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Perceptions, healthcare messaging and its impact on COVID vaccine uptake in pregnancy : A cross-sectional survey

2024· preprint· en· W4391402523 on OpenAlexaff
Sonika Sethi, Amy Thompson, Ehsaan Qureshi, Anna Stone, James Bateman, Supratik Basu, Matthew Brookes, Francina Schreuder

Bibliographic record

Venuenot available
Typepreprint
Languageen
FieldMedicine
TopicCOVID-19 Impact on Reproduction
Canadian institutionsThornhill Medical (Canada)
Fundersnot available
KeywordsVaccinationDistrustCross-sectional studyMedicinePregnancyFamily medicinePopulationHealth carePandemicCoronavirus disease 2019 (COVID-19)DemographyEnvironmental healthPsychologyImmunologyDiseaseInternal medicinePolitical science

Abstract

fetched live from OpenAlex

Objective: To gain in-depth insights into factors affecting COVID-19 vaccine acceptance in pregnant women. This demographic has lower rates of COVID vaccination despite being disproportionally negatively affected by COVID. Design: A single centre cross-sectional online survey distributed 13th August 2021 to 21st September 2021 on local networks. Setting: Online Population: Pregnant population in a large District General Hospital in the West Midlands, UK. Main Outcome Measures: i) demographic and baseline data ii) awareness of information sources; iii) opinions on COVID and vaccination, iv) vaccination decisions. Results: 92 total eligible responses were quantitatively and qualitatively analysed. 60.9% (n=56) had declined, or would decline, a COVID-19 vaccination. Those who had a previous negative pregnancy experience were significantly more likely to accept a COVID-19 vaccination (OR 3.9; p<0.05, 95% CI 1.32-11.52). Over half (53.2%) of participants either agreed or strongly agreed that discussion with a healthcare professional was important in decision making on vaccination . GPs were the least supportive of the vaccination (62.5%) compared to midwives (78.8%) and obstetric consultants (81.8%). The most common reason for declining the vaccine were perceived risks to the fetus; this was also frequently reported in the qualitative analysis. Other qualitative themes included; distrust of recommendations, conflict of information and uncertainty. Conclusions: There is a need for consistent health professional messaging around vaccine uptake in pregnancy and the use of appropriate evidence based information, particularly focusing on its safety and impact on fetus. There is a need to nurture a collaborative approach and informed decision making.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.011
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.089
GPT teacher head0.456
Teacher spread0.368 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2024
Admission routes1
Has abstractyes

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