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孕妇对流感和流感疫苗的知识的决定因素：一项大型单中心队列研究。

Determinants of pregnant women's knowledge about influenza and the influenza vaccine: A large, single-centre cohort study.

机构信息

Univ. Lille, CHU Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Lille, France.

Hôpital de Douai, Unité mères, Enfants et nouveau-nés, rue de Cambrai, Douai, France.

出版信息

PLoS One. 2020 Jul 31;15(7):e0236793. doi: 10.1371/journal.pone.0236793. eCollection 2020.

DOI:10.1371/journal.pone.0236793
PMID:32735607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7394385/
Abstract

INTRODUCTION

Although influenza can lead to adverse outcomes during pregnancy, the level of influenza vaccine coverage among pregnant women remains very low. According to the literature, a high level of knowledge about influenza disease and the influenza vaccine is one of the main determinants of vaccination coverage. The objective of the present study was to describe pregnant women's level of knowledge of these topics and to identify any corresponding determinants.

MATERIAL AND METHODS

A prospective, observational, hospital-based study of women having given birth in our university medical centre during the 2014-2015 influenza season. Data were collected through a self-questionnaire or extracted from medical records. Determinants of highest knowledge were identified using logistic regression.

RESULTS

Of the 2069 women included in the study, 827 (40%) did not know that influenza can lead to severe adverse outcomes for the mother, and 960 (46%) did not know about possible severe adverse outcomes for the baby. Two hundred and one women (9.8%) stated that the vaccine was "contraindicated" or "unnecessary" during pregnancy. Only 205 women (17%) had been vaccinated during a previous pregnancy. Determinants of the highest level of knowledge were age over 24, a high educational level, previous influenza vaccination, nulliparity, and the recommendation of vaccination by a healthcare professional.

CONCLUSIONS

Recommending vaccination during pregnancy appears to increase knowledge about influenza and its vaccine among pregnant women.

摘要

简介

尽管流感可导致孕妇妊娠不良结局，但孕妇流感疫苗接种率仍非常低。根据文献报道，对流感疾病和流感疫苗的高度认知是疫苗接种覆盖率的主要决定因素之一。本研究的目的是描述孕妇对这些主题的认知水平，并确定其相应的决定因素。

材料与方法

这是一项在 2014-2015 年流感季于我们大学医疗中心分娩的孕妇的前瞻性、观察性、基于医院的研究。通过自填问卷或从病历中提取数据。使用逻辑回归确定最高知识水平的决定因素。

结果

在纳入研究的 2069 名妇女中，827 名（40%）不知道流感可导致母亲严重不良结局，960 名（46%）不知道流感可能对婴儿产生严重不良结局。201 名妇女（9.8%）表示疫苗在妊娠期间是“禁忌”或“不必要”。仅有 205 名妇女（17%）在先前妊娠期间接种过疫苗。最高知识水平的决定因素是年龄大于 24 岁、高教育程度、既往流感疫苗接种、初产妇，以及医务人员建议接种疫苗。

结论

在妊娠期间推荐接种疫苗似乎可增加孕妇对流感及其疫苗的认知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ae/7394385/6eeb02881821/pone.0236793.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ae/7394385/bd762582119e/pone.0236793.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ae/7394385/6eeb02881821/pone.0236793.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ae/7394385/bd762582119e/pone.0236793.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0ae/7394385/6eeb02881821/pone.0236793.g002.jpg

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