Seasonal Influenza Vaccine Acceptance among Pregnant Women in Zhejiang Province, China: Evidence Based on Health Belief Model.
Seasonal Influenza Vaccine Acceptance among Pregnant Women in Zhejiang Province, China: Evidence Based on Health Belief Model.
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DOI：
10.3390/ijerph14121551
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发表时间：
2017-12-11
影响因子：
--
通讯作者：
Chen Y
中科院分区：
文献类型：
--
作者：
Hu Y;Wang Y;Liang H;Chen Y
背景：中国孕妇接受季节性流感疫苗（SIV）接种的原因尚不清楚。采用基于健康信念模型（HBM）的自填式结构式问卷，对浙江省孕妇接受SIV的意愿进行了调查。研究方法：从2014年1月1日至3月31日，在90个地区中的6个地区的公立医院接受产前检查（ANC）的孕周≥12周的孕妇使用自填式问卷进行了调查，其中包括与SIV疫苗接种和流感感染相关的知识，态度和信念。我们使用逻辑回归模型检验了接受SIV疫苗接种与人口统计学因素和HBM结构之间的关系，计算了调整后的比值比（AOR）。结果：在1252名调查对象中，76.28%的人愿意在本次妊娠期间接种SIV疫苗。流感易感性高（AOR = 1.75（95%CI：1.36-2.08）），高水平的流感严重程度感知（AOR = 1.62（95%CI：1.25-1.95）），高水平的疫苗接种感知益处（AOR = 1.97（95%CI：1.76-2.21）），高水平的行动提示与孕妇接受SIV疫苗接种呈正相关（AOR = 2.03（95%CI：1.70-2.69）），而高水平的疫苗接种障碍是一个负面决定因素（AOR = 0.76（95%CI：0.62-0.94））。结论：对SIV的认识不足和消极态度与SIV的接受度低有关。保健提供者的建议对孕妇接受SIV非常重要。为了提高孕妇对SIV疫苗接种的接受程度，有必要开展关于SIV疫苗接种和流感感染的健康教育和直接沟通策略。
Background: Reasons for acceptance of seasonal influenza vaccine (SIV) vaccination among pregnant women in China are poorly understood. We assessed the intention to accept SIV among pregnant women in Zhejiang province, by using a self-administrated structured questionnaire developed on the basis of health belief model (HBM). Methods: From 1 January to 31 March 2014, pregnant women with ≥12 gestational weeks who attended antenatal clinics (ANCs) at public hospitals in 6 out of 90 districts were surveyed using a self-administered questionnaire that covered knowledge, attitudes, and beliefs related to SIV vaccination and influenza infection. We examined the associations between the acceptance of SIV vaccination and the demographic factors and HBM constructs using the logistic regression model, calculating the adjusted odds ratio (AOR). Results: Of the 1252 participants, 76.28% were willing to receive the SIV vaccination during their current pregnancy. High levels of perceived susceptibility of influenza (AOR = 1.75 (95%CI: 1.36–2.08)), high levels of perceived severity of influenza (AOR = 1.62 (95%CI: 1.25–1.95)), high level of perceived benefits of vaccination (AOR = 1.97 (95%CI: 1.76–2.21)), and high levels of cues to action were positively associated with the acceptance of SIV vaccination among pregnant women (AOR = 2.03 (95%CI: 1.70–2.69)), while high level of perceived barriers of vaccination was a negative determinant (AOR = 0.76 (95%CI: 0.62–0.94)). Conclusions: Poor knowledge and negative attitude towards SIV were associated with the poor acceptance of SIV. Health providers’ recommendations were important to pregnant women’s acceptance of SIV. Health education and direct communication strategies on SIV vaccination and influenza infection are necessary to improve the acceptance of SIV vaccination among pregnant women.
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影响因子：
158.5
作者：
Zaman, K.;Roy, Eliza;Steinhoff, Mark C.
通讯作者：
Steinhoff, Mark C.
影响因子：
4.8
作者：
Hu, Yu;Chen, Yaping;Zhang, Bing
通讯作者：
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DOI：
10.15585/mmwr.mm6638a2
发表时间：
2017-09-29
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
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通讯作者：
Greby SM
DOI：
10.1111/j.1479-828x.2012.01428.x
发表时间：
2012-08-01
影响因子：
1.7
作者：
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通讯作者：
McDonald, Susan
影响因子：
5.5
作者：
Blanchard-Rohner, Geraldine;Siegrist, Claire-Anne
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