Menzies School of Health Research, Charles Darwin University, Tiwi, Northern Territory, Australia.
Hunter New England Local Health District, Population Health, Wallsend, New South Wales, Australia.
Hum Vaccin Immunother. 2020;16(2):371-376. doi: 10.1080/21645515.2019.1649552. Epub 2019 Sep 6.
Influenza and pertussis infections are disproportionately higher among Aboriginal and Torres Strait Islander women and their infants compared to other Australians. These infections are potentially preventable through vaccination in pregnancy; however, there is a lack of systematic monitoring and therefore knowledge of vaccine uptake, safety and effectiveness in Australia, and specifically among Aboriginal and Torres Strait Islander women. The limited data available suggest there is a lower uptake of maternal vaccination among Aboriginal and Torres Strait Islander women compared to non-Aboriginal and Torres Strait Islander women, and this review seeks to explore potential reasons and the knowledge gaps in this regard. Other key gaps include the equitable access to quality antenatal care for Aboriginal and Torres Strait Islander women; and pregnancy loss <20 weeks gestation. Furthermore, our review highlights the importance of addressing these gaps in maternal vaccination strategies in partnership with Aboriginal and Torres Strait Islander peoples.
与其他澳大利亚人相比，原住民和托雷斯海峡岛民妇女及其婴儿中流感和百日咳感染的比例过高。通过在怀孕期间接种疫苗，可以预防这些感染；然而，澳大利亚缺乏系统的监测，因此对疫苗接种率、安全性和有效性的了解有限，特别是在原住民和托雷斯海峡岛民妇女中。现有数据有限，表明与非原住民和托雷斯海峡岛民妇女相比，原住民和托雷斯海峡岛民妇女的孕产妇疫苗接种率较低，本综述旨在探讨这方面的潜在原因和知识差距。其他主要差距包括原住民和托雷斯海峡岛民妇女获得公平的优质产前护理的机会；以及妊娠 20 周前流产。此外，我们的综述强调了与原住民和托雷斯海峡岛民合作，通过疫苗接种策略解决这些差距的重要性。
