Models of determinants of COVID-19 vaccine hesitancy in non-pregnant and pregnant population: Review of current literature”

ABSTRACT

Vaccination has proven to be the most effective tool in controlling the COVID-19 pandemic. While pregnant individuals are considered to be a high-risk population and are more likely to experience adverse effects from COVID-19, vaccination rates among pregnant individuals are significantly lower than in the general population. The Health Belief Model (HBM), Theory of Planned Behavior (TPB), 3C model, 5C model, and 5A model have been used to assess vaccination hesitancy behaviors. In this paper, we review the use of each of these models to address vaccine hesitancy, with a focus on the pregnant population and the COVID-19 vaccine. The HBM, TPB, 3C model, and 5C model have demonstrated great versatility in their ability to evaluate, explain, and modify vaccine hesitancy and behavior. Up to date, the HBM and 3C models appear to be the most effective models to study and address vaccination hesitancy within the pregnant persons.

KEYWORDS:

• Vaccine hesitancy
• health belief model
• theory of planned behavior
• 3C model
• 5C model
• 5A model
• pregnancy

Highlights

• Health Belief and 3C models are effective to study vaccine hesitancy in pregnancy

• These models could be combined to address COVID-19 vaccine acceptance in pregnancy

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

Dr. Palatnik is supported by the American Heart Association [Career Development award 847482].