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超越语言:孕妇对从产科医护人员处获得流感和 Tdap 疫苗信息的偏好。

Beyond the verbal: Pregnant women's preferences for receiving influenza and Tdap vaccine information from their obstetric care providers.

机构信息

a Hubert Department of Global Health , Rollins School of Public Health, Emory University , Atlanta , GA , USA.

b Department of Epidemiology , Rollins School of Public Health, Emory University , Atlanta , GA , USA.

出版信息

Hum Vaccin Immunother. 2018 Mar 4;14(3):767-771. doi: 10.1080/21645515.2018.1425114. Epub 2018 Feb 12.

Abstract

OBJECTIVE

Prenatal providers are pregnant women's most trusted sources of health information, and a provider's recommendation is a strong predictor of maternal vaccine receipt. However, other ways women prefer receiving vaccine-related information from prenatal providers, aside from face-to-face conversations, is unclear. This study explores what secondary communication methods are preferred for receiving maternal vaccine-related information.

STUDY DESIGN

Obstetric patients at four prenatal clinics around Atlanta, Georgia received a 27-item survey between May 5th, 2016 and June 15th, 2016. Participants were asked about sources they currently use to obtain prenatal health information and their preferences for receiving vaccine-related information from providers. Descriptive statistics were calculated and chi-square tests were used to evaluate associations between participant characteristics and outcomes.

RESULTS

Women primarily reported using the CDC website (57.7%) and pregnancy-related websites (53.0%) to obtain vaccine information. Apart from clinical conversations, educational brochures (64.9%) and e-mails (54.7%) were the preferred methods of receiving vaccine information from providers, followed by their provider's practice website (42.1%). Communication preferences and interest in maternal immunization varied by race/ethnicity, age and education; white women were twice as likely to want information on a provider's practice website compared to African-American women (OR = 2.06; 95% CI: 1.31, 3.25).

CONCLUSIONS

Pregnant women use the Internet for information about vaccines, but they still value input from their providers. While e-mails and brochures were the preferred secondary modes of receiving information, a provider's existing practice website offers a potential communications medium that capitalizes on women's information seeking behaviors and preferences while limiting burden on providers.

摘要

目的

产前护理提供者是孕妇最信任的健康信息来源,而提供者的推荐是产妇接种疫苗的强有力预测因素。然而,除了面对面的交流之外,孕妇更倾向于通过产前护理提供者的哪些其他方式来获得疫苗相关信息尚不清楚。本研究探讨了除面对面交流外,孕妇更倾向于通过哪些次要沟通方式来获取与产妇疫苗相关的信息。

研究设计

佐治亚州亚特兰大市的四家产前诊所的产科患者于 2016 年 5 月 5 日至 6 月 15 日期间接受了一项 27 项的调查。参与者被问及他们目前用来获取产前健康信息的来源,以及他们希望从提供者那里获得疫苗相关信息的偏好。计算了描述性统计数据,并使用卡方检验评估了参与者特征与结果之间的关联。

结果

女性主要报告使用疾病预防控制中心网站(57.7%)和与妊娠相关的网站(53.0%)获取疫苗信息。除了临床对话外,教育手册(64.9%)和电子邮件(54.7%)是她们从提供者那里获取疫苗信息的首选方式,其次是提供者的实践网站(42.1%)。沟通偏好和对产妇免疫接种的兴趣因种族/民族、年龄和教育程度而异;与非裔美国女性相比,白人女性更有可能希望在提供者的实践网站上获得信息(OR = 2.06;95%CI:1.31,3.25)。

结论

孕妇会上网查询有关疫苗的信息,但她们仍然重视提供者的意见。虽然电子邮件和手册是首选的次要信息获取方式,但提供者现有的实践网站提供了一种潜在的沟通媒介,可以利用女性的信息搜索行为和偏好,同时减轻提供者的负担。

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