Meghani Mehreen, Zapata Lauren B, Polen Kara, Galang Romeo R, Razzaghi Hilda, Meaney-Delman Dana, Ellington Sascha
Centers for Disease Control and Prevention Foundation, Atlanta, GA, United States.
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Prev Med Rep. 2023 Apr;32:102141. doi: 10.1016/j.pmedr.2023.102141. Epub 2023 Feb 13.
Pregnant people with COVID-19 are at increased risk for severe illness and adverse pregnancy outcomes. COVID-19 vaccinations are safe and effective, including for pregnant and recently pregnant people. The objective of this analysis was to describe the extent to which primary care physicians across the United States report confidence in talking with female patients of reproductive age about COVID-19 vaccination, recommending COVID-19 vaccinations to pregnant patients, and offering COVID-19 vaccinations at their practices in fall 2021. We analyzed cross-sectional data from the Fall 2021 DocStyles survey, a web-based panel survey of U.S. primary healthcare providers (64% response rate). Family practitioners/internists, obstetrician-gynecologists, and pediatricians were asked about confidence in talking with female patients of reproductive age about COVID-19 vaccination, vaccination practices regarding pregnant patients, and offering COVID-19 vaccinations. We describe results overall and by select physician characteristics. Among 1501 respondents, most were family practitioners/internists (67%), 17% were obstetrician-gynecologists, and 17% were pediatricians. Overall, 63% were very confident talking with female patients of reproductive age about COVID-19 vaccination, 80% recommended pregnant patients get vaccinated as soon as possible, and 50% offered COVID-19 vaccinations at their current practice. Obstetrician-gynecologists were most confident in talking with female patients, but only one-third offered the vaccine at their practices. This analysis found that most physicians felt confident talking about COVID-19 vaccinations and recommended pregnant patients get vaccinated as soon as possible. Provider recommendation for vaccination remains a key strategy for achieving high vaccination coverage, and consistent recommendations may improve vaccine acceptance among pregnant and postpartum people.
感染新冠病毒的孕妇患重症和出现不良妊娠结局的风险更高。新冠病毒疫苗是安全有效的，包括对孕妇和刚怀孕的人。本分析的目的是描述美国各地的初级保健医生在与育龄女性患者谈论新冠病毒疫苗接种、向孕妇推荐新冠病毒疫苗以及在2021年秋季在其诊所提供新冠病毒疫苗方面的自信程度。我们分析了2021年秋季DocStyles调查的横断面数据，这是一项对美国初级医疗保健提供者进行的基于网络的小组调查（回复率为64%）。家庭医生/内科医生、妇产科医生和儿科医生被问及与育龄女性患者谈论新冠病毒疫苗接种的自信程度、针对孕妇的疫苗接种做法以及提供新冠病毒疫苗的情况。我们按总体情况和选定的医生特征描述结果。在1501名受访者中，大多数是家庭医生/内科医生（67%），17%是妇产科医生，17%是儿科医生。总体而言，63%的人非常自信地与育龄女性患者谈论新冠病毒疫苗接种，80%的人建议孕妇尽快接种疫苗，50%的人在其当前诊所提供新冠病毒疫苗。妇产科医生在与女性患者交谈时最有信心，但只有三分之一的人在其诊所提供疫苗。该分析发现，大多数医生对谈论新冠病毒疫苗接种感到自信，并建议孕妇尽快接种疫苗。提供者对疫苗接种的推荐仍然是实现高疫苗接种覆盖率的关键策略，一致的推荐可能会提高孕妇和产后人群对疫苗的接受度。
