改善怀孕和产后建议疫苗的知识,态度和摄入的干预措施:一个范围审查
Imen Ayouni1,2, Edina Amponsah-Dacosta2, Susanne Noll2
1Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town 7700, South Africa.
对抗破伤风,百日咳,流感和COVID-19的孕产妇疫苗接种至关重要,但未得到充分利用. 促进孕妇接种疫苗的干预措施显示出不同的结果,突出显示出需要更有效的策略.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 证据综合 证据综合
背景情况:
- 推对母体接种,百日咳,流感和COVID-19的疫苗,以预防孕妇和产后妇女的严重疾病和死亡.
- 尽管已证明有好处,但母体疫苗接种并未始终融入常规产前护理,特别是在低收入和中等收入国家.
- 在孕妇和产后人群中,推疫苗的全球接种率仍然低于最佳水平.
研究的目的:
- 系统地审查旨在提高孕妇和产后妇女的知识,态度和接种疫苗的干预措施.
- 绘制有关母亲疫苗接种干预措施的现有证据库.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,EBSCOhost,Google Scholar) 中进行了全面的文献搜索.
- 包括在2010年至2023年间发表的研究,重点是针对母亲接种疫苗的干预措施.
- 从29项相关研究中提取和综合了数据.
主要成果:
- 大多数研究 (27/29) 来自高收入国家.
- 流感疫苗和Tdap疫苗是最常被研究的 (分别为14项和6项研究),仅有一项针对COVID-19疫苗的研究.
- 以患者为中心的干预措施是最常见的 (66%),其次是以提供者为中心的 (7%),以卫生系统为中心的 (10%) 和多层次干预措施 (17%).
- 对母婴疫苗知识,态度和接种情况的审查干预措施的有效性是不一致的.
结论:
- 关于改善母婴接种疫苗的干预措施的证据主要来自高收入环境,重点是流感和Tdap疫苗.
- 干预措施对改善母婴接种疫苗,知识和态度的效果有变化.
- 需要进一步的研究,特别是在资源较少的环境中,以及有关COVID-19等新型疫苗的研究,以确定提高孕产妇免疫覆盖率的有效策略.
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