Dubé Eve, Gagnon Dominique, Kaminsky Kyla, Green Courtney R, Ouakki Manale, Bettinger Julie A, Brousseau Nicholas, Castillo Eliana, Crowcroft Natasha S, Driedger S Michelle, Greyson Devon, Fell Deshayne, Fisher William, Gagneur Arnaud, Guay Maryse, Halperin Donna, Halperin Scott A, MacDonald Shannon, Meyer Samantha B, Waite Nancy M, Wilson Kumanan, Witteman Holly O, Yudin Mark, Cook Jocelynn L
Institut national de santé publique du Québec, Québec, QC.
Institut national de santé publique du Québec, Québec, QC.
J Obstet Gynaecol Can. 2019 Apr;41(4):479-488. doi: 10.1016/j.jogc.2018.09.007. Epub 2018 Nov 6.
Influenza vaccine uptake among Canadian pregnant individuals is suboptimal. Failure to incorporate vaccination into routine prenatal care and a lack of recommendations from healthcare providers are recognized as barriers to vaccination. The aim of this study was to assess Canadian maternity care providers' knowledge, attitudes, and practices regarding influenza vaccination in pregnancy.
A cross-sectional Web-based questionnaire was sent during July and August 2017 to family physicians, obstetricians-gynaecologists, midwives, pharmacists, and nurses who care for pregnant individuals. A multivariable logistic regression model was used to determine variables independently associated with providers' recommendation of the influenza vaccine in pregnancy.
The analysis included 1061 providers. Most participants (85%) reported being vaccinated against influenza themselves, and 72% reported recommending the influenza vaccine to all of their pregnant patients during the previous influenza season. Participants' attitudes regarding influenza vaccination during pregnancy were generally positive: 64% strongly agreed that pregnant individuals are at an increased risk of complications from influenza, and 69% strongly agreed that it is safe to vaccinate pregnant individuals against influenza. The main determinants of participants' recommendations for influenza vaccination to all pregnant patients were following official recommendations on influenza vaccination, discussing vaccines with most or all pregnant individuals seen in their practice, and being vaccinated themselves during the previous influenza season.
Enhancing influenza vaccine uptake in pregnancy is largely dependent on maternity care providers' recommendations. This study provides valuable insight on providers' knowledge, attitudes, and practices.
加拿大孕妇的流感疫苗接种率不理想。未能将疫苗接种纳入常规产前护理以及医疗保健提供者缺乏相关建议被认为是疫苗接种的障碍。本研究的目的是评估加拿大产科护理提供者对孕期流感疫苗接种的知识、态度和做法。
2017年7月至8月期间，向照顾孕妇的家庭医生、妇产科医生、助产士、药剂师和护士发送了一份基于网络的横断面调查问卷。使用多变量逻辑回归模型来确定与提供者对孕期流感疫苗接种建议独立相关的变量。
分析纳入了1061名提供者。大多数参与者（85%）报告自己接种过流感疫苗，72%报告在之前的流感季节向所有孕妇患者推荐过流感疫苗。参与者对孕期流感疫苗接种的态度总体上是积极的：64%强烈同意孕妇患流感并发症的风险增加，69%强烈同意为孕妇接种流感疫苗是安全的。参与者向所有孕妇患者推荐流感疫苗接种的主要决定因素是遵循官方关于流感疫苗接种的建议、与他们在工作中见到的大多数或所有孕妇讨论疫苗，以及自己在之前的流感季节接种过疫苗。
提高孕期流感疫苗接种率在很大程度上取决于产科护理提供者的建议。本研究为提供者的知识、态度和做法提供了有价值的见解。
