Fear Of Vaccination Research Articles

“Narratives of Anxiety” and Hidden Ontologies: Anti-vaccination Protest in “Conservative Orthodoxy” and Its Cultural Context

Protests against efforts toward coronavirus vaccination in 2020 and 2021 received significant support among Russian Orthodox “conservatives” or “fundamentalists” who consider vaccination to be a “chipping” that subordinates a person to hostile forces in preparation for the reign of the antichrist. The article examines the features of the conspiracy eschatology of modern Orthodox conservatives based on specific forms of ontology, aesthetics and social imagination. Abbot Roman Zagrebnev’s collected essays Deeds of Light and Deeds of Darkness (2016) and a number of other sources are used as empirical material for the analysis of these forms. The loss of a person’s individual agency as well as pollution, understood both in the moral and physiological sense, play a particular role in the social concept of conservative Orthodox. Each of these issues are discussed and represented with the help of bodily images and metaphors. The article attempts to see the meaning of conservative Orthodoxy not only through the prism of political ideals, social crises, and eschatological mythopoetics, but also through the connection of this particular type apocalyptic imagination of this kind and ideological holism as a crypto-ontology. The ‘holistic principle’ implies mutual conditionality and constant connection of physiological, moral and social categories and phenomena. This operates within concepts of an “expanded body” as an entity that is exposed to constant risks of pollution and loss of autonomy. In this context, the fear of vaccination, understood as both a form of physiological desecration and a means of social control, turns out to be a natural continuation of a broader ideological or ontological program that opposes the reductionist and discrete ideas about the world characteristic of late modern Western culture.

A qualitative exploration of perceptions of the COVID-19 vaccine in Malawi during the vaccine rollout phase

Aim: Although the COVID-19 vaccine in Malawi has been well taken up and encouraged by the current administration, many individuals either are hesitant to get vaccinated for COVID-19 or refuse to do so. Research has uncovered associated demographic and psychological reasons, but there is a lack of qualitative work involving individuals across Malawi to explore reasons for this hesitancy. We aimed to explore factors leading to hesitation and/or refusal to COVID-19 vaccination in Malawi. Methods: The study utilized an online survey to collect free-text responses to assess factors leading to hesitation or refusal of COVID-19 vaccination in Malawi. The respondents were part of an ongoing community project in Central Malawi. In total, 284 individuals took part (72 males, 212 females). The mean age was 47.94 (SD = 8.36). Sixty-nine respondents (24.3%) had been vaccinated and 215 (75.7%) had not. An inductive thematic analysis was conducted. Results: Four themes were yielded, describing semi-colon fear of vaccination, becoming vaccinated to protect others, perceived pressure to be vaccinated, and perceptions of the COVID-19 vaccine being ineffective and experimental. Conclusion: Measures to increase COVID-19 vaccine uptake and acceptance should target fear and misinformation as constraints. Interventions such as individual sensitization and motivational interviewing should be considered for guiding individuals towards considering COVID-19 vaccination.

Fear of vaccines is an understatement: A story of breaking the bondage of fear

Fear of vaccines is an understatement: A story of breaking the bondage of fear

Post-vaccination survey for monitoring the side effects associated with COVID-19 vaccines among healthcare professionals of Jazan province, Saudi Arabia.

Objectives:To identify the self-reported vaccine-related side effects among healthcare professionals (HCPs) in the Jazan province, Saudi Arabia, and determine the associated socio-demographic factors. With the recent second and third waves of coronavirus disease -19 (COVID-19) infections worldwide, the race is not only to encourage but also to achieve mass vaccination.Methods:A total of 397 HCPs from across Jazan province participated in an anonymous online cross-sectional survey conducted for a period of 45 days (March 30, 2021 to May 13, 2021) in Jazan province, Saudi Arabia. Data was collected using a validated 22-items self-report survey.Results:For both COVID-19 vaccines, majority of reports were related to flu-like symptoms including fever, chills, headache, fatigue, tiredness, and myalgia. Statistically significant associations were observed between the severity of side effects and gender (χ2=73.32; p<0.001), type of vaccine (χ2=112.08; p<0.001), and presence of known allergies (χ2=99.69; p<0.001). Female HCPs were more likely to report any side effects compared with male HCPs (adjusted odds ratio [AOR]: 3.72; p<0.001). Furthermore, HCPs with known allergies were more likely to report any side effects than their counterparts with unknown allergies (AOR: 16.29; p<0.001).Conclusion:The findings of the present study would help in designing educational programs aimed at combating the misconstrued fear of vaccination and highlighting the urgent need of getting vaccinated. This study also helps in the identification of factors affecting the presence and severity of side effects.

Being vaccinated for love or despite fear of vaccination? The influence of priming on vaccination intention among young French people

IntroductionIn France, despite fear-based communication by the authorities and the media, vaccination against COVID-19 has received little support from the population. For a young population often convinced that severe forms of the disease affect older people, we hypothesized that communication based on the idea of love would be more effective than communication based on fear of vaccination.Material and methodsIn a convenience online French sample (N = 480, M age = 19.4), vaccination intention was asked after fear priming, love priming, no love/prejudice priming, or a control condition. Participants also reported their fear of vaccination against COVID-19, and the recommendation they would make regarding vaccination of a loved/unloved person.ResultsVaccination intention was higher in the love condition than in the fear and no love/prejudice conditions. Surprisingly, fear of vaccination was lower in participants who were presented with fear-inducing questions.ConclusionsImplications of these results are discussed in relation to the fear of vaccination and the transpersonal value of the idea of love. The results suggest that COVID-19 is experienced as a threat both to oneself and to those one loves most. Therefore, calls for fear in the media and on social networks seem less likely to motivate a young population to vaccinate than the reminder of intense emotional ties to loved ones.

Reporting of recombinant adenovirus-based COVID-19 vaccine adverse events in online versions of three highly circulated US newspapers

ABSTRACT Newspapers’ reporting of adverse vaccine events may influence their readers vaccination behaviors. The purpose of this study was to examine the nature and extent of coverage of Johnson and Johnson (J & J) vaccine’s adverse events reported in the online versions of the three most widely circulated US daily newspapers from April 13–25, 2021. Articles were identified in published online versions of the three most widely cited newspapers in the United States, using several databases. Dedoose software was used to apply a mixed methods approach to the 110 articles identified. The seven overarching themes were as follows: (1) J & J vaccine characteristics (n = 78); (2) Description of the adverse events (n = 183); (3) Emphasis that it is a rare event and vaccine is still safe (n = 89); (4) Health authorities’ investigation (n = 55); (5) Pause in administering J & J vaccine (n = 83); (6) Vaccine fear and anxiety and increased hesitancy (n = 58); (7) J & J role and impact (n = 108). Each theme included a series of subthemes. Overall, the newspaper coverage was aligned with handling of the pause from authoritative health agencies in the US. The findings of this study help to better understand how the US media covered adverse events related to the J & J vaccine, and provides insight for public health professionals regarding acceptance COVID-19 vaccines. Monitoring media coverage related to vaccine adverse events may help public health officials to develop new approaches to adequately inform the public, prevent misinformation, and maintain the optimal vaccination uptake.

COMPARATIVE VACCINE HESITANCY IN PEOPLE WITH COPD

TOPIC: Obstructive Lung Diseases TYPE: Original Investigations PURPOSE: To understand comparative vaccine (influenza, “pneumonia” and shingles) use and reasons for hesitancy among people with COPD known to be at increased risk for poor outcomes from vaccine preventable diseases.To understand the potential impact of a short educational video (the intervention) on self-reported shingles vaccine uptake intent and interest. METHODS: An intervention study conducted in members of the COPD Foundation’s Patient Powered Research Network (PPRN). All had self-reported COPD. A survey queried about receipt of influenza, shingles and “pneumonia” vaccines and reasons for not receiving those vaccines. For individuals not receiving the newest of those vaccines (shingles), a 5-minute educational video was presented discussing general shingles disease burden and increased risk in those with COPD, and disease prevention from vaccination. A 1-minute patient (COPD + shingles) testimonial was included in the video. After viewing, participants were asked about the value and potential impact of the video. RESULTS: 735 people responded; 60% women, mean age 68.5 years, 53% reporting poor overall health and 54% having >1 exacerbations in past 12 months. Vaccination rates were 93% for pneumonia vaccines, 89% for influenza vaccines and 61% for shingles vaccines. Health care recommendations varied by site: highest in primary care (61 to 91%) and from internet or family and friends (35 to 47%) and lower rates of recommendations by pulmonologists (21 to 61%) and pharmacies (30 to 53%) among those attending the specific site. The most common reasons for not receiving a vaccine were lack of health care professional recommendation (7% for influenza to >30% for pneumonia and shingles), concerns about side effects (pneumonia 22%, shingles 38% and influenza 43%), inadequate information (influenza 11%, pneumonia 20%, shingles 32%) and for influenza and shingles vaccines—fear of vaccine causing the disease (28% and 22% respectively). Only 25% were aware that COPD increased the risk of developing shingles. The video was felt to be useful (>94%) and increased interest and intent for receiving the shingles vaccine or at least discussing receipt with their physician (>87%). Awareness of increased risk of shingles in those with COPD increased to 91%. CONCLUSIONS: Vaccine hesitancy continues among those living with COPD, particularly for newer vaccines such as shingles.Health care professionals’ recommendations are not universal.A short educational intervention may lower vaccine hesitancy and may have implications for addressing COVID vaccine acceptance. CLINICAL IMPLICATIONS: Care of people with COPD must include clear vaccine recommendations and information about preventable disease burden, vaccine effectiveness and accurate side effect profiles from all the Health Care Professionals they visit. DISCLOSURES: Received funding from GSK relationship with GlaxoSmithKline Please note: 04/01/20-12/31/21 Added 04/30/2021 by Elisabeth Callen, source=Web Response, value=Grant/Research Support No relevant relationships by Janice Cotton, source=Web Response No relevant relationships by Natalia Loskutova, source=Web Response No relevant relationships by Sergio Martinez, source=Web Response No relevant relationships by Debora Merrill, source=Web Response No relevant relationships by Dennis Williams, source=Web Response Consultant relationship with GSK Please note: $5001 - $20000 by Barbara Yawn, source=Web Response, value=Consulting fee Advisory Committee Member relationship with BI Please note: $1001 - $5000 by Barbara Yawn, source=Web Response, value=Honoraria Advisory Committee Member relationship with AZ Please note: $1001 - $5000 by Barbara Yawn, source=Web Response, value=Honoraria Advisory Committee Member relationship with Sunovian Please note: $1001 - $5000 by Barbara Yawn, source=Web Response, value=Honoraria Removed 02/15/2021 by Barbara Yawn, source=Web Response Advisory Committee Member relationship with TEVA Please note: 11/2019-12/2021 Added 02/15/2021 by Barbara Yawn, source=Web Response, value=Consulting fee

Coronavirus Disease 2019 Vaccine Barriers: Educating Patients to Alleviate Fear of Receiving the Vaccine

Vaccination is an important step to avoid coronavirus disease 2019 infection and alleviate the disruption caused by the pandemic. Health care providers can improve outcomes by educating themselves and subsequently encouraging patients to vaccinate against the virus. This can be accomplished by understanding how the coronavirus disease 2019 vaccine works and what causes barriers and fear of vaccination.

Vaccination Fear Scale (VFS-6): Development and Initial Validation

Background: The present study presents a first psychometric analysis of the Vaccination Fear Scale (VFS-6) developed to complement clinical efforts in the prevention of hesitance against vaccines. Methods: The sample comprised 2175 Spanish participants. The items of the VFS-6 were developed from validated Fear Coronavirus Scale (FCV-19S), which has several psychometric tests to ascertain its reliability and validity properties. Several psychometric tests were conducted to ascertain its reliability and validity properties. Results: After panel review and corrected item-total correlation test, six items with acceptable corrected item-total correlation were retained and then confirmed by significant and strong factor loadings. Exploratory and confirmatory factor analysis supported a bifactorial model (cognitive and physical factors), with robust psychometric properties, good reliability and internal consistency. Our data indicate that fear of vaccination is much more consistently related to the intention to vaccinate than fear of the disease. Conclusion: The VFS-6 is valid and reliable to assess fear of vaccination among the Spanish population.

COVID-19 Vaccine Hesitancy in Poland-Multifactorial Impact Trajectories.

Since the declaration of the SARS-CoV-2 pandemic confirmed by World Health Organization, work on the development of vaccines has been stimulated. When vaccines are commonly available, a major problem is persistent vaccine hesitancy in many European countries. The main goal of our study was to understand the multidimensional factors inducing this phenomenon in Poland. Our study was carried out at the third wave’s peak of the pandemic, with record rates of daily cases and deaths associated with COVID-19. The results indicate that vaccine hesitancy/acceptability should always be considered in an interdisciplinary manner and according to identified factors where most negative attitudes could be altered. Our analyses included the assessment of a representative quota sample of adult Poles (N = 1000). The vaccine hesitancy in the studied group reached 49.2%. We performed stepwise logistic regression modeling to analyze variables set into six trajectories (groups) predicting the willingness to vaccinate. Apart from typical, socio-demographic and economic determinants, we identified the fear of vaccines’ side effects, beliefs in conspiracy theories and physical fitness. We were also able to establish the order of importance of factors used in a full model of all impact trajectories.

Public fear of COVID-19 vaccines in Iraqi Kurdistan region: a cross-sectional study

BackgroundVaccines remain one of the most effective methods to control infectious diseases; however, COVID-19 vaccines are challenging and novel. Vaccine support is still substantial in general, although vaccination fear has increased dramatically in recent decades. This is the first study aimed to determine the fear of the COVID-19 vaccination and the role of factors and reasons associated with fear in the Iraqi Kurdistan region.ResultsA total of 1188 participants responded to the questionnaire about their fears of the COVID-19 vaccine. The majority of participants had a medium level of fear (56.7%). Fear was significantly (p < 0.001) associated with major demographic characteristics, social media use (51.8%), and losing family members, while other variables (previous seasonal influenza vaccine, previous infection, chronic medical diseases) show no relationship. Fear of side effects such as blood clotting was reported by the majority (45.03%) and indicated positive relation (p < 0.016). On the other hand, a high proportion, 39.9% and 34.01%, were afraid of AstraZeneca and Pfizer (p < 0.001), respectively; however, only about 4.63% had fear of Sinopharm.ConclusionsThe fear of COVID-19 vaccination was widespread in the Iraqi Kurdistan region. In this way, fear was related to significant variables. To reduce the fear of vaccines and increase public acceptance, authorities and the Ministry of Health should initiate a public awareness campaign. As a result, the public health crisis will significantly improve.

Misrepresentation about vaccines that are scaring women.

The coronavirus disease 2019 (COVID-19) pandemic has contributed greatly to morbidity and mortality worldwide. The production of COVID-19 vaccines has been tested for efficacy and safety via clinical trials. However, false information on the side effects of the vaccine has been spread via social media, creating fear of vaccination. Currently, the vaccine has been falsely reported to cause infertility in women of reproductive age and miscarriages in pregnant women. There is no evidence to support this information as the COVID-19 vaccines have been clinically approved for safety. Furthermore, pregnant and lactating women were not included in the clinical trials. Therefore, the objective of this report is to raise awareness that the rumours on the vaccine are false and to encourage every individual to accept the vaccination for their safety and the safety of their loved ones.

The image of vaccination in Slovenia: attitudes toward the effectiveness, safety, and importance of vaccination—a population based survey

Scepticism and negative attitudes toward vaccination are growing, generating the risk of decreasing vaccination coverage, with potential impact on the individual and community. Our aim was to obtain the first reliable national assessment of attitudes regarding the effectiveness, safety, and importance of vaccination among Slovenia’s general population and explore their socio-demographic determinants. A cross-sectional survey was performed in a random sample of the general population. We used multivariable logistic regression analysis to identify factors independently associated with positive attitudes toward the effectiveness, safety, and importance of vaccination. In our survey, 8590 individuals aged 25–74 years participated; the overall response rate was 55%. Approximately two-thirds of participants expressed positive attitudes toward the effectiveness and importance of vaccination (64.9% and 67.6%, respectively). However, almost one-third (31.0%) of them expressed a fear of vaccination because of side effects. Two predictors for positive attitudes toward the effectiveness and importance of vaccination were higher social class and participation in preventive examinations. Factors associated with lower odds for a positive attitude toward the safety of vaccination included female sex, minors in the household, and average assessment of health status. Our study contributed an important insight into the Slovenian attitude toward vaccination among the general population. It showed that there are some socio-demographic determinants that are related to attitudes regarding the effectiveness, safety, and importance of vaccination. There is a need to address public concerns regarding vaccination in order to increase and maintain optimal coverage rates by implementing comprehensive communication strategies.

Factors That Affect E-Learning Platforms after the Spread of COVID-19: Post Acceptance Study

The fear of vaccines has led to population rejection due to various reasons. Students have had their own inquiries towards the effectiveness of the vaccination, which leads to vaccination hesitancy. Vaccination hesitancy can affect students’ perception, hence, acceptance of e-learning platforms. Therefore, this research attempts to explore the post-acceptance of e-learning platforms based on a conceptual model that has various variables. Each variable contributes differently to the post-acceptance of the e-learning platform. The research investigates the moderating role of vaccination fear on the post-acceptance of e-learning platforms among students. Thus, the study aims at exploring students’ perceptions about their post-acceptance of e-learning platforms where vaccination fear functions as a moderator. The current study depends on an online questionnaire that is composed of 29 items. The total number of respondents is 630. The collected data was implemented to test the study model and the proposed constructs and hypotheses depending on the Smart PLS Software. Fear of vaccination has a significant impact on the acceptance of e-learning platforms, and it is a strong mediator in the conceptual model. The findings indicate a positive effect of the fear of vaccination as a mediator in the variables: perceived ease of use and usefulness, perceived daily routine, perceived critical mass and perceived self-efficiency. The implication gives a deep insight to take effective steps in reducing the level of fear of vaccination, supporting the vaccination confidence among educators, teachers and students who will, in turn, affect the society as a whole.

The Perception and Attitudes toward COVID-19 Vaccines: A Cross-Sectional Study in Poland.

Vaccine hesitancy is a major threat to the success of COVID-19 vaccination programs. The present cross-sectional online survey of adult Poles (n = 1020) expressing a willingness to receive the COVID-19 vaccine was conducted between February and March 2021 and aimed to assess (i) the general trust in different types of vaccines, (ii) the level of acceptance of the COVID-19 vaccines already in use in Poland (BNT162b2 by BioNTech/Pfizer, mRNA-1273 by Moderna and AZD1222 by Oxford/AstraZeneca) as well as eight vaccines approved outside European Union (EU) or in advanced stages of clinical trials, (iii) level of fear of vaccination against COVID-19, and (iv) main sources of information on COVID-19 vaccination. Among all major vaccine technology, the highest level of trust was observed for the mRNA platform, with a considerable number of surveyed (>20%) not aware of the existence of vaccines produced using the traditional approach (inactivated and live attenuated vaccines). The age of participants was the main factor differentiating the level of trust in a particular vaccine type. Both BNT162b and mRNA-1273 received a high level of acceptance, contrary to AZD1222. From eight vaccines unauthorized in the EU at the moment of study, the CVnCoV (mRNA; CureVac) was met with the highest level of trust, followed by Ad26.COV2.S (vector; Janssen/Johnson&Johnson) and NVX-CoV2373 (protein; Novavax). Sputnik V (vector; Gamaleya Research Institute) was decidedly the least trusted vaccine. The median level of fear (measured by the 10-point Likert-type scale) in the studied group was 4.0, mostly related to the risk of serious allergic reactions, other severe adverse events and unknown long-term effects of vaccination. Female, individuals with a lower level of education and those not seeking any information on the COVID-19 vaccines revealed a higher fear of vaccination. Experts’ materials were the major source of information on COVID-19 vaccines in the studied group. The study shows the level of trust in COVID-19 vaccines can vary much across the producers while the mRNA vaccines are received with a high level of acceptance. It also emphasizes the need for effective and continuous science communication when fighting the pandemic as it may be an ideal time to increase the general awareness of vaccines.

The comparative analysis of population attitude to vaccination against COVID-19 infection in foreign countries and in Russia

The search of relevant data was implemented through such bibliographic databases as eLIBRARY.RU, PubMed, MEDLINE, Scopus and Google Scholar. Moreover, the primary research data concerning opinions of Russians about coronavirus infection vaccination was analyzed. The cross-country study of opinions about COVID-19 vaccination permitted to identify main factors impacting degree of readiness to mass immunization, including fear and personal perceptions of risk of COVID-19 infection, attitudes to influenza vaccination and fear of vaccination, mainly due to disinformation about efficiency, efficacy and safety of the vaccine. The conclusion was made that public opinion surveys implemented in various countries are important because they provide priceless information for implementing public policy targeted to improve health care support, in particular to develop effective vaccination campaigns against COVID-19, identifying high-risk groups, socially and economically vulnerable individuals for whom vaccination is to be paramount and free, and also setting vaccination fees for other groups based on their readiness to pay.

Analyzing the attitude of Indian citizens towards COVID-19 vaccine – A text analytics study

Background and aimsThe government of India recently planned to start the process of the mass vaccination program to end the COVID-19 crises. However, the process of vaccination was not made mandatory, and there are a lot of aspects that arise skepticism in the minds of common people regarding COVID-19 vaccines. This study using machine learning techniques analyzes the major concerns Indian citizens voice out about COVID-19 vaccines in social media. MethodsFor this study, we have used social media posts as data. Using Python, we have scrapped the social media posts of Indian citizens discussing about the COVID- 19 vaccine. In Study 1, we performed a sentimental analysis to determine how the general perception of Indian citizens regarding the COVID-19 vaccine changes over different months of COVID-19 crises. In Study 2, we have performed topic modeling to understand the major issues that concern the general public regarding the COVID- 19 vaccine. ResultsOur results have indicated that 47% of social media posts discussing vaccines were in a neutral tone, and nearly 17% of the social media posts discussing the COVID-19 vaccine were in a negative tone. Fear of health and allergic reactions towards the vaccine are the two prominent issues that concern Indian citizens regarding the COVID-19 vaccine. ConclusionWith the positive sentiments regarding vaccine is just over 35%, the Indian government needs to focus especially on addressing the fear of vaccines before implementing the process of mass vaccination.

Coronavirus disease 2019 vaccines and relevant adverse reactions

In order to overcome the global pandemic of the new pathogen, severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), intensive research has been conducted to understand viral pathogenicity, establish effective treatment strategies, and develop vac cines against coronavirus disease 2019 (COVID-19). To prevent COVID-19, a variety of COVID-19 vaccines have been rapidly devel oped and are currently being administered worldwide. When developing new vaccines, monitoring for adverse events following immunization (AEFIs) has always been important, and some COVID-19 vaccines are particularly effective as new types of vaccines that have not been used before, thus attracting attention to AEFIs. Vaccine administration is carefully conducted while monitoring for AEFI that are being reported from time to time. AEFIs are largely divided into local reactions, systemic reactions, allergic reac tions, and adverse reactions to specific diseases or disease- attributable events. In addition, it is classified according to causes, but it is very difficult to confirm the association with the vaccine. Anaphylaxis, which is a systemic reaction among serious allergic reac tions, requires immediate treatment and may require testing to determine the cause. In order to increase the vaccination rate and secure herd immunity, there should be no fear of vaccination due to unidentified side effects. Therefore, monitoring of AEFIs is im portant and causal relationships must be well established based on reliable epidemiological investigations. Current data show that the benefits of a COVID-19 vaccine far outweigh the risk of AEFIs. Future studies should continue to understand the mechanisms and risk factors of identified adverse reactions. (Allergy Asthma Respir Dis 2021;9:124-135)

It’s all about trust: Women's compliance with influenza and pertussis vaccinations during pregnancy

Abstract Background Although vaccination against pertussis and seasonal influenza during pregnancy is the safest and most efficient strategy to protect mothers and infants from related morbidity and mortality, maternal vaccination is unfortunately suboptimal. The aim of the current study is to assess vaccination compliance during pregnancy and the factors associated with adherence with the relevant Ministry of Health recommendations. Methods The study included 344 women in a maternity ward of a hospital in northern Israel. After receiving approval from the Helsinki Commission and with the mothers' consent, data was collected through a self-administrated questionnaire from June to September 2019. Results Eighty-three percent of participants reported having been vaccinated against pertussis during pregnancy, and 44% reported having been vaccinated against influenza. The main reasons for not being vaccinated were distrust in vaccine efficiency, fear of vaccination during pregnancy, and lack of recommendations from health professionals. Multivariate logistic regressions analysis showed that compliance with influenza and pertussis vaccinations were significantly explained by women's attitudes (influenza: OR 2.88; 99% CI: 2.05, 4.05; pertussis: OR 4.77; 99% CI: 3.04, 7.47) and norms (influenza: OR 1.55; 95% CI: 1.15, 2.08; pertussis: OR 2.09; 99% CI: 1.46, 2.99). Process procedure for mediation reveals that the greater the level of trust in the healthcare system, the more positive the attitudes and subjective norms toward vaccination during pregnancy, and the greater the likelihood of complying with both vaccination requirements during pregnancy. Conclusions Efforts should focus on raising women's trust in the healthcare system as an important part of shaping attitudes and creating a supportive environment for vaccination. Key messages Trust in the healthcare system is associated with positive attitudes and norms, which in turn contribute to vaccination compliance. Explicit recommendations for vaccinations among pregnant women made by health professionals are needed, including reassurance of vaccine safety and effectiveness.

Eventos adversos pós-vacinais papilomaví­rus humano em adolescentes

Avaliar a ocorrência dos eventos adversos pós-vacinais em adolescentes relacionados í vacina quadrivalente Papilomaví­rus Humano 6, 11, 16 e 18 (recombinante) através do Sistema de Informações do Programa Nacional de Imunizações Eventos Adversos Pós-Vacinação da Coordenadoria de Saúde da írea Programática 5.1 procedentes das Unidades Básicas de Saúde. A amostra foi composta por adolescentes entre 9 a 17 anos de idade. Estudo retrospectivo, de caráter exploratório, descritivo e quantitativo no perí­odo de 01 de novembro de 2016 até 01 de junho de 2019. Analisadas no estudo 22 fichas de notificações, sendo 19 de eventos adversos pós-vacinais e 3 Erros de Imunização (EI). Os eventos adversos nos adolescentes estão relacionados a ansiedade e medo frente a vacinação, ocorridos na administração da primeira dose da vacina HPV, predominante no sexo masculino, ocorrendo nos primeiros 30 minutos após administração do imunobiológico. Nesta pesquisa, os eventos adversos com maiores frequências, foram classificados como não graves, com evolução para cura sem sequelas, relacionados í manifestações como a palidez, hipotensão, desmaio e sí­ncope.