Wu Ann Chen, Wisler-Sher Daryl J, Griswold Katherine, Colson Eve, Shapiro Eugene D, Holmboe Eric S, Benin Andrea L
Department of Ambulatory Care and Prevention, Harvard Medical School, and Children's Hospital, 133 Brookline Avenue, 6th Floor, Boston, MA 02215-5301, USA.
Matern Child Health J. 2008 Nov;12(6):766-73. doi: 10.1007/s10995-007-0302-4. Epub 2007 Nov 7.
To examine attitudes and knowledge about vaccinations in postpartum mothers.
This cross-sectional study collected data via written survey to postpartum mothers in a large teaching hospital in Connecticut. We used multivariable analysis to identify mothers who were less trusting with regard to vaccines.
Of 228 mothers who participated in the study, 29% of mothers worried about vaccinating their infants: 23% were worried the vaccines would not work, 11% were worried the doctor would give the wrong vaccine, and 8% worried that "they" are experimenting when they give vaccines. Mothers reported that the most important reasons to vaccinate were to prevent disease in the baby (74%) and in society (11%). Knowledge about vaccination was poor; e.g., 33% correctly matched chicken pox with varicella vaccine. Mothers who were planning to breastfeed (P=.01), were primiparous (P=.01), or had an income<$40,000 but did not receive support from the women, infants, and children (WIC) program were less trusting with regard to vaccines (P=.03). Although 70% wanted information about vaccines during pregnancy, only 18% reported receiving such information during prenatal care.
Although the majority of infants receive vaccines, their mothers have concerns and would like to receive immunization information earlier. Mothers who are primiparous, have low family incomes but do not qualify for the WIC program, or are breastfeeding may need special attention to develop a trusting relationship around vaccination. Mothers would benefit from additional knowledge regarding the risks and benefits of vaccines particularly during prenatal care.
调查产后母亲对疫苗接种的态度和知识。
这项横断面研究通过书面调查收集了康涅狄格州一家大型教学医院产后母亲的数据。我们使用多变量分析来确定对疫苗信任度较低的母亲。
在参与研究的228名母亲中，29%的母亲担心给婴儿接种疫苗：23%担心疫苗不起作用，11%担心医生会接种错误的疫苗，8%担心接种疫苗是在“做实验”。母亲们表示，接种疫苗最重要的原因是预防婴儿患病（74%）和预防社会疾病（11%）。关于疫苗接种的知识较差；例如，33%的人能正确将水痘与水痘疫苗对应起来。计划进行母乳喂养的母亲（P = 0.01）、初产妇（P = 0.01）或收入低于40000美元但未获得妇女、婴儿和儿童（WIC）项目支持的母亲对疫苗的信任度较低（P = 0.03）。尽管70%的人希望在孕期获得有关疫苗的信息，但只有18%的人报告在产前护理期间收到过此类信息。
尽管大多数婴儿接种了疫苗，但他们的母亲仍有担忧，希望更早获得免疫接种信息。初产妇、家庭收入低但不符合WIC项目资格或正在进行母乳喂养的母亲可能需要特别关注，以建立围绕疫苗接种的信任关系。母亲们将从有关疫苗风险和益处的更多知识中受益，尤其是在产前护理期间受益。
