Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Linkou Medical Center, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Taiwan J Obstet Gynecol. 2012 Jun;51(2):222-8. doi: 10.1016/j.tjog.2012.04.010.
To examine obstetrician-gynecologists' knowledge, beliefs, and attitudes associated with the intention to recommend adult tetanus, reduced diphtheria, and acellular pertussis (Tdap) vaccination to postpartum women.
A survey instrument was mailed to a total of 2686 members of the Taiwan Association of Obstetrics and Gynecology to assess provider demographic characteristics, occupational information, pertussis knowledge, and beliefs and attitudes about vaccination. The intention to recommend pertussis vaccination to postpartum women was evaluated. Trend chi-square statistics and multivariate logistic models were used to determine variables that were significantly associated with intention to recommend vaccination.
Of the 676 surveys returned (25.2%), 510 participants were active in obstetric practice. A statistically significant difference was found in mean ± SD knowledge scores for pertussis disease and pertussis vaccination between obstetrician-gynecologists who intended to recommend and those who did not intend to recommend postpartum Tdap vaccination (disease: 2.99 ± 2.2 vs. 2.31 ± 1.9, respectively, p < .001; vaccination: 2.64 ± 2.2 vs. 1.36 ± 1.8, respectively, p < .001). Obstetrician-gynecologists who were in favor of postpartum Tdap vaccination were more likely to: (1) rate the change in pertussis incidence among adults as increased; (2) rate pertussis disease among newborn infants as highly severe; (3) rate pertussis as highly contagious; and (4) understand the current recommendation of important organizations for protecting infants against pertussis.
Our study of obstetrician-gynecologists' attitudes and intentions concerning postpartum Tdap vaccination may be useful in guiding the design of effective perinatal Tdap immunization programs nationwide.
调查与向产后妇女推荐成人破伤风、白喉和无细胞百日咳（Tdap）疫苗的意愿相关的妇产科医生的知识、信念和态度。
向台湾妇产科协会的 2686 名成员邮寄了一份调查工具，以评估提供者的人口统计学特征、职业信息、百日咳知识以及对疫苗接种的信念和态度。评估了向产后妇女推荐百日咳疫苗接种的意愿。使用趋势卡方检验和多变量逻辑模型来确定与推荐接种意愿显著相关的变量。
在返回的 676 份调查中（25.2%），有 510 名参与者活跃在产科实践中。计划推荐和不打算推荐产后 Tdap 疫苗接种的妇产科医生在百日咳疾病和百日咳疫苗接种方面的平均知识得分存在统计学差异（疾病：分别为 2.99±2.2 和 2.31±1.9，p<.001；疫苗接种：分别为 2.64±2.2 和 1.36±1.8，p<.001）。赞成产后 Tdap 疫苗接种的妇产科医生更有可能：（1）认为成人百日咳发病率的变化有所增加；（2）认为新生儿百日咳疾病非常严重；（3）认为百日咳具有高度传染性；（4）理解当前保护婴儿免受百日咳侵害的重要组织的建议。
我们对妇产科医生关于产后 Tdap 疫苗接种的态度和意愿的研究可能有助于指导全国围产期 Tdap 免疫接种计划的设计。
