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. 2025 Jan 10;77Suppl 1(Suppl 1):e20230235.
doi: 10.1590/0034-7167-2023-0235. eCollection 2025.

Micro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte

[Article in English, Portuguese]
Marina Stuart Marques  1 , Thales Philipe Rodrigues da Silva  1 , Ana Paula Vieira Faria  1 , Nágela Cristine Pinheiro Santos  1 , Janaína Fonseca Almeida Souza  1 , Marla Ariana Silva  2 , Patrícia Feliciano Pereira  3 , Fernanda Penido Matozinhos  1
Affiliations

Micro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte

[Article in English, Portuguese]
Marina Stuart Marques et al. Rev Bras Enferm. .

Abstract
in English, Spanish

Objective: To analyze the determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte, Minas Gerais, Brazil.

Methods: An epidemiological study with a cross-sectional design was conducted using data from the project titled "Childbirth and Breastfeeding in Children of Mothers Infected by SARS-CoV-2," developed during the pandemic in the city of Belo Horizonte, Minas Gerais, Brazil.

Results: The study sample consisted of 360 pregnant women, of whom 77.89% received the COVID-19 vaccine. External, social, and institutional determinants can influence lower adherence to COVID-19 vaccination, especially the absence of employment during pregnancy, difficult access to prenatal consultations, and a compromised or deficient support network.

Conclusions: In light of this scenario, greater encouragement for health education is necessary, especially during prenatal care, resulting in lower rates of morbidity and mortality and favorable perinatal outcomes.

Objetivo:: Analizar los determinantes para la no vacunación contra la COVID-19 en gestantes de Belo Horizonte, Minas Gerais, Brasil.

Métodos:: Estudio epidemiológico, con diseño transversal, realizado con datos del proyecto titulado “Parto y Lactancia Materna en Hijos de Madres Infectadas por SARS-CoV-2”, desarrollado durante la pandemia en la ciudad de Belo Horizonte, Minas Gerais, Brasil.

Resultados:: La muestra de este estudio estuvo compuesta por 360 gestantes, de las cuales el 77,89% recibió la vacuna contra la COVID-19. Determinantes externos, sociales e institucionales pueden influir en la menor adhesión a la vacunación contra la COVID-19, especialmente: ausencia de trabajo durante la gestación, acceso dificultado a consultas prenatales y red de apoyo comprometida o deficiente.

Conclusiones:: Ante este escenario, es necesario un mayor incentivo a la educación en salud, sobre todo en el momento de la asistencia prenatal, resultando en menores tasas de morbimortalidad y resultados perinatales favorables.

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