Impact of media reports regarding influenza vaccine on obstetricians' vaccination practices.
Impact of media reports regarding influenza vaccine on obstetricians' vaccination practices.
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DOI：
10.1016/j.vaccine.2020.02.051
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发表时间：
2020-04-16
期刊：
影响因子：
5.5
通讯作者：
Kempe A
中科院分区：
文献类型：
--
作者：
O'Leary ST;Cataldi JR;Lindley MC;Hurley LP;Riley LE;Brtnikova M;Crane LA;Beaty B;Stokley S;Fisher A;Kempe A
2017年，关于流感疫苗的三个媒体报道可能影响了产科医生的流感疫苗接种做法：关于流感疫苗效力降低的报道、严重流感季节，以及在前一个季节接种过H1N1疫苗的孕妇在怀孕前三个月接种2009年H1N1疫苗的流产风险可能增加(后来被证明是错误的)。描述OB：(1)认识；(2)与之相关的态度和经验；以及(3)由于这些报告而报告的实践中的变化。2018年4月至6月，对具有全国代表性的OB样本进行了调查。有效率为65%(302/468)。88%的OBS“非常清楚”严酷的季节，74%的有效率较低，25%的人进行了流产研究(47%的人“完全不知道”流产研究)。在那些知情的人中，58%、57%和16%的人报告≥分别有10%的孕妇发起了关于严酷季节、较低疗效和流产研究的讨论。大多数(83%)同意关于病情加重的报告增加了他们推荐流感疫苗的热情；同意关于流产研究的报告较少(18%)和疫苗有效性较低(12%)降低了他们推荐流感疫苗的热情。与其他报告相比，提供者更有可能发起与患者讨论本季度增加的严重性。然而，35%的人同意流产研究报告增加了他们对流感疫苗安全性的担忧；18%(n=48)的人报告改变了他们推荐流感疫苗的方式。其中，17人(占所有受访者的6%)报告在怀孕前三个月没有向妇女推荐流感疫苗，26人(占所有受访者的10%)建议接种流感疫苗，但愿意推迟到怀孕中期。在一个媒体报道可能以不同方向影响OB流感疫苗接种行为的季节，强调流感疫苗重要性的报道可能比质疑疫苗安全性或有效性的报道对OBS的建议产生更大的影响。
In 2017, three media stories regarding influenza vaccine may have impacted obstetricians’ (OB) influenza vaccination practices: reports of reduced influenza vaccine effectiveness, a severe influenza season, and a possible increased risk of miscarriage among pregnant women receiving 2009 H1N1 vaccine in the 1st trimester who had received H1N1 vaccine the previous season (later disproven). Describe OB’s: (1) awareness of; (2) attitudes and experiences related to; and (3) reported alterations in practice as a result of these reports. A survey among a nationally representative sample of OBs April to June 2018. Response rate was 65% (302/468). 88% of OBs were “very aware” of the severe season, 74% of lower effectiveness, and 25% of the miscarriage study (47% “completely unaware” of miscarriage study). Among those aware, 58%, 57%, and 16% reported ≥10% of pregnant patients initiated discussions about the severe season, lower effectiveness, and miscarriage study, respectively. Most (83%) agreed reports about increased severity increased their enthusiasm for recommending influenza vaccine; fewer agreed reports about the miscarriage study (18%) and lower vaccine effectiveness (12%) decreased their enthusiasm for recommending influenza vaccine. Providers were more likely to initiate discussion with patients about increased severity of the season than the other reports. However, 35% agreed the miscarriage study reports increased their concerns about influenza vaccine safety; 18% (n = 48) reported changing the way they recommended influenza vaccine. Of those, 17 (6% of all respondents) reported not recommending influenza vaccine to women during the 1st trimester and 26 (10% of all respondents) recommended it but were willing to delay until the 2nd trimester. During a season in which media stories could have influenced OB influenza vaccination behaviors in different directions, reports underscoring importance of influenza vaccine may have had more impact on OBs’ recommendations than reports questioning vaccine safety or effectiveness.
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影响因子：
9.8
作者：
Munoz, FM;Greisinger, AJ;Glezen, WP
通讯作者：
Glezen, WP
影响因子：
7.2
作者：
Nordin, James D.;Kharbanda, Elyse Olshen;Olsen, Avalow
通讯作者：
Olsen, Avalow
影响因子：
8
作者：
McMahon, SR;Iwamoto, M;Pickering, LK
通讯作者：
Pickering, LK
影响因子：
33.9
作者：
Ding, Helen;Black, Carla L.;Greby, Stacie M.
通讯作者：
Greby, Stacie M.
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：
Ding H;Black CL;Ball S;Fink RV;Williams WW;Fiebelkorn AP;Lu PJ;Kahn KE;D'Angelo DV;Devlin R;Greby SM
通讯作者：
Greby SM