孕妇自我报告的 2019 年冠状病毒病（COVID-19）疫苗接种与医疗记录文件之间的一致性。
Agreement Between Pregnant Individuals' Self-Report of Coronavirus Disease 2019 (COVID-19) Vaccination and Medical Record Documentation.
机构信息
Centers for Disease Control and Prevention, Atlanta, Georgia; the Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, New York; the Department of Population and Family Health, Mailman School of Public Health, Columbia University Irving Medical Center, New York, New York; the Department of Obstetrics and Gynecology, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Abt Associates, Rockville, Maryland; and the Department of Obstetrics and Gynecology and the Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama.
出版信息
Obstet Gynecol. 2022 Dec 1;140(6):989-992. doi: 10.1097/AOG.0000000000004994. Epub 2022 Nov 2.
For public health research such as vaccine uptake or effectiveness assessments, self-reported coronavirus disease 2019 (COVID-19) vaccination status may be a more efficient measure than verifying vaccination status from medical records if agreement between sources is high. We assessed agreement between self-reported and medical record-documented COVID-19 vaccination status among pregnant individuals followed in a cohort during August 2020-October 2021. At end of pregnancy, participants completed questionnaires about COVID-19 vaccine receipt during pregnancy; staff verified vaccination status using medical records. Agreement was assessed between self-reported and medical record vaccination status using Cohen's kappa. There was high agreement between self-reported and medical record vaccination status (Kappa coefficient=0.94, 95% CI 0.91-0.98), suggesting that self-report may be acceptable for ascertaining COVID-19 vaccination status during pregnancy.
对于公共卫生研究，如疫苗接种率或效果评估，如果来源之间的一致性高，那么自我报告的 2019 年冠状病毒病（COVID-19）疫苗接种状况可能比从医疗记录中核实疫苗接种状况更有效。我们评估了在 2020 年 8 月至 2021 年 10 月期间的队列中随访的孕妇中自我报告和医疗记录记录的 COVID-19 疫苗接种状况之间的一致性。在妊娠末期，参与者完成了关于妊娠期间 COVID-19 疫苗接种的问卷调查；工作人员使用医疗记录核实了疫苗接种状况。使用 Cohen's kappa 评估自我报告和医疗记录疫苗接种状况之间的一致性。自我报告和医疗记录疫苗接种状况之间具有高度一致性（Kappa 系数=0.94，95%CI 0.91-0.98），表明自我报告可能适用于确定妊娠期间 COVID-19 疫苗接种状况。
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