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La protección anticipada supera la vacilación y la desconfianza de las mujeres inscritas en el estudio de cohorte

Amanda Blair Spence¹, Adam Visconti¹, Lakshmi Goparaju¹

¹Georgetown University, Department of Medicine, Division of Infectious Disease and Tropical Medicine, Washington, DC.

Journal of acquired immune deficiency syndromes (1999)

|September 3, 2025

Resumen

La absorción de la vacuna contra la COVID-19 fue alta entre las mujeres que viven con VIH, sin diferencias en comparación con las que no tienen VIH. Las preocupaciones sobre los efectos secundarios desconocidos no afectaron la recepción de la vacuna.

Área de la Ciencia:

Salud pública
Epidemiología de las enfermedades infecciosas
Investigación sobre el VIH/SIDA

Sus antecedentes:

A pesar de la eficacia probada de la vacuna contra el COVID-19, persiste la vacilación de la vacuna.
Comprender la ingesta de la vacuna y la vacilación en poblaciones vulnerables como las personas que viven con el VIH (PWH) es crucial.

Objetivo del estudio:

Examinar el uso de la vacuna COVID-19 y la vacilación entre las mujeres en el estudio de cohorte combinado MACS-WIHS.
Para identificar los factores asociados con la recepción de la vacuna COVID-19 en esta cohorte.

Principales métodos:

Se realizó una encuesta anidada entre las mujeres en el Estudio de cohorte combinado MACS-WIHS desde octubre de 2020 hasta septiembre de 2022.
Los datos recopilados incluyeron recepción de vacunas, desconfianza médica, confianza en el gobierno, actitudes hacia las vacunas, sociodemografía y comorbilidades.

Principales resultados:

El 82% de los participantes completaron la serie de vacunas contra la COVID-19; las tasas de finalización fueron similares para las mujeres con HVP y las mujeres sin VIH.
Los factores clave para las decisiones de vacunación incluyeron la elección personal (46%), la recomendación del proveedor de atención médica (24%) y la influencia familiar (31%).
La edad avanzada, las pruebas previas de COVID-19 y la protección percibida después de la vacunación se asociaron con la recepción de la vacuna; la desconfianza médica y las preocupaciones de seguridad no fueron predictores significativos.

Conclusiones:

Las preocupaciones sobre los riesgos potenciales de las vacunas siguen siendo un obstáculo para su aceptación generalizada.
Las campañas de salud pública deben enfatizar los beneficios de las vacunas y utilizar enfoques compartidos de toma de decisiones para abordar la vacilación.

Palabras clave:

El COVID-19 El VIH Desconfianza hacia los médicos Vacilamiento de las vacunas mujeres con VIH

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