Yuen Carol Y S, Dodgson Joan E, Tarrant Marie
School of Nursing, Li Ka Shing Faculty of Medicine, 21 Sassoon Road, Pokfulam, Hong Kong.
College of Nursing & Health Innovation, Arizona State University, Phoenix, AZ, United States.
Vaccine. 2016 Jan 2;34(1):33-40. doi: 10.1016/j.vaccine.2015.11.032. Epub 2015 Nov 24.
Pregnant women are the highest priority group for seasonal influenza vaccination. However, their vaccination uptake remains suboptimal. The purpose of this study is to explore Hong Kong women's perceptions of the threat of influenza infection during pregnancy, the risks and benefits of influenza vaccination, and their decision-making processes.
We used a qualitative descriptive design and recruited women who had just given births to a live infant from April to June 2011. Participants were recruited from a large teaching hospital in Hong Kong and were interviewed in the immediate postpartum period.
A total of 32 postpartum women were interviewed, and two had been vaccinated during pregnancy. Following thematic analysis, three themes emerged: perceived risk of influenza infection, perceived risk of influenza vaccine, and decision-making cues. Overall, participants held negative impressions about influenza vaccination during pregnancy, and they underestimated the threat of influenza to themselves and their fetus. They were also confused about the safety and efficacy of the influenza vaccine and the differences between preventive strategies and treatment for influenza. Most participants reported that their health care providers (HCPs) did not offer or recommend vaccination. Because of negative media reports about vaccination, participants were hesitant to receive the vaccine. Motivating forces for vaccine acceptance were a perceived high prevalence of circulating influenza during their pregnancy and HCP recommendations and reassurances that the vaccination was safe, effective, and beneficial for the fetus.
Vaccination promotion strategies need to focus on encouraging HCPs to take the initiative to discuss vaccination with their pregnant clients and provide accurate and unbiased information about the risks of influenza and the benefits of vaccination.
孕妇是季节性流感疫苗接种的首要优先群体。然而，她们的疫苗接种率仍未达到最佳水平。本研究的目的是探讨香港女性对孕期流感感染威胁的认知、流感疫苗接种的风险和益处，以及她们的决策过程。
我们采用定性描述性设计，招募了2011年4月至6月刚生下活产婴儿的女性。参与者从香港一家大型教学医院招募，并在产后立即接受访谈。
共访谈了32名产后女性，其中两名在孕期接种了疫苗。经过主题分析，出现了三个主题：感知到的流感感染风险、感知到的流感疫苗风险和决策线索。总体而言，参与者对孕期流感疫苗接种持负面看法，并且低估了流感对自身和胎儿的威胁。她们也对流感疫苗的安全性和有效性以及流感预防策略和治疗之间的差异感到困惑。大多数参与者报告称，她们的医疗保健提供者没有提供或推荐接种疫苗。由于媒体对疫苗接种的负面报道，参与者对接种疫苗犹豫不决。接受疫苗的推动因素是她们认为孕期流感流行率高，以及医疗保健提供者的建议和保证，即接种疫苗对胎儿是安全、有效和有益的。
疫苗接种推广策略需要侧重于鼓励医疗保健提供者主动与孕妇客户讨论疫苗接种，并提供关于流感风险和疫苗接种益处的准确且无偏见的信息。
