背景:虽然疫苗接种是预防流感感染和不良后果的最有效方法,尽管世卫组织建议为孕妇接种疫苗,季节性流感疫苗的获得率仍然很低。我们探索知识,态度,以及孕妇关于季节性流感疫苗的做法,以告知采取行动改善这一优先人群的疫苗接种率。
方法:我们汇集了2018-2019年8个低收入和中等收入国家对季节性流感疫苗的态度的横断面调查的个人水平数据。这八个国家使用标准方案和问卷来衡量对流感疫苗接种的态度和意图。我们按国家/地区分层(是否存在国家流感疫苗接种计划,国家收入组,地理区域)和个人层面的因素。
结果:我们的分析包括来自8个低收入和中等收入国家的8,556名孕妇,这些孕妇有和没有季节性流感疫苗接种计划。如果免费提供流感疫苗,大多数孕妇(6,323,74%)愿意接受流感疫苗。意愿因存在现有的流感疫苗接种计划而有所不同;没有流感疫苗接种计划的国家(2,383,89%)的接受度高于有此类计划的国家(3,940,67%,p<0.001)。
结论:中等收入国家的大多数孕妇,无论流感疫苗接种计划状态如何,如果疫苗是免费提供的,他们愿意接种流感疫苗。国家对流感疫苗接种计划的投资可能会受到孕妇的欢迎,导致孕妇本身和新生婴儿避免疾病。
背景:美国疾病控制和预防中心。
BACKGROUND: While vaccination is the most effective way to prevent
influenza infection and adverse outcomes, and despite WHO recommendations to vaccinate pregnant persons, access to seasonal
influenza vaccines remains low. We explored knowledge, attitudes, and practices of pregnant persons about seasonal
influenza vaccines to inform actions to improve vaccine uptake among this priority population.
METHODS: We pooled individual-level data from cross-sectional surveys assessing pregnant persons\' attitudes toward seasonal influenza vaccines in eight low- and middle-income countries during 2018-2019. The eight countries used a standard protocol and questionnaire to measure attitudes and intents toward influenza vaccination. We stratified by country-level (presence/absence of a national
influenza vaccination program, country income group, geographic region) and individual-level factors.
RESULTS: Our analysis included 8,556 pregnant persons from eight low- and middle-income countries with and without seasonal influenza vaccination programs. Most pregnant persons (6,323, 74%) were willing to receive influenza vaccine if it was offered for free. Willingness differed by presence of an existing
influenza vaccination program; acceptance was higher in countries without influenza vaccination programs (2,383, 89%) than in those with such programs (3,940, 67%, p < 0.001).
CONCLUSIONS: Most pregnant persons in middle-income countries, regardless of influenza vaccination program status, were willing to be vaccinated against influenza if the vaccine was provided free of charge. National investments in influenza vaccination programs may be well-received by pregnant persons, leading to averted illness both in pregnant persons themselves and in their newborn babies.
BACKGROUND: US Centers for Disease Control and Prevention.