Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada
The COVID-19 pandemic posed a unique set of risks to pregnant women and pregnant people. SARS-CoV-2 infection in pregnancy is associated with increased risk of severe illness and adverse perinatal outcomes. However, evidence regarding the use of COVID-19 vaccines in pregnancy shows safety and effica...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/21645515.2025.2458353 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832542900837154816 |
|---|---|
| author | Suraya Bondy Elisabeth McClymont Gal Av-Gay Arianne Albert Janice Andrade Sandra Blitz Ianna Folkes Lucia Forward Erin Fraser Sela Grays Jon Barrett Julie Bettinger Tali Bogler Isabelle Boucoiran Eliana Castillo Rohan D’Souza Darine El-Chaâr Shaza Fadel Verena Kuret Gina S. Ogilvie Vanessa Poliquin Manish Sadarangani Heather Scott John W. Snelgrove Modupe Tunde-Byass Deborah Money |
| author_facet | Suraya Bondy Elisabeth McClymont Gal Av-Gay Arianne Albert Janice Andrade Sandra Blitz Ianna Folkes Lucia Forward Erin Fraser Sela Grays Jon Barrett Julie Bettinger Tali Bogler Isabelle Boucoiran Eliana Castillo Rohan D’Souza Darine El-Chaâr Shaza Fadel Verena Kuret Gina S. Ogilvie Vanessa Poliquin Manish Sadarangani Heather Scott John W. Snelgrove Modupe Tunde-Byass Deborah Money |
| author_sort | Suraya Bondy |
| collection | DOAJ |
| description | The COVID-19 pandemic posed a unique set of risks to pregnant women and pregnant people. SARS-CoV-2 infection in pregnancy is associated with increased risk of severe illness and adverse perinatal outcomes. However, evidence regarding the use of COVID-19 vaccines in pregnancy shows safety and efficacy. Despite eligibility and recommendations for COVID-19 vaccination among pregnant women and pregnant people in Canada, uptake remains lower compared to the general population, warranting exploration of influencing factors. The COVERED study, a national prospective cohort, utilized web-based surveys to collect data from pregnant women and pregnant people across Canada on COVID-19 vaccine attitudes, uptake, and hesitancy factors from July 2021 to December 2023. Survey questions were informed by validated tools including the WHO Vaccine Hesitancy Scale (VHS) and the Theory of Planned Behavior (TPB). Of 1093 respondents who were pregnant at the time of the survey, 87.7% received or intended to receive a COVID-19 vaccine during pregnancy. TPB variables such as positive attitudes toward COVID-19 vaccines (OR = 1.11, 95% CI = 1.08–1.14), direct social norms, and indirect social norms were significantly associated with vaccine acceptance. Perceived vaccine risks, assessed by the WHO VHS, were greater in those not accepting of the vaccine. Our study identified several key factors that play a role in vaccine uptake: perceived vaccine risks and safety and social norms. These findings may guide public health recommendations and prenatal vaccine counseling strategies. |
| format | Article |
| id | doaj-art-84369fdec5554a7ea22c30fcd6af41b3 |
| institution | Kabale University |
| issn | 2164-5515 2164-554X |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj-art-84369fdec5554a7ea22c30fcd6af41b32025-02-03T14:02:54ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2025.2458353Acceptance and attitudes towards COVID-19 vaccination during pregnancy in CanadaSuraya Bondy0Elisabeth McClymont1Gal Av-Gay2Arianne Albert3Janice Andrade4Sandra Blitz5Ianna Folkes6Lucia Forward7Erin Fraser8Sela Grays9Jon Barrett10Julie Bettinger11Tali Bogler12Isabelle Boucoiran13Eliana Castillo14Rohan D’Souza15Darine El-Chaâr16Shaza Fadel17Verena Kuret18Gina S. Ogilvie19Vanessa Poliquin20Manish Sadarangani21Heather Scott22John W. Snelgrove23Modupe Tunde-Byass24Deborah Money25Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaWomen’s Health Research Institute, BC Women’s Hospital and Health Centre, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, CanadaVaccine Evaluation Center, BC Children’s Hospital, Vancouver, CanadaFamily Medicine Obstetrics, St. Michael’s Hospital, Toronto, CanadaDepartment of Obstetrics & Gynecology and School of Public Health, Université de Montréal, Montreal, CanadaDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, CanadaDepartment of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, CanadaDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, CanadaDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, CanadaWomen’s Health Research Institute, BC Women’s Hospital and Health Centre, Vancouver, CanadaDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Manitoba, Winnipeg, CanadaVaccine Evaluation Center, BC Children’s Hospital, Vancouver, CanadaDepartment of Obstetrics and Gynecology, Dalhousie University, Halifax, CanadaDepartment of Obstetrics and Gynecology, University of Toronto, Toronto, CanadaDepartment of Obstetrics and Gynecology, University of Toronto, Toronto, CanadaDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, CanadaThe COVID-19 pandemic posed a unique set of risks to pregnant women and pregnant people. SARS-CoV-2 infection in pregnancy is associated with increased risk of severe illness and adverse perinatal outcomes. However, evidence regarding the use of COVID-19 vaccines in pregnancy shows safety and efficacy. Despite eligibility and recommendations for COVID-19 vaccination among pregnant women and pregnant people in Canada, uptake remains lower compared to the general population, warranting exploration of influencing factors. The COVERED study, a national prospective cohort, utilized web-based surveys to collect data from pregnant women and pregnant people across Canada on COVID-19 vaccine attitudes, uptake, and hesitancy factors from July 2021 to December 2023. Survey questions were informed by validated tools including the WHO Vaccine Hesitancy Scale (VHS) and the Theory of Planned Behavior (TPB). Of 1093 respondents who were pregnant at the time of the survey, 87.7% received or intended to receive a COVID-19 vaccine during pregnancy. TPB variables such as positive attitudes toward COVID-19 vaccines (OR = 1.11, 95% CI = 1.08–1.14), direct social norms, and indirect social norms were significantly associated with vaccine acceptance. Perceived vaccine risks, assessed by the WHO VHS, were greater in those not accepting of the vaccine. Our study identified several key factors that play a role in vaccine uptake: perceived vaccine risks and safety and social norms. These findings may guide public health recommendations and prenatal vaccine counseling strategies.https://www.tandfonline.com/doi/10.1080/21645515.2025.2458353COVID-19pregnancyvaccinesimmunizationacceptanceattitudes |
| spellingShingle | Suraya Bondy Elisabeth McClymont Gal Av-Gay Arianne Albert Janice Andrade Sandra Blitz Ianna Folkes Lucia Forward Erin Fraser Sela Grays Jon Barrett Julie Bettinger Tali Bogler Isabelle Boucoiran Eliana Castillo Rohan D’Souza Darine El-Chaâr Shaza Fadel Verena Kuret Gina S. Ogilvie Vanessa Poliquin Manish Sadarangani Heather Scott John W. Snelgrove Modupe Tunde-Byass Deborah Money Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada Human Vaccines & Immunotherapeutics COVID-19 pregnancy vaccines immunization acceptance attitudes |
| title | Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada |
| title_full | Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada |
| title_fullStr | Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada |
| title_full_unstemmed | Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada |
| title_short | Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada |
| title_sort | acceptance and attitudes towards covid 19 vaccination during pregnancy in canada |
| topic | COVID-19 pregnancy vaccines immunization acceptance attitudes |
| url | https://www.tandfonline.com/doi/10.1080/21645515.2025.2458353 |
| work_keys_str_mv | AT surayabondy acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT elisabethmcclymont acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT galavgay acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT ariannealbert acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT janiceandrade acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT sandrablitz acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT iannafolkes acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT luciaforward acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT erinfraser acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT selagrays acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT jonbarrett acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT juliebettinger acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT talibogler acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT isabelleboucoiran acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT elianacastillo acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT rohandsouza acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT darineelchaar acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT shazafadel acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT verenakuret acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT ginasogilvie acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT vanessapoliquin acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT manishsadarangani acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT heatherscott acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT johnwsnelgrove acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT modupetundebyass acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada AT deborahmoney acceptanceandattitudestowardscovid19vaccinationduringpregnancyincanada |