Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras.
Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras.
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DOI：
10.1371/journal.pone.0246385
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Montejo B
中科院分区：
文献类型：
--
作者：
Madewell ZJ;Chacón-Fuentes R;Jara J;Mejía-Santos H;Molina IB;Alvis-Estrada JP;Coello-Licona R;Montejo B
孕期流感可能导致严重的新生儿不良结局，包括死产、胎儿窘迫、早产、先天性异常和生长发育迟缓。孕妇是季节性流感疫苗接种的最优先群体，但该人群中疫苗接种率低的情况屡有报道。为了制定提高疫苗接种率的宣传策略，需要了解接种和不接种季节性流感疫苗的原因。本研究旨在描述洪都拉斯公立妇产医院分娩女性对季节性流感疫苗接种的知识、态度和行为（KAP）。
2018年8月20日至10月8日，我们对洪都拉斯卫生部和洪都拉斯社会保障局所属妇产医院和诊所分娩的产后女性样本进行了一项关于季节性流感疫苗接种的横断面KAP调查。我们报告了人口统计学特征、流感疫苗的KAP以及疫苗接种率的频率分布。我们使用逻辑回归分析了社会人口学特征与流感疫苗接种之间未经调整和调整后的关联。
我们对17个医疗保健机构的842名产后女性进行了调查。在534名足月妊娠且疫苗接种情况得到核实的产后女性中，有417人（78.1%；95%置信区间：74.6 - 81.6%）接种了流感疫苗。与核实的流感疫苗接种相关的因素包括在产前检查期间收到医护人员的疫苗接种建议（调整后比值比：16.46；95%置信区间：9.73 - 27.85）、同时患有慢性疾病（调整后比值比：5.00；95%置信区间：1.25 - 20.07）以及家中其他儿童接种了流感疫苗（调整后比值比：2.28；95%置信区间：1.19 - 4.39）。接种疫苗最常提及的原因是认为对母婴都有益以及容易获取。不接种疫苗的原因包括：未提供疫苗以及害怕副作用、对婴儿有害以及注射针头或疼痛。
流感疫苗在洪都拉斯的产后女性中接受度良好。增加临床医生对疫苗接种的建议，并确保女性在产前检查时能够容易获得疫苗，可能会提高疫苗接种率。
Influenza during pregnancy may cause serious neonatal outcomes including stillbirth, fetal distress, preterm birth, congenital abnormalities, and stunted growth. Pregnant women are the highest priority group for seasonal influenza vaccination, but low coverage has been repeatedly reported in this population. Understanding reasons for and for not receiving the seasonal influenza vaccine is needed to design communication strategies to increase vaccination coverage. This study aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccination among women giving birth in public maternity hospitals in Honduras. From August 20–October 8, 2018, we conducted a cross-sectional KAP survey regarding seasonal influenza vaccinations to a sample of postpartum women who gave birth in maternity hospitals and clinics from the Ministry of Health of Honduras and Honduran Social Security Institute. We reported frequency distributions for demographics, KAP of influenza vaccine, and vaccination coverage. We used logistic regression to analyze unadjusted and adjusted associations between sociodemographic characteristics and influenza vaccination. We surveyed 842 postpartum women in 17 healthcare facilities. Of 534 postpartum women with term pregnancy and verified vaccinations, 417 (78.1%; 95% CI: 74.6–81.6%) were vaccinated for influenza. Factors associated with verified influenza vaccination included receipt of vaccination recommendations by a healthcare worker during prenatal check-ups (aOR: 16.46; 95% CI: 9.73–27.85), concurrent chronic disease (aOR: 5.00; 95% CI: 1.25–20.07), and influenza vaccination of other children in the household (aOR: 2.28; 95% CI: 1.19–4.39). The most cited reasons for vaccination were perceived benefits for both mother and infant and easy access. Reasons for non-vaccination were: vaccine was not offered and fear of side effects, harm to the infant, and needles or pain caused by injection. Influenza vaccination was well received among postpartum women in Honduras. Increasing clinician recommendations for vaccination and assuring the vaccine is readily available to women during prenatal visits may increase vaccination rates.
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DOI：
10.1016/j.jsps.2015.12.001
发表时间：
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期刊：
Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society
影响因子：
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