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孕妇人群中的流感疫苗接种率——2009 年全国甲型 H1N1 流感调查(NHFS)。

Influenza vaccination coverage among pregnant women--National 2009 H1N1 Flu Survey (NHFS).

机构信息

Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

Am J Obstet Gynecol. 2011 Jun;204(6 Suppl 1):S96-106. doi: 10.1016/j.ajog.2011.03.003. Epub 2011 Mar 9.

Abstract

We sought to describe vaccination with influenza A (H1N1) 2009 monovalent (2009 H1N1) and trivalent seasonal (seasonal) vaccines among pregnant women during the 2009 through 2010 influenza season. A national H1N1 flu survey was conducted April through June 2010. The 2009 H1N1 and seasonal vaccination coverage estimates were 45.7% and 32.1%, respectively, among pregnant women aged 18-49 years. Receipt of a health care provider's recommendation for vaccination, perceived effectiveness of influenza vaccinations, and perceived high chance of influenza infection were independently associated with higher 2009 H1N1 and seasonal vaccination coverage. Pregnancy during October 2009 through January 2010 was independently associated with higher 2009 H1N1 vaccination coverage. The 2009 H1N1 vaccination level among pregnant women was higher than the seasonal vaccination level during the 2009 through 2010 season; it was also higher than vaccination among nonpregnant women with and without high-risk conditions. Health care providers and public health messaging played important roles in influencing vaccination behavior.

摘要

我们旨在描述在 2009 至 2010 年流感季节期间,孕妇接种甲型流感(H1N1)2009 单价(2009 H1N1)和三价季节性(季节性)疫苗的情况。2010 年 4 月至 6 月进行了一项全国性的 H1N1 流感调查。18-49 岁孕妇中,接种 2009 H1N1 和季节性疫苗的覆盖率估计分别为 45.7%和 32.1%。接受卫生保健提供者接种疫苗的建议、对流感疫苗的有效性的认知,以及对流感感染的高可能性的认知,与较高的 2009 H1N1 和季节性疫苗覆盖率独立相关。2009 年 10 月至 2010 年 1 月期间怀孕与较高的 2009 H1N1 疫苗接种覆盖率独立相关。在 2009 至 2010 年期间,孕妇的 2009 H1N1 疫苗接种水平高于季节性疫苗接种水平;它也高于有和没有高危条件的非孕妇的疫苗接种水平。卫生保健提供者和公共卫生信息传递在影响疫苗接种行为方面发挥了重要作用。

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