Mehanna Azza, Ali Mervat H, Kharboush Ibrahim
Health Administration and Behavioral Sciences Department, HIPH, Alexandria University, 165 El Horreya Avenue, Alexandria, 21561, Egypt.
Gynaecology and Obstetrics Department, Student University Hospital, Alexandria, Egypt.
J Egypt Public Health Assoc. 2020 Aug 27;95(1):22. doi: 10.1186/s42506-020-00049-8.
Maternal neonatal tetanus is a substantial public health problem in many developing countries. In 2017, nearly, 30,848 newborns died of neonatal tetanus; thus, high immunization coverage remains a necessity. This study aims to assess knowledge and health beliefs of reproductive-age women in Alexandria about tetanus toxoid immunization.
A cross-section survey of 700 females attending health offices in Alexandria was done using an interview questionnaire to collect data regarding women's knowledge and beliefs about tetanus toxoid vaccine (TTV) and maternal and neonatal tetanus (MNT). Nine health offices were selected using multi-stage random sampling.
Most of studied women (83.6%) had poor knowledge of MNT and TTV. The highest percentage of women had low perception of susceptibility to MNT (48.0%), moderate perception of severity of MNT (57.4%) and barriers to TTV (58.9%), high perception of benefits of TTV (86.6%), and high self-efficacy in taking the vaccine (76.2%). Less than one-third of the sampled women (27.7%) were immune by (TT2+). Logistic regression models showed that the place of antenatal care, level of knowledge, perceived barriers, and socio-economic level were significant predictors of immunity status (p = 0.008, p = 0.032, p = 0.011, and p = 0.001, respectively).
Women lacked information about MNT/TTV and may even have been discouraged by their private obstetricians from taking the vaccine. Perceived barriers to receiving tetanus toxoid vaccination were shown to be an important predictor of immunization behavior.
产妇新生儿破伤风在许多发展中国家是一个重大的公共卫生问题。2017年，近30848名新生儿死于新生儿破伤风；因此，保持高免疫覆盖率仍然很有必要。本研究旨在评估亚历山大港育龄妇女对破伤风类毒素免疫的知识和健康信念。
采用访谈问卷对700名前往亚历山大港卫生所的女性进行横断面调查，以收集有关女性对破伤风类毒素疫苗（TTV）和产妇新生儿破伤风（MNT）的知识和信念的数据。通过多阶段随机抽样选择了9个卫生所。
大多数被研究的女性（83.6%）对MNT和TTV的了解较差。对MNT易感性认知较低的女性比例最高（48.0%），对MNT严重程度的认知中等（57.4%），对TTV的障碍认知（58.9%），对TTV益处的认知较高（86.6%），以及接种疫苗的自我效能感较高（76.2%）。不到三分之一的抽样女性（27.7%）通过（TT2+）获得免疫。逻辑回归模型显示，产前护理地点、知识水平、感知障碍和社会经济水平是免疫状态的重要预测因素（p分别为0.008、0.032、0.011和0.001）。
女性缺乏关于MNT/TTV的信息，甚至可能被其私人产科医生劝阻接种疫苗。接受破伤风类毒素疫苗接种的感知障碍被证明是免疫行为的重要预测因素。
