Gauld Natalie J, Braganza Crystal S, Babalola Ola O, Huynh Tung T, Hook Sarah M
School of Pharmacy, University of Otago, Dunedin, New Zealand.
J Prim Health Care. 2016 Dec;8(4):344-350. doi: 10.1071/HC15049.
INTRODUCTION In New Zealand, pertussis vaccination is recommended and government-funded during every pregnancy to protect the infant after birth. However, uptake is low and needs to be increased. AIM To investigate enablers and barriers for uptake of the pertussis vaccination by pregnant women in New Zealand, and explore the acceptability of provision in pharmacies. METHODS Women with infants were recruited in selected pharmacies and interviewed using abrief structured interview. Transcripts were analysed using a framework approach. RESULTS Thirty-seven women aged 18-43 years provided data for analysis. Seventeen women reported receiving a pertussis vaccination during their pregnancy. Information from health professionals appeared important to encourage vaccination, but other sources of information (eg antenatal groups and media) were also cited. Non-vaccination arose from being unaware of the need for pertussis vaccination during pregnancy, concerns about safety, and misinformation. Participants supported pertussis vaccination in pharmacies to help access or increase the opportunity for health professionals to inform women. DISCUSSION The information received by participants affected their uptake of the pertussis vaccine during pregnancy. Education of the public and health professionals about the pertussis vaccine during pregnancy is necessary.
引言 在新西兰，建议在每次怀孕期间接种百日咳疫苗，且由政府资助，以保护出生后的婴儿。然而，接种率较低，需要提高。目的 调查新西兰孕妇接种百日咳疫苗的促进因素和障碍，并探讨在药店提供该疫苗的可接受性。方法 在选定的药店招募有婴儿的妇女，并使用简短的结构化访谈进行询问。使用框架分析法对访谈记录进行分析。结果 37名年龄在18至43岁之间的妇女提供了分析数据。17名妇女报告在怀孕期间接种了百日咳疫苗。来自卫生专业人员的信息对于鼓励接种疫苗似乎很重要，但也提到了其他信息来源（如产前小组和媒体）。未接种疫苗的原因包括不知道怀孕期间需要接种百日咳疫苗、对安全性的担忧以及错误信息。参与者支持在药店接种百日咳疫苗，以帮助获得或增加卫生专业人员向妇女提供信息的机会。讨论 参与者收到的信息影响了她们在怀孕期间接种百日咳疫苗的情况。有必要对公众和卫生专业人员进行关于怀孕期间百日咳疫苗的教育。
