Social media and COVID ‐19 vaccination hesitancy during pregnancy: a mixed methods analysis

Su Golder · A. C. E. McRobbie‐Johnson · Ari Z Klein · Florencia Greer Polite · Graciela Gonzalez‐Hernandez

14 citations0/0 files storedBJOG An International Journal of Obstetrics & Gynaecology

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research Misinformation and Its Impacts

Abstract

OBJECTIVE: To evaluate the reasons for COVID-19 vaccine hesitancy during pregnancy. DESIGN: We used regular expressions to identify publicly available social media posts from pregnant people expressing at least one reason for their decision not to accept COVID-19 vaccine. SETTING: Two social media platforms - WhatToExpect and Twitter. SAMPLE: A total of 945 pregnant people in WhatToExpect (1017 posts) and 345 pregnant people in Twitter (435 tweets). METHODS: Two annotators manually coded posts according to the Scientific Advisory Group for Emergencies (SAGE) working group's 3Cs vaccine hesitancy model (confidence, complacency and convenience barriers). Within each 3Cs we created subthemes that emerged from the data. MAIN OUTCOME MEASURES: Subthemes were derived according to the people's posting own words. RESULTS: Safety concerns were most common and largely linked to the perceived speed at which the vaccine was created and the lack of data about its safety in pregnancy. This led to a preference to wait until after the baby was born or to take other precautions instead. Complacency surrounded a belief that they are young and healthy or already had COVID-19. Misinformation led to false safety and efficacy allegations, or even conspiracy theories, and fed into creating confidence and complacency barriers. Convenience barriers (such as availability) were uncommon. CONCLUSION: The information in this study can be used to highlight the questions, fears and hesitations pregnant people have about the COVID-19 vaccine. Highlighting these hesitations can help public health campaigns and improve communication between healthcare professionals and patients.

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References

2020COVID-19 vaccine hesitancy in the UK: the Oxford coronavirus explanations, attitudes, and narratives survey (Oceans) II 2021COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries 2022Self-reported COVID-19 vaccine hesitancy and uptake among participants from different racial and ethnic groups in the United States and United Kingdom 2021COVID‐19 vaccine acceptance in pregnant women 2021COVID-19 Vaccine Hesitancy in Canada: Content Analysis of Tweets Using the Theoretical Domains Framework 2022Characteristics and perceptions associated with COVID‐19 vaccination hesitancy among pregnant and postpartum individuals: A cross‐sectional study 2012Strategies to increase influenza vaccination rates: outcomes of a nationwide cross-sectional survey of UK general practice 2022Racial/ethnic and nativity disparities in U.S. Covid-19 vaccination hesitancy during vaccine rollout and factors that explain them

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