronavirus-bilim-kurulu-uyesi-senerden-kovid-19-asisi-cagrisi/2490706.
- Battarbee, A. N., Stockwell, M. S., Varner, M., Newes-Adeyi, G., Daugherty, M., Gyamfi-Bannerman, C., Tita, A. T., Vorwaller, K., Vargas, C., Subramaniam, A., Reichle, L., Galang, R. 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. American Journal of Perinatology, 39(1), 75-83. https://doi.org/10.1055/s-0041-1735878
- Beins, B. C. (2017). Research method: A tool for life. (3rd ed.). Cambridge University Press.
- Butt, A. A., Chemaitelly, H., Al Khal, A., Coyle, P. V., Saleh, H., Kaleeckal, A. H., Latif, A. N., Bertollini, R., Abou-Samra, A. B., & Abu-Raddad, L. J. (2021). SARS-CoV-2 vaccine effectiveness in preventing confirmed infection in pregnant women. The Journal of clinical investigation, 131(23), e153662. https://doi.org/10.1172/jci153662
- Carbone, L., Mappa, I., Sirico, A., Di Girolamo, R., Saccone, G., Di Mascio, D., Donadono, V., Cuomo, L., Gabrielli, O., Migliorini, S., Luviso, M., D'antonio, F., Rizzo, G., & Maruotti, G. M. (2021). Pregnant women's perspectives on severe acute respiratory syndrome coronavirus 2 vaccine. American Journal of Obstetrics & Gynecology MFM, 3(4), 100352. https://doi.org/10.1016/j.ajogmf.2021.100352
- Chan, J. F. W., Yuan, S., Kok, K. H., To, K. K. W., Chu, H., Yang, J., Xing, F., Liu, J., Yip, C. C., Poon, R. W., Tsoi, H. W., Lo, S. K., Chan, K. H., Poon, V. K., Chan, W. M., Ip, J. D., Cai, J. P., Cheng, V. C., Chen, H., Hui, C. K., & Yuen, K. Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The Lancet, 395(10223), 514-523. https://doi.org/10.1016/s0140-6736(20)30154-9
- Çapar, H., & Çınar, F. (2021). Vaccine hesitancy scale in pandemics: Turkish validity and reliability study. Gevher Nesibe Journal of Medical and Health Sciences, 6(12), 40-45. https://doi.org/10.46648/gnj.198
- Descamps, A., Launay, O., Bonnet, C., & Blondel, B. (2020). Seasonal influenza vaccine uptake and vaccine refusal among pregnant women in France: Results from a national survey. Human Vaccines & Immunotherapeutics, 16(5), 1093-1100. https://doi.org/10.1080/21645515.2019.1688035
- Durmuş, M., Öztürk, Z., Şener, N., & Eren, S.Y. (2022). The Relationship between the fear of Covid-19, depression, and spiritual well-being in pregnant women. Journal of Religion and Health, 61(1), 798-810. https://doi.org/10.1007/s10943-021-01448-7
- Dymecka, J., Gerymski, R., Iszczuk, A., & Bidzan, M. (2021). Fear of coronavirus, stress and fear of childbirth in polish pregnant women during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(24),13111. https://doi.org/10.3390/ijerph182413111
- Ercan, A., Şenol, E., & Firat, A. (2022). COVID-19 vaccine hesitancy in pregnancy: A cross-sectional study. Journal of Clinical Obstetrics & Gynecology, 32(1), 7-12. https://doi.org/10.5336/jcog.2021-86957
- Fan, H. S. L., Choi, E. P. H., Ko, R. W. T., Kwok, J. Y. Y., Wong, J. Y. H., Fong, D. Y. T., Shek, N. W. M., Ngan, H. Y. S., Li, J., Huang, Y. Y., Ouyang, Y. Q., & Lok, K. Y. W. (2022). COVID‐19 related fear and depression of pregnant women and new mothers. Public Health Nursing, 39(3), 562-571. https://doi.org/10.1111/phn.13035
- Gencer, H., Özkan, S., Vardar, O., & Serçekuş, P. (2022). The effects of the COVID 19 pandemic on vaccine decisions in pregnant women. Women and Birth, 35(3), 317-323. https://doi.org/10.1016/j.wombi.2021.05.003
- Gill, L., & Jones, C.W. (2021). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies in neonatal cord blood after vaccination in pregnancy. Obstetrics & Gynecology, 137(5), 894-896. https://doi.org/10.1097/aog.0000000000004367
- Goncu, Ayhan, S., Oluklu, D., Atalay, A., Beser, Menekse, D., Tanacan, A., Moraloglu, Tekin, O., & Sahin, D. (2021). COVID‐19 vaccine acceptance in pregnant women. The International Journal of Gynecology & Obstetrics, 154 (2), 291-296. https://doi.org/10.1002/ijgo.13713
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