PDF(Pubmed)
Abstract：
BACKGROUND: Despite substantial evidence demonstrating the effectiveness of influenza vaccines, only 38.6% of the adult United States population received an influenza vaccine during the 2023-2024 flu season. Vaccination rates are typically lower among U.S. minority groups, and in 2022, pregnant persons from U.S. minority racial and ethnic groups showed a decrease in influenza vaccine coverage.
METHODS: A survey was conducted with residents of Yakima County, Washington, which is home to one of the state\'s largest percentages of people who identify as Hispanic or Latino/a. The objective was to evaluate the uptake of influenza vaccine among pregnant persons. Surveys were sent to a random sample of 3000 residential mailing addresses. Of the 500 respondents, 244 (52.1%) reported that they had been pregnant, with those identifying as Hispanic or Latino/a constituting 23.8% of this total. Only 62 (26.2%) reported being immunized against influenza during pregnancy. Respondents who were immunized against influenza chose to be vaccinated to protect themselves from the flu (85.5%, n = 53); because a healthcare provider recommended getting vaccinated (85.5%, n = 53); to protect the baby from the flu (82.3%, n = 51); because it was available for free or low cost (62.9%, n = 39); and because vaccination was convenient (54.8%, n = 34). Qualitative evaluation identified that participants who were not vaccinated against influenza during pregnancy believed the vaccination was not needed, was not recommended by a healthcare provider, was difficult to access, they were against vaccination in general, or they were concerned about the safety and ingredients of the vaccine.
CONCLUSIONS: Barriers to vaccination identified in this study included vaccine distrust, lack of awareness, and concerns about vaccine efficacy and safety. Healthcare providers can help address these concerns by providing education and recommendations about the importance of influenza vaccination during pregnancy.
METHODS: A survey was conducted with residents of Yakima County, Washington, which is home to one of the state\'s largest percentages of people who identify as Hispanic or Latino/a. The objective was to evaluate the uptake of influenza vaccine among pregnant persons. Surveys were sent to a random sample of 3000 residential mailing addresses. Of the 500 respondents, 244 (52.1%) reported that they had been pregnant, with those identifying as Hispanic or Latino/a constituting 23.8% of this total. Only 62 (26.2%) reported being immunized against influenza during pregnancy. Respondents who were immunized against influenza chose to be vaccinated to protect themselves from the flu (85.5%, n = 53); because a healthcare provider recommended getting vaccinated (85.5%, n = 53); to protect the baby from the flu (82.3%, n = 51); because it was available for free or low cost (62.9%, n = 39); and because vaccination was convenient (54.8%, n = 34). Qualitative evaluation identified that participants who were not vaccinated against influenza during pregnancy believed the vaccination was not needed, was not recommended by a healthcare provider, was difficult to access, they were against vaccination in general, or they were concerned about the safety and ingredients of the vaccine.
CONCLUSIONS: Barriers to vaccination identified in this study included vaccine distrust, lack of awareness, and concerns about vaccine efficacy and safety. Healthcare providers can help address these concerns by providing education and recommendations about the importance of influenza vaccination during pregnancy.
摘要：
背景：尽管有大量证据证明流感疫苗的有效性，在2023-2024年流感季节,只有38.6%的美国成年人口接种了流感疫苗.美国少数群体的疫苗接种率通常较低，2022年，来自美国少数种族和族裔群体的孕妇的流感疫苗覆盖率下降。
方法：对亚基马县居民进行了调查，华盛顿,这是该州最大比例的人之一，他们认为自己是西班牙裔或拉丁裔。目的是评估孕妇对流感疫苗的摄取。调查被发送到3000个住宅邮寄地址的随机抽样。在500名受访者中，244人(52.1%)报告说他们怀孕了，那些被认定为西班牙裔或拉丁裔/a的人占总数的23.8%。只有62（26.2％）报告在怀孕期间进行了流感免疫接种。接受流感免疫的受访者选择接种疫苗以保护自己免受流感的侵害（85.5％，n=53)；因为医疗保健提供者建议接种疫苗(85.5%，n=53）；为了保护婴儿免受流感（82.3％，n=51)；因为它是免费或低成本的(62.9%，n=39）；并且由于疫苗接种很方便（54.8%，n=34）。定性评估发现，怀孕期间未接种流感疫苗的参与者认为不需要接种疫苗，不被医疗保健提供者推荐，很难进入，他们普遍反对接种疫苗，或者他们担心疫苗的安全性和成分。
结论：本研究中确定的疫苗接种障碍包括疫苗不信任，缺乏意识,以及对疫苗功效和安全性的担忧。医疗保健提供者可以通过提供有关怀孕期间接种流感疫苗的重要性的教育和建议来帮助解决这些问题。
方法：对亚基马县居民进行了调查，华盛顿,这是该州最大比例的人之一，他们认为自己是西班牙裔或拉丁裔。目的是评估孕妇对流感疫苗的摄取。调查被发送到3000个住宅邮寄地址的随机抽样。在500名受访者中，244人(52.1%)报告说他们怀孕了，那些被认定为西班牙裔或拉丁裔/a的人占总数的23.8%。只有62（26.2％）报告在怀孕期间进行了流感免疫接种。接受流感免疫的受访者选择接种疫苗以保护自己免受流感的侵害（85.5％，n=53)；因为医疗保健提供者建议接种疫苗(85.5%，n=53）；为了保护婴儿免受流感（82.3％，n=51)；因为它是免费或低成本的(62.9%，n=39）；并且由于疫苗接种很方便（54.8%，n=34）。定性评估发现，怀孕期间未接种流感疫苗的参与者认为不需要接种疫苗，不被医疗保健提供者推荐，很难进入，他们普遍反对接种疫苗，或者他们担心疫苗的安全性和成分。
结论：本研究中确定的疫苗接种障碍包括疫苗不信任，缺乏意识,以及对疫苗功效和安全性的担忧。医疗保健提供者可以通过提供有关怀孕期间接种流感疫苗的重要性的教育和建议来帮助解决这些问题。
