在COVID-19时代,孕妇接受疫苗接种
Stephanie Schreiber-Gonzalez1, Karlie Snead1, Alexandra Jd Phelps2
1Department of Obstetrics and Gynecology, Hoffman Estates, Ascension, IL, USA.
概括
有公共保险的孕妇不太可能接受COVID-19和流感疫苗. 需要进一步的研究来提高这一群体的疫苗接种率.
科学领域:
- 产科和妇科 产科和妇科
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
背景情况:
- 怀孕期间接种疫苗对于母亲和婴儿的健康至关重要.
- 随着COVID-19大流行,常规产前疫苗接种计划面临着独特的挑战.
- 了解疫苗犹的风险因素对于有针对性的公共卫生干预至关重要.
研究的目的:
- 在COVID-19大流行期间,识别与产前疫苗接种减少相关的风险因素,特别是COVID-19疫苗.
- 为了在孕妇中比较COVID-19,流感和结节炎,白喉和百日咳 (Tdap) 疫苗的接种率.
- 分析影响疫苗接受的人口和保险相关因素.
主要方法:
- 对772名在2021年秋冬期间分娩的妇女进行了回顾性队列研究.
- 收集了母亲的特征,包括年龄,nulliparity,BMI,保险和种族/种族.
- 使用后勤回归分析来确定与疫苗接受相关的因素,并对共变量进行调整.
主要成果:
- 接种COVID-19疫苗的接受率为46.1%,接种流感疫苗的接受率为58.0%,Tdap疫苗的接受率为80.8%.
- 公共保险独立地与COVID-19 (aOR 0.28) 和流感 (aOR 0.38) 疫苗的接受率降低有关.
- 年龄较大和无双性独立地与接受COVID-19疫苗的增加有关.
结论:
- 有公共保险的孕妇接受COVID-19和流感疫苗的接受率较低.
- 有针对性的策略是必要的,以解决疫苗犹和提高孕妇群体的接种率.
- 对拒绝接种疫苗的具体动机进行进一步调查是有必要的,以告知有效的公共卫生运动.
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