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计划妊娠和/或有生育子女的波兰妇女对疫苗接种的态度:一项横断面调查研究。

The attitude of Polish women planning pregnancy and/or having children towards vaccinations: a cross-sectional survey study.

机构信息

Doctoral School, Medical University of Warsaw, Poland.

Department of Children's Infectious Diseases, Medical University of Warsaw, Poland.

出版信息

Ginekol Pol. 2022;93(8):655-661. doi: 10.5603/GP.a2022.0044. Epub 2022 Jul 27.

Abstract

OBJECTIVES

Infectious diseases in pregnant women can cause birth defects. Implementing appropriate prevention methods while planning pregnancy can help avoid some of them.

MATERIAL AND METHODS

A cross-sectional survey study was performed. The questionnaire investigated attitudes towards vaccinations, as well as opinions on anti-vaccine movements and the so-called "chickenpox parties". The questionnaire was developed for the purpose of this study and the survey was conducted using the google form, which was posted on social media groups for women planning pregnancy, being pregnant or for mothers' groups from Poland.

RESULTS

The study group consisted of 2402 women; their median age was 31 years (range 16-54 years). Most women were from cities > 100,000 inhabitants (49.7%, 1194/2402) and had higher education (71.9%, 1726/2402). A positive attitude towards vaccinations was more common among younger, nulliparous women from big cities (p = 0.02, p = 0.04 and p = 0.01, respectively). 2068/2402 (86.1%) of respondents were not vaccinated before pregnancy and 1931/2402 (80.4%) of women were not vaccinated during pregnancy. While most women (1545/2402, 64.3%) considered vaccination safe, and effective (1904/2402, 79.3%) against infectious diseases, many (n = 296/2402 12.3%) have no opinion on the so-called chickenpox party.

CONCLUSIONS

Most surveyed women had a positive attitude towards vaccinations and consider vaccines a safe and effective method of protection against infectious diseases. Since a significant proportion of women were not vaccinated before or during pregnancy and about 12% of women are undecided, the physician's role is crucial in educating and persuading the patient to be vaccinated.

摘要

目的

孕妇感染性疾病可导致先天缺陷。在计划妊娠时采取适当的预防措施,有助于避免部分感染性疾病。

材料与方法

本研究采用横断面调查方法。调查问卷涵盖疫苗接种态度,以及对接种疫苗运动和所谓“水痘派对”的看法。问卷系为本次研究而专门设计,通过谷歌表单开展调查,表单链接被发布在波兰的备孕、孕期女性以及母婴群组的社交媒体页面上。

结果

研究组共纳入 2402 名女性,年龄中位数为 31 岁(16~54 岁)。大多数女性来自人口>10 万的城市(49.7%,1194/2402),且拥有高等教育背景(71.9%,1726/2402)。较年轻、未生育、来自大城市的女性更倾向于接种疫苗(p = 0.02、p = 0.04 和 p = 0.01)。2402 名女性中,2068 名(86.1%)在妊娠前未接种疫苗,1931 名(80.4%)在妊娠期间未接种疫苗。尽管大多数女性(1545 名,64.3%)认为疫苗接种安全有效,但仍有 296 名(12.3%)女性对接种疫苗的所谓“水痘派对”持保留意见。

结论

大多数被调查女性对疫苗接种持积极态度,认为疫苗是预防感染性疾病的安全有效手段。鉴于相当一部分女性在妊娠前或妊娠期间未接种疫苗,且约 12%的女性未表明态度,医生在教育和劝导患者接种疫苗方面发挥着关键作用。

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