Tetanus immunization in pregnant women: evaluation of maternal tetanus vaccination status and factors affecting rate of vaccination coverage
Tetanus immunization in pregnant women: evaluation of maternal tetanus vaccination status and factors affecting rate of vaccination coverage
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DOI：
10.1038/sj.ph.1900780
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发表时间：
2001-09-01
期刊：
影响因子：
5.2
通讯作者：
Bumin, MA
中科院分区：
文献类型：
--
作者：
Maral, I;Baykan, Z;Bumin, MA
本研究的目的是确定孕妇的破伤风疫苗接种状况，并检查各种因素对育龄妇女怀孕期间破伤风类毒素（TT）疫苗接种覆盖率的影响，对493名在安卡拉一家医院活产的产后妇女进行了访谈，并收集了有关母亲的社会人口学特征、TT疫苗接种史、未接种率为53.3%，一针接种率为18.9%，二针接种率为27.8%。与未接种疫苗的妇女相比，接种疫苗的妇女（至少接种一剂）明显更年轻，产次更低，并且参加了更多的产前护理。在至少接受过一次产前检查的妇女中，只有大约一半接种了疫苗。接种破伤风疫苗的农村妇女明显多于城市妇女，目前怀孕期间破伤风疫苗接种率远低于普遍水平。土耳其需要针对城市和郊区人口开展有效的大众媒体宣传运动，并告知和动员妇女要求接种破伤风疫苗。
The objectives of this study were to determine the tetanus vaccination status for pregnant women, and to examine the effects of various factors on tetanus toxoid (TT) vaccination coverage during pregnancy in reproductive-age women.Four-hundred and ninety-three postpartum women who had live births at a hospital in Ankara were interviewed and information was collected on the mothers' sociodemographic characteristics, TT vaccination history, and prenatal care during the pregnancy studied.The rates for no vaccination, one-dose vaccination, and two-dose vaccination were 53.3%, 18.9%, and 27.8%, respectively. The vaccinated women (with at least one dose) were significantly younger, of lower parity, and had attended more prenatal care visits than the unvaccinated women. Of the women who attended at least one prenatal care check-up, only about half were vaccinated. Significantly more rural women were vaccinated against tetanus than urban women.Current vaccination rates with TT during pregnancy were found to be well below universal levels. Turkey needs to launch effective mass media campaigns that target urban and suburban populations, and inform and motivate women to request vaccination against tetanus.