Evidence map›Paper›PMID 39898697›Full record

ArticleHuman vaccines & immunotherapeutics2025

Acceptance and attitudes towards COVID-19 vaccination during pregnancy in Canada.

Suraya Bondy, Elisabeth McClymont, Gal Av-Gay, Arianne Albert, Janice Andrade, Sandra Blitz, Ianna Folkes, Lucia Forward, Erin Fraser, Sela Grays and 18 more

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Urgent need to update SARS-CoV-2 mRNA vaccine product monograph information in Canada for pregnant or lactating people.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Suraya BondyDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Elisabeth McClymontDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Gal Av-GayDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Arianne AlbertWomen's Health Research Institute, BC Women's Hospital and Health Centre, Vancouver, Canada.
Janice AndradeDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Sandra BlitzDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Ianna FolkesDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Lucia ForwardDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Erin FraserDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Sela GraysDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Jon BarrettDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, Canada.
Julie BettingerVaccine Evaluation Center, BC Children's Hospital, Vancouver, Canada.
Tali BoglerFamily Medicine Obstetrics, St. Michael's Hospital, Toronto, Canada.
Isabelle BoucoiranDepartment of Obstetrics & Gynecology and School of Public Health, Université de Montréal, Montreal, Canada.
Eliana CastilloDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, Canada.
Rohan D'SouzaDepartment of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Darine El-ChaârDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.
Shaza FadelDalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Verena KuretDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, Canada.
Gina S OgilvieWomen's Health Research Institute, BC Women's Hospital and Health Centre, Vancouver, Canada.
Vanessa PoliquinDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Manitoba, Winnipeg, Canada.
Manish SadaranganiVaccine Evaluation Center, BC Children's Hospital, Vancouver, Canada.
Heather ScottDepartment of Obstetrics and Gynecology, Dalhousie University, Halifax, Canada.
John W SnelgroveDepartment of Obstetrics and Gynecology, University of Toronto, Toronto, Canada.
Modupe Tunde-ByassDepartment of Obstetrics and Gynecology, University of Toronto, Toronto, Canada.
Deborah MoneyDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
COVERED Team
COVERED Team:

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic posed a unique set of risks to pregnant women and pregnant people. SARS-CoV-2 infection in pregnancy is associated with increased risk of severe illness and adverse perinatal outcomes. However, evidence regarding the use of COVID-19 vaccines in pregnancy shows safety and efficacy. Despite eligibility and recommendations for COVID-19 vaccination among pregnant women and pregnant people in Canada, uptake remains lower compared to the general population, warranting exploration of influencing factors. The COVERED study, a national prospective cohort, utilized web-based surveys to collect data from pregnant women and pregnant people across Canada on COVID-19 vaccine attitudes, uptake, and hesitancy factors from July 2021 to December 2023. Survey questions were informed by validated tools including the WHO Vaccine Hesitancy Scale (VHS) and the Theory of Planned Behavior (TPB). Of 1093 respondents who were pregnant at the time of the survey, 87.7% received or intended to receive a COVID-19 vaccine during pregnancy. TPB variables such as positive attitudes toward COVID-19 vaccines (OR = 1.11, 95% CI = 1.08-1.14), direct social norms, and indirect social norms were significantly associated with vaccine acceptance. Perceived vaccine risks, assessed by the WHO VHS, were greater in those not accepting of the vaccine. Our study identified several key factors that play a role in vaccine uptake: perceived vaccine risks and safety and social norms. These findings may guide public health recommendations and prenatal vaccine counseling strategies.

Indexed as

COVID-19COVID-19 VaccinesHealth Knowledge, Attitudes, PracticePatient Acceptance of Health CarePregnancy Complications, InfectiousPregnant PeopleVaccinationVaccination HesitancyAdultCanadaFemaleHumansPregnancyProspective StudiesSARS-CoV-2Surveys and QuestionnairesCOVID-19 VaccinesacceptanceattitudesCOVID-19immunizationpregnancyuptakevaccines

Identifiers

PMID39898697
PMCPMC11792807

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.