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产科医生在孕妇关于流感和新冠疫苗接种决策过程中的作用。

The Obstetrician's Role in Pregnant Women's Decision-Making Process Regarding Influenza and COVID-19 Vaccination.

作者信息

Sienicka Agnieszka, Pisula Agata, Pawlik Katarzyna Karina, Dobrowolska-Redo Agnieszka, Kacperczyk-Bartnik Joanna, Romejko-Wolniewicz Ewa

机构信息

Students' Scientific Group Affiliated to 2nd Department of Obstetrics and Gynecology, Medical University of Warsaw, 00-315 Warsaw, Poland.

2nd Department of Obstetrics and Gynecology, Medical University of Warsaw, 00-315 Warsaw, Poland.

出版信息

Vaccines (Basel). 2023 Oct 18;11(10):1608. doi: 10.3390/vaccines11101608.

Abstract

Pregnant women are considered to be a population vulnerable to influenza and COVID-19 infections, and the latest guidelines consistently recommend that they receive influenza and COVID-19 vaccinations. A cross-sectional questionnaire-based study was conducted among pregnant women in Poland to determine which factors have the greatest impact on their decision to vaccinate against influenza and COVID-19. A total of 515 pregnant women participated in the study. Among them, 38.4% (n = 198) demonstrated a positive attitude toward influenza vaccination, and 64.3% (n = 331) demonstrated a positive attitude toward COVID-19 vaccination. Logistic regression analysis revealed that the strongest influence on positive attitudes toward COVID-19 vaccination is having it recommended by an obstetrician-gynecologist (OR = 2.439, = 0.025). The obstetrician-gynecologist's recommendation to vaccinate against influenza also significantly influences the decision to vaccinate (OR = 5.323). The study results also show a strong correlation between the obstetrician-gynecologist as a source of information on influenza and vaccination and participants' positive attitudes toward vaccination (OR = 4.163). Obstetricians have a significant influence on pregnant women's decisions regarding vaccinations. Further recommendations to vaccinate and awareness-raising among obstetricians may be needed to increase the vaccination rate of pregnant women in Poland.

摘要

孕妇被认为是易感染流感和新冠病毒的人群,最新指南一直建议她们接种流感疫苗和新冠疫苗。在波兰对孕妇开展了一项基于问卷调查的横断面研究,以确定哪些因素对她们接种流感疫苗和新冠疫苗的决定影响最大。共有515名孕妇参与了该研究。其中,38.4%(n = 198)对流感疫苗接种持积极态度,64.3%(n = 331)对新冠疫苗接种持积极态度。逻辑回归分析显示,对新冠疫苗接种持积极态度的最强影响因素是妇产科医生的推荐(OR = 2.439, = 0.025)。妇产科医生关于接种流感疫苗的推荐也显著影响接种决定(OR = 5.323)。研究结果还显示,作为流感和疫苗接种信息来源的妇产科医生与参与者对接种的积极态度之间存在强相关性(OR = 4.163)。妇产科医生对孕妇的疫苗接种决定有重大影响。可能需要对妇产科医生进一步提出接种建议并提高其认识,以提高波兰孕妇的疫苗接种率。

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