Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, 11219, USA.
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, 11219, USA.
Matern Child Health J. 2023 Jul;27(7):1272-1276. doi: 10.1007/s10995-023-03660-1. Epub 2023 Mar 30.
We evaluated differences in vaccination rates of patients of teaching and private practices, and explored the rate of vaccine hesitancy in pregnant women.
This was a cross-sectional study of a convenience sample of recently delivered women. Women completed a survey, which included a question about whether they received the influenza and/or Tdap vaccine, and a vaccine hesitancy scale for both influenza and Tdap vaccines. We also reviewed prenatal records to confirm vaccine administration and collected demographic data. Patients who received care on the teaching service (care by residents supervised by faculty) were compared with those who received care from 26 private practitioners in nine groups. The primary outcome was rate of vaccination. Fisher's exact test was performed to compare groups.
Of the 231 women approached, 208 (90.0%) agreed to participate. Of the 208 participants, 70 (33.7%) had prenatal care with a teaching practice, and 138 (66.3%) with a private practice. Patients of teaching practices had a higher influenza and Tdap vaccination rate compared with patients of private practices (Influenza: 70% versus 54.3%, p = 0.036; Tdap: 77.1% versus 58.4%, p = 0.009). Among the entire cohort, 55.3% had some degree of vaccine hesitancy. This did not differ between teaching and private practices (54.3% versus 55.8%, p = 0.883).
In spite of similar prevalence of vaccine hesitancy, pregnant women cared for in teaching practices had higher vaccination rates than those cared for in private practices.
我们评估了教学和私人诊所患者的疫苗接种率差异，并探讨了孕妇的疫苗犹豫率。
这是一项对最近分娩的女性进行的横断面研究，采用便利抽样法。女性完成了一项调查，其中包括一个关于她们是否接种流感和/或 Tdap 疫苗的问题，以及一个针对流感和 Tdap 疫苗的疫苗犹豫量表。我们还查阅了产前记录以确认疫苗接种情况，并收集了人口统计学数据。将在教学服务（由教员监督的住院医师提供的护理）下接受治疗的患者与在九组私人从业者中接受治疗的患者进行比较。主要结局是接种疫苗的比例。使用 Fisher 精确检验比较组间差异。
在 231 名被接触的女性中，208 名（90.0%）同意参与。在 208 名参与者中，70 名（33.7%）在教学实践中接受产前护理，138 名（66.3%）在私人实践中接受产前护理。与私人诊所患者相比，教学实践患者的流感和 Tdap 疫苗接种率更高（流感：70%对 54.3%，p=0.036；Tdap：77.1%对 58.4%，p=0.009）。在整个队列中，55.3%的人存在一定程度的疫苗犹豫。教学和私人诊所之间没有差异（54.3%对 55.8%，p=0.883）。
尽管存在相似的疫苗犹豫率，但在教学实践中接受治疗的孕妇接种疫苗的比例高于在私人实践中接受治疗的孕妇。
