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美国2016 - 17流感季孕妇的流感疫苗接种覆盖率

Influenza Vaccination Coverage Among Pregnant Women - United States, 2016-17 Influenza Season.

作者信息

Ding Helen, Black Carla L, Ball Sarah, Fink Rebecca V, Williams Walter W, Fiebelkorn Amy Parker, Lu Peng-Jun, Kahn Katherine E, D'Angelo Denise V, Devlin Rebecca, Greby Stacie M

出版信息

MMWR Morb Mortal Wkly Rep. 2017 Sep 29;66(38):1016-1022. doi: 10.15585/mmwr.mm6638a2.

Abstract

Pregnant women and their infants are at increased risk for severe influenza-associated illness (1), and since 2004, the Advisory Committee on Immunization Practices (ACIP) has recommended influenza vaccination for all women who are or might be pregnant during the influenza season, regardless of the trimester of the pregnancy (2). To assess influenza vaccination coverage among pregnant women during the 2016-17 influenza season, CDC analyzed data from an Internet panel survey conducted during March 28-April 7, 2017. Among 1,893 survey respondents pregnant at any time during October 2016-January 2017, 53.6% reported having received influenza vaccination before (16.2%) or during (37.4%) pregnancy, similar to coverage during the preceding four influenza seasons. Also similar to the preceding influenza season, 67.3% of women reported receiving a provider offer for influenza vaccination, 11.9% reported receiving a recommendation but no offer, and 20.7% reported receiving no recommendation; among these women, reported influenza vaccination coverage was 70.5%, 43.7%, and 14.8%, respectively. Among women who received a provider offer for vaccination, vaccination coverage differed by race/ethnicity, education, insurance type, and other sociodemographic factors. Use of evidence-based practices such as provider reminders and standing orders could reduce missed opportunities for vaccination and increase vaccination coverage among pregnant women.

摘要

孕妇及其婴儿患严重流感相关疾病的风险增加(1),自2004年以来,免疫实践咨询委员会(ACIP)建议在流感季节为所有处于孕期或可能处于孕期的妇女接种流感疫苗,无论处于孕期的哪个阶段(2)。为评估2016 - 17流感季节孕妇的流感疫苗接种率,美国疾病控制与预防中心(CDC)分析了2017年3月28日至4月7日期间进行的一项互联网小组调查的数据。在2016年10月至2017年1月期间任何时间怀孕的1893名调查受访者中,53.6%报告在怀孕前(16.2%)或怀孕期间(37.4%)接种过流感疫苗,这与前四个流感季节的接种率相似。同样与前一个流感季节相似,67.3%的女性报告医生提供了流感疫苗接种建议,11.9%报告收到了建议但未得到提供,20.7%报告未收到任何建议;在这些女性中,报告的流感疫苗接种率分别为70.5%、43.7%和14.8%。在医生提供接种建议的女性中,疫苗接种率因种族/族裔、教育程度、保险类型和其他社会人口学因素而有所不同。使用基于证据的做法,如医生提醒和常规医嘱,可以减少错过的接种机会,并提高孕妇的疫苗接种率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/5657675/5db42d1e6fa4/mm6638a2-F.jpg

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