{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:51:17Z","timestamp":1777852277545,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T00:00:00Z","timestamp":1680480000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100010554","name":"Clinical and Translational Science Institute, University of Pittsburgh","doi-asserted-by":"publisher","award":["Disparities in COVID-19 Therapeutics and Vaccinati"],"award-info":[{"award-number":["Disparities in COVID-19 Therapeutics and Vaccinati"]}],"id":[{"id":"10.13039\/100010554","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pregnant and recently pregnant people have lower vaccination rates against SARS-CoV-2 than the general population, despite increased risk of adverse outcomes from infection. Little is known about vaccine hesitancy in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To characterize SARS-CoV-2 and other vaccine attitudes of lactating people who accepted the SARS-CoV-2 vaccine, describing their vaccine experiences to further contextualize their beliefs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective cross-sectional online survey design was used. We administered the survey to 100 lactating people in Pennsylvania from April to August 2021, upon enrollment into a longitudinal study investigating SARS-CoV-2 vaccine antibodies in human milk. This survey assessed SARS-CoV-2 vaccine attitudes, vaccine counseling from providers, and vaccine decision making. Associations between vaccination timing and beliefs were analyzed by Pearson chi-square.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 100 respondents, all received \u2265 1 SARS-CoV-2 vaccine before or shortly after enrollment, with 44% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944) vaccinated in pregnancy and 56% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200956) while lactating. Participants reported vaccination counseling by obstetric (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200948; 70%) and pediatric (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925; 36%) providers. Thirty-two percent (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932) received no advice on SARS-CoV-2 vaccination from healthcare providers, while 69% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200969) were counseled that vaccination was safe and beneficial.\n                    <\/jats:p>\n                    <jats:p>\n                      While 6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096) and 5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095) reported concerns about the safety of maternal vaccines for lactating people or their infants, respectively, 12% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912) and 9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099) expressed concerns about the safety of maternal SARS-CoV-2 vaccination in particular.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite high uptake of SARS-CoV-2 vaccine among participants, safety concerns persisted, with many reporting a lack of direct counseling from providers. Future research should investigate how variability in provider counseling affects SARS-CoV-2 vaccine uptake in perinatal populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344231159640","type":"journal-article","created":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T04:40:47Z","timestamp":1680496847000},"page":"415-425","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Vaccination Beliefs and Attitudes of Lactating People During the SARS-CoV-2 Pandemic"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3933-6831","authenticated-orcid":false,"given":"Elyse G.","family":"Mark","sequence":"first","affiliation":[{"name":"University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill R.","family":"Demirci","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Megli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith M.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Marie","family":"Rick","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,3]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"Allegheny County Health Department. 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Chen T. J. Razzaghi H. Dawood F. S. (2022). Attitudes toward COVID-19 illness and COVID-19 vaccination among pregnant women: A cross-sectional multicenter study during August\u2013December 2020. American Journal of Perinatology 39(1) 75\u201383. https:\/\/doi.org\/10.1055\/s-0041-1735878","DOI":"10.1101\/2021.03.26.21254402"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"Beigi R. H. Krubiner C. Jamieson D. J. Lyerly A. D. Hughes B. Riley L. Faden R. Karron R. (2021). The need for inclusion of pregnant women in COVID-19 vaccine trials. Vaccine 39(6) 868\u2013870. https:\/\/doi.org\/10.1016\/j.vaccine.2020.12.074","DOI":"10.1016\/j.vaccine.2020.12.074"},{"key":"e_1_3_2_7_1","doi-asserted-by":"crossref","unstructured":"Costantine M. M. Landon M. B. Saade G. R. (2020). Protection by exclusion: Another missed opportunity to include pregnant women in research during the coronavirus disease 2019 (COVID-19) pandemic. 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