通过在护理地点接种疫苗,提高怀孕期间流感疫苗的摄入量:前后研究
Sofiya Manji1, Laura Idarraga Reyes2, Sheila McDonald3
1Research and Innovation, Provincial Population and Public Health, Alberta Health Services, Edmonton, AB.
概括
在产前护理访问期间提供流感疫苗显著提高了孕妇疫苗接种率. 这种在怀孕期间的护理点接种疫苗 (POC-VIP) 干预措施显示,与之前的季节相比,覆盖率更高.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 孕产妇健康 孕产妇健康
背景情况:
- 怀孕期间接种流感疫苗对于母亲和婴儿的健康至关重要.
- 在加拿大,在产前护理期间获得标准流感疫苗并不常见.
- 在阿尔伯塔省卡尔加里实施了一项在怀孕期间照顾点接种疫苗 (POC-VIP) 的干预措施.
研究的目的:
- 在多个流感季节中描述性地检查POC-VIP干预的疫苗接种率.
- 评估流感疫苗覆盖率,并发病症和区域级社会经济地位之间的关联.
主要方法:
- 之前和之后的研究设计检查了6个流感季节 (2个干预前,4个干预后) 的疫苗覆盖率.
- 来自临床和行政数据库的数据被用于识别出生队列,并测量流感疫苗接种率.
- 用费舍尔精确测试进行统计比较,显著性设置为P < 0.05.
主要成果:
- 流感疫苗接种率显著增加,从干预后每1000名患者周的11.7增加到40.1 (P < 0.001).
- 在具有或没有并发症的怀孕之间没有观察到疫苗覆盖率的显著差异.
- 较高的物质剥夺与干预前期间疫苗覆盖率下降有关.
结论:
- POC-VIP干预导致孕妇流感疫苗接种率大幅增加.
- 这项研究提供了一种系统的方法来检查怀孕期间的疫苗覆盖率.
- 在产前检查期间在护理点接种疫苗是改善疫苗接种的有效策略.
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