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波兰育龄妇女季节性流感疫苗接种的决定因素及覆盖率

Determinants and coverage of seasonal influenza vaccination among women of childbearing age in Poland.

作者信息

Jagielska Anna M, Jasik Mariusz, Nitsch-Osuch Aneta

机构信息

Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland.

2nd Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.

出版信息

Ginekol Pol. 2021;92(1):35-45. doi: 10.5603/GP.a2020.0138. Epub 2021 Jan 15.

Abstract

OBJECTIVES

Vaccination is the most effective method of controlling influenza in the human population, where pregnant women belong to a risk group that is especially vulnerable to influenza-related morbidity and mortality. The objectives of the survey were to report estimates of maternal vaccination coverage and assess reasons for the lack of influenza vaccination among Polish women of childbearing age.

MATERIAL AND METHODS

The survey analysis included 564 pregnant women who had been surveyed in a self-reported questionnaire during the 2017-2018 influenza season in Warsaw, Poland.

RESULTS

Over 95% of Polish women of childbearing age did not vaccinate against influenza due to the low perception of risk and a lack of providing evidence-based information on vaccine by physicians and midwives. General practitioners were most often indicated as healthcare workers who educated women about influenza risk factors and recommended influenza vaccine to them.

CONCLUSIONS

The results of the survey suggest that women of childbearing age did not vaccinate against influenza due to the low perception of risk and a lack of providing evidence-based information by healthcare workers (including obstetrician-gynaecologists and midwives), while their recommendations appear to be a powerful method of overcoming barriers to influenza vaccination among patients.

摘要

目的

接种疫苗是控制人群中流感的最有效方法,孕妇属于特别易患流感相关发病和死亡的风险群体。该调查的目的是报告孕产妇疫苗接种覆盖率的估计值,并评估波兰育龄妇女未接种流感疫苗的原因。

材料与方法

调查分析纳入了564名孕妇,她们于2017 - 2018年流感季节在波兰华沙通过自我报告问卷进行了调查。

结果

超过95%的波兰育龄妇女未接种流感疫苗,原因是风险认知度低以及医生和助产士缺乏提供基于证据的疫苗信息。全科医生最常被提及为向女性宣传流感风险因素并推荐流感疫苗的医护人员。

结论

调查结果表明,育龄妇女未接种流感疫苗是由于风险认知度低以及医护人员(包括妇产科医生和助产士)缺乏提供基于证据的信息,而他们的建议似乎是克服患者接种流感疫苗障碍的有力方法。

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