Centre for Infectious Disease Control (CIb), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Prenat Diagn. 2011 Aug;31(8):814-20. doi: 10.1002/pd.2772. Epub 2011 Jun 30.
Contracting Q fever during pregnancy carries a risk of developing obstetric complications. The aim of this study was to gain insight into pregnant women's decisions regarding participation in a future Q fever screening and treatment program.
Pregnant women (N = 148) in Q fever high-risk areas in The Netherlands were recruited via midwives' practices and via an online panel for a cross-sectional questionnaire survey. The outcome measures included intention to participate in the program, Q fever exposure risk, perceived Q fever risk, trust in health professionals and authorities, disease-related knowledge and additional outcome measures.
Fifty-six percent of the respondents intended to participate in the screening and treatment program. The sole determinant of a higher intended program uptake was a more positive appraisal of program efficacy and convenience. This appraisal was in turn associated with perceived risk and knowledge.
Women's appraisal of program efficacy and convenience, their disease-related knowledge and perceived Q fever risk seem to be crucial for their intended program uptake. A successful implementation of a Q fever screening and treatment program may thus depend on the benefits and downsides of the program, and on securing that women are aware of the risks of the disease.
孕妇感染 Q 热会增加产科并发症的风险。本研究旨在深入了解孕妇对参与未来 Q 热筛查和治疗计划的决策。
通过助产士实践和在线小组，在荷兰 Q 热高危地区招募了 148 名孕妇进行横断面问卷调查。主要结局指标包括参与该计划的意向、Q 热暴露风险、对 Q 热风险的感知、对卫生专业人员和当局的信任、与疾病相关的知识以及其他结局指标。
56%的受访者有意愿参加筛查和治疗计划。更高的计划参与意向的唯一决定因素是对项目疗效和便利性的更积极评价。这种评估又与感知风险和知识有关。
女性对项目疗效和便利性、与疾病相关的知识和感知 Q 热风险的评估似乎对她们的计划参与意向至关重要。因此，Q 热筛查和治疗计划的成功实施可能取决于该计划的利弊，以及确保女性了解该疾病的风险。
