{"doi":"10.1093/ofid/ofad201","title":"Factors Associated With Coronavirus Disease 2019 Vaccine Uptake Among Pregnant Women and Nonpregnant Women of Reproductive Age in Jamaica","abstract":"Background: Despite high rates of coronavirus disease 2019 (COVID-19)-related maternal mortality, Jamaica currently has little data on COVID-19 vaccine uptake among pregnant women. Methods: We conducted a cross-sectional, web-based survey of 192 reproductive-aged women in Jamaica from February 1 to 8, 2022. Participants were recruited from a convenience sample of patients, providers, and staff at a teaching hospital. We assessed self-reported COVID-19 vaccination status and COVID-19-related medical mistrust (operationalized as vaccine confidence, government mistrust, and race-based mistrust). We used multivariable modified Poisson regression to test the association between vaccine uptake and pregnancy. Results: Of 192 respondents, 72 (38%) were pregnant. Most (93%) were Black. Vaccine uptake was 35% in pregnant women versus 75% in nonpregnant women. Pregnant women were more likely to cite healthcare providers versus the government as trustworthy sources of COVID-19 vaccine information (65% vs 28%). Pregnancy, low vaccine confidence, and government mistrust were associated with a lower likelihood of COVID-19 vaccination (adjusted prevalence ratio [aPR] = 0.68 [95% confidence interval {CI}, .49-.95], aPR = 0.61 [95% CI, .40-.95], and aPR = 0.68 [95% CI, .52-.89], respectively). Race-based mistrust was not associated with COVID-19 vaccination in the final model. Conclusions: Pregnancy, low vaccine confidence, and government mistrust were associated with a lower likelihood of COVID-19 vaccination among reproductive-aged women in Jamaica. Future studies should evaluate the efficacy of strategies proven to improve maternal vaccination coverage, including standing \"opt-out\" vaccination orders and collaborative provider and patient-led educational videos tailored for pregnant individuals. Strategies that decouple vaccine messaging from government agencies also warrant evaluation.","journal":"Open Forum Infectious Diseases","year":2023,"id":374588,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7872,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":330584,"name":"Laura M. Bogart","orcid":"0000-0003-3182-5542","position":1,"is_corresponding":false},{"id":1136559,"name":"Kamali Carroll","orcid":"0000-0002-6035-5765","position":2,"is_corresponding":false},{"id":1018489,"name":"Lenroy Bryan","orcid":"0000-0002-6312-3716","position":3,"is_corresponding":false},{"id":1136560,"name":"Givana Witter","orcid":"0000-0003-0206-4529","position":4,"is_corresponding":false},{"id":1136561,"name":"Dina Ashour","orcid":"0000-0003-3075-3786","position":5,"is_corresponding":false},{"id":273586,"name":"Fatma M. Shebl","orcid":"0000-0002-9750-0049","position":6,"is_corresponding":false},{"id":586980,"name":"Rocio Hurtado","orcid":"0000-0003-2438-1453","position":7,"is_corresponding":false},{"id":243041,"name":"Ilona T. Goldfarb","orcid":"0000-0002-4311-2657","position":8,"is_corresponding":false},{"id":273590,"name":"Emily P. Hyle","orcid":"0000-0001-8721-106X","position":9,"is_corresponding":false},{"id":499671,"name":"Christina Psaros","orcid":"0000-0002-0705-2239","position":10,"is_corresponding":false},{"id":561909,"name":"Bisola O. Ojikutu","orcid":"0000-0001-7957-8881","position":11,"is_corresponding":false},{"id":1019379,"name":"Jodian Pinkney","orcid":"0000-0003-3964-0032","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T01:16:15.380731Z","pmid":"37234512","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}