Kim In Seon, Seo Yu Bin, Hong Kyung-Wook, Noh Ji Yoon, Choi Won Suk, Song Joon Young, Cho Geum Joon, Oh Min Jeong, Kim Hai Joong, Hong Soon Choul, Sohn Jang Wook, Cheong Hee Jin, Kim Woo Joo
Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Clin Exp Vaccine Res. 2012 Jul;1(1):88-94. doi: 10.7774/cevr.2012.1.1.88. Epub 2012 Jul 31.
Women who are pregnant, planning to become pregnant in the influenza season or caring for infant 6-59 months of age are identified as priority groups for influenza vaccination. Vaccination rate is presumed to be low in those women. The purpose of this study was to investigate perceptions of childbearing age women about influenza vaccination.
Childbearing age women visiting the department of Obstetrics and Gynecology in 3 University hospitals in Seoul and Gyeonggi-do province were surveyed. Individual interviews were performed to them with questionnaire for 2 months from April to May 2012. Demographic data, Immunization history, general understanding and factors associated with vaccination were asked.
Three hundred fifty-five (71.0%) of total 500 reproductive age women had the experience of influenza vaccination. Among 343 women who has been pregnant at least once, 48 women (16.4%) had vaccination during pregnancy, and 46 of them got vaccination since 2009. One hundred ninety women of total 500 women responded that they would get vaccination if pregnant in the next influenza season (38.0%). In multivariate analysis, statistically significant factors associated with plans of influenza vaccination in pregnancy were as follows: experience of childbirth (odds ratio [OR], 1.97; 95% CI, 1.32 to 2.93), high level of education (OR, 1.96; 95% CI, 1.22 to 3.15), previous influenza vaccination (OR, 1.88; 95% CI, 1.17 to 3.01).
Influenza vaccine coverage on childbearing age women including pregnant women is low because of misperception of vaccination during pregnancy. It is necessary for healthcare provider to correct misunderstanding and to recommend vaccination actively.
孕妇、计划在流感季节怀孕的女性或照顾6至59个月大婴儿的女性被确定为流感疫苗接种的优先群体。据推测,这些女性的疫苗接种率较低。本研究的目的是调查育龄女性对流感疫苗接种的看法。
对首尔和京畿道3所大学医院妇产科就诊的育龄女性进行调查。2012年4月至5月,对她们进行了为期2个月的问卷调查和个人访谈。询问了人口统计学数据、免疫史、一般认知以及与疫苗接种相关的因素。
500名育龄女性中,355人(71.0%)有流感疫苗接种经历。在至少怀孕过一次的343名女性中,48名女性(16.4%)在孕期接种过疫苗,其中46人自2009年以来接种过。500名女性中,190人(38.0%)表示如果下一个流感季节怀孕会接种疫苗。多因素分析显示,与孕期流感疫苗接种计划相关的统计学显著因素如下:生育经历(比值比[OR],1.97;95%置信区间[CI],1.32至2.93)、高学历(OR,1.96;95%CI,1.22至3.15)、既往流感疫苗接种史(OR,1.88;95%CI,1.17至3.01)。
包括孕妇在内的育龄女性流感疫苗接种率较低,原因是对孕期接种疫苗存在误解。医疗服务提供者有必要纠正误解并积极推荐接种疫苗。