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泰国孕妇及其配偶对孕期接种 COVID-19 疫苗的接受度:一项前瞻性调查。

Acceptance of COVID-19 vaccination during pregnancy among Thai pregnant women and their spouses: a prospective survey.

机构信息

Department of Nursing, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.

Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, 681 Samsen Road, Dusit, Bangkok, 10300, Thailand.

出版信息

Reprod Health. 2022 Mar 24;19(1):74. doi: 10.1186/s12978-022-01383-0.

Abstract

BACKGROUND

Vaccination is one of the most reliable interventions against coronavirus disease 2019 (COVID-19). Although pregnant women's attitudes toward COVID-19 vaccination are well studied, husbands' views toward COVID-19 vaccination for these women have not been surveyed. We aimed to determine the rates and associated factors of accepting attitudes toward COVID-19 vaccination during pregnancy among Thai pregnant women and their spouses and to evaluate the actual rate of vaccination during pregnancy among these women.

METHODS

A prospective survey was conducted at a tertiary care center in Bangkok, Thailand. A total of 176 Thai pregnant woman/husband dyads who attended our antenatal care clinic between 1 July 2021 and 30 September 2021 were consecutively recruited for evaluations of their accepting attitudes toward COVID-19 vaccination during pregnancy. After delivery, data on COVID-19 vaccination during pregnancy among pregnant women were extracted from the hospital's electronic database.

RESULTS

After exclusion of five pregnant women with prepregnancy COVID-19 vaccination, 171 women and 176 male partners were included. The rates of accepting attitudes toward COVID-19 vaccination during pregnancy were 60.8% and 61.4%, respectively. Multivariate analysis showed that having a husband who favored COVID-19 vaccination for his wife was independently associated with COVID-19 vaccine acceptance among pregnant women (adjusted odds ratio 4.82; 95% confidence interval 2.34, 9.94). However, confidence in vaccine safety was an associated factor of the husband's willingness to have his wife vaccinated for COVID-19 during pregnancy (adjusted odds ratio 12.56; 95% confidence interval 2.35, 67.18). The actual rate of vaccination during pregnancy was 88.3%.

CONCLUSIONS

Although the rates of accepting attitudes toward COVID-19 vaccination during pregnancy among Thai pregnant women and their spouses were modest, the actual rate of being vaccinated during pregnancy was high.

摘要

背景

接种疫苗是预防 2019 年冠状病毒病(COVID-19)最可靠的干预措施之一。尽管孕妇对 COVID-19 疫苗接种的态度已经得到了很好的研究,但尚未调查丈夫对这些女性 COVID-19 疫苗接种的看法。我们旨在确定泰国孕妇及其配偶对 COVID-19 疫苗接种的接受率和相关因素,并评估这些女性在怀孕期间实际接种疫苗的比例。

方法

在泰国曼谷的一家三级保健中心进行了一项前瞻性调查。2021 年 7 月 1 日至 2021 年 9 月 30 日期间,我们连续招募了 176 对参加产前保健诊所的泰国孕妇/丈夫,对他们在怀孕期间接受 COVID-19 疫苗接种的态度进行评估。分娩后,从医院的电子数据库中提取孕妇怀孕期间 COVID-19 疫苗接种的数据。

结果

排除 5 例孕前 COVID-19 疫苗接种的孕妇后,共纳入 171 例孕妇和 176 例男性伴侣。孕妇对 COVID-19 疫苗接种的接受率分别为 60.8%和 61.4%。多变量分析显示,丈夫赞成为妻子接种 COVID-19 疫苗与孕妇对 COVID-19 疫苗的接受率独立相关(调整后的优势比 4.82;95%置信区间 2.34,9.94)。然而,对疫苗安全性的信心是丈夫愿意在怀孕期间为妻子接种 COVID-19 疫苗的相关因素(调整后的优势比 12.56;95%置信区间 2.35,67.18)。怀孕期间实际接种疫苗的比例为 88.3%。

结论

尽管泰国孕妇及其配偶对 COVID-19 疫苗接种的接受率适中,但怀孕期间实际接种疫苗的比例很高。

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