法国巴黎孕妇流感疫苗接种：助产士的知识、态度和实践。
Influenza vaccination of pregnant women in Paris, France: Knowledge, attitudes and practices among midwives.
机构信息
Inserm, F-CRIN, Innovative clinical research network in vaccinology (I-REIVAC), Paris, France.
Inserm, CIC 1417, Paris, France.
出版信息
PLoS One. 2019 Apr 25;14(4):e0215251. doi: 10.1371/journal.pone.0215251. eCollection 2019.
Abstract
INTRODUCTION
In France, midwives have been authorized to prescribe vaccines since 2016. Yet vaccination coverage among pregnant women remains low. Understanding the knowledge, attitudes and practices of midwives regarding influenza vaccination could help improve coverage.
METHODS
A cross-sectional survey was conducted in 2017 among midwives practicing in the public and private sectors in Paris using an online questionnaire. Multivariate logistic regression analysis of the data was conducted.
RESULTS
The response rate was 31% (n = 208/669). Overall, knowledge of influenza vaccine recommendations and of vaccine safety and effectiveness was high except regarding new-born immunity and influenza vaccine characteristics. Only 10% of midwives systematically prescribed the vaccine. Reported influenza vaccine uptake among midwives was 39%.
CONCLUSION
Efforts to improve the knowledge of midwives regarding the safety and effectiveness of vaccinating pregnant women in order to prevent influenza infection in newborns are necessary. Increasing vaccine uptake in both midwives and pregnant women will require adjusting education strategies.
摘要
简介
自 2016 年以来，法国的助产士已被授权接种疫苗。然而，孕妇的疫苗接种率仍然很低。了解助产士对流感疫苗接种的知识、态度和实践情况，有助于提高接种率。
方法
2017 年，我们在巴黎的公共和私营部门对助产士进行了一项横断面调查，使用在线问卷进行。对数据进行了多变量逻辑回归分析。
结果
回复率为 31%（n=208/669）。总体而言，助产士对流感疫苗推荐、疫苗安全性和有效性的了解程度较高，但对新生儿免疫力和流感疫苗特点的了解程度较低。只有 10%的助产士系统地开具了疫苗。报告的助产士流感疫苗接种率为 39%。
结论
有必要努力提高助产士对为孕妇接种疫苗以预防新生儿流感感染的安全性和有效性的认识。要提高助产士和孕妇的疫苗接种率，需要调整教育策略。
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