Acceptance of the COVID-19 vaccine among postpartum women in five countries

TY - JOUR

T1 - Acceptance of the COVID-19 vaccine among postpartum women in five countries

AU - Lee, Eun Young

AU - Chien, Li-Yin

AU - Chang, Yan-Shing

AU - Hong, Seo Ah

AU - Coca, Kelly

N1 - Publisher Copyright: © The Author(s) 2025. Published by Mary Ann Liebert, Inc.

PY - 2025/4/28

Y1 - 2025/4/28

N2 - Objectives: This study identified factors associated with COVID-19 vaccine acceptance and willingness to receive the vaccine among postpartum women in the United Kingdom, Thailand, Taiwan, Brazil, and South Korea. Methods: An online cross-sectional survey was designed and conducted from July to November 2021. Data from 3,253 women who were up to 6 months postpartum in the United Kingdom, Thailand, Taiwan, Brazil, and South Korea were analyzed. Simple and multiple logistic regression analyses were performed. Results: Approximately 72% of women had received at least one dose of the vaccine with a range from 97.0% in Brazil to 25.2% in South Korea. Among five countries, positive attitudes and beliefs toward the COVID-19 vaccine were associated with COVID-19 vaccine acceptance (odds ratio [OR]: 1.41; 95% confidence interval [CI]: 1.35, 1.47). Higher education, paid employee status, and urban residence were associated with COVID-19 vaccine acceptance. The country-specific analysis results showed that attitudes and beliefs toward the COVID-19 vaccine were a strong predictors of COVID-19 vaccine acceptance and willingness to receive it among postpartum women. Conclusion: Positive attitudes and beliefs toward the COVID-19 vaccine and better COVID-19-related knowledge, attitudes, and practices are important for acceptance of the vaccine in postpartum women. Therefore, there is a need for sufficient and clear communication on the novel vaccine’s safety and efficacy to improve awareness and attitudes among postpartum women.

AB - Objectives: This study identified factors associated with COVID-19 vaccine acceptance and willingness to receive the vaccine among postpartum women in the United Kingdom, Thailand, Taiwan, Brazil, and South Korea. Methods: An online cross-sectional survey was designed and conducted from July to November 2021. Data from 3,253 women who were up to 6 months postpartum in the United Kingdom, Thailand, Taiwan, Brazil, and South Korea were analyzed. Simple and multiple logistic regression analyses were performed. Results: Approximately 72% of women had received at least one dose of the vaccine with a range from 97.0% in Brazil to 25.2% in South Korea. Among five countries, positive attitudes and beliefs toward the COVID-19 vaccine were associated with COVID-19 vaccine acceptance (odds ratio [OR]: 1.41; 95% confidence interval [CI]: 1.35, 1.47). Higher education, paid employee status, and urban residence were associated with COVID-19 vaccine acceptance. The country-specific analysis results showed that attitudes and beliefs toward the COVID-19 vaccine were a strong predictors of COVID-19 vaccine acceptance and willingness to receive it among postpartum women. Conclusion: Positive attitudes and beliefs toward the COVID-19 vaccine and better COVID-19-related knowledge, attitudes, and practices are important for acceptance of the vaccine in postpartum women. Therefore, there is a need for sufficient and clear communication on the novel vaccine’s safety and efficacy to improve awareness and attitudes among postpartum women.

UR - http://www.scopus.com/inward/record.url?scp=105003876479&partnerID=8YFLogxK

U2 - 10.1089/whr.2024.0202

DO - 10.1089/whr.2024.0202

M3 - Article

SN - 2688-4844

VL - 6

SP - 482

EP - 492

JO - Women's Health Reports

JF - Women's Health Reports

IS - 1

ER -