摘要
目的了解我国孕产妇流行性感冒(简称流感)疫苗接种健康素养(简称疫苗素养)水平及相关因素。方法采用分层等比例抽样方法,于2024年1月17日―3月14日,在中国东部、中部、西部、东北4个地区的9个省(自治区、直辖市)开展调查。研究采用中文版疫苗接种健康素养量表(health literacy about vaccination in adulthood in Italian,HLVa-IT)以评估孕产妇功能性疫苗素养和互动性-批判性疫苗素养,每个量表以达到总分的80%作为具备该部分疫苗素养的标准。结果共收集有效问卷2035份,功能性疫苗素养具备率为13.6%,互动性-批判性疫苗素养具备率为3.6%。多因素logistic回归分析结果显示,本人为非医务工作者的孕产妇流感疫苗功能性疫苗素养具备率较低(aOR=2.236,95%CI:1.628~3.071,P<0.001);保险能覆盖孕产期接种流感疫苗的费用(aOR=0.665,95%CI:0.479~0.923,P=0.015)、家人支持孕产期接种流感疫苗(aOR=0.355,95%CI:0.251~0.502,P<0.001)、非孕产期接种过流感疫苗(aOR=0.691,95%CI:0.524~0.911,P=0.009)、感觉孕产期健康状况变差(aOR=0.754,95%CI:0.576~0.988,P=0.041)的孕产妇流感疫苗功能性疫苗素养具备率较高。本人为非医务工作者(aOR=1.929,95%CI:1.121~3.318,P=0.018)、医生未介绍过孕产期接种流感疫苗信息(aOR=1.821,95%CI:1.070~3.098,P=0.027)的孕产妇流感疫苗互动性-批判性疫苗素养具备率较低;保险能覆盖孕产期接种流感疫苗的费用(aOR=0.537,95%CI:0.313~0.923,P=0.024)、家人支持孕产期接种流感疫苗(aOR=0.193,95%CI:0.114~0.328,P<0.001)、非孕产期接种过流感疫苗(aOR=0.505,95%CI:0.306~0.832,P=0.007)的孕产妇流感疫苗互动性-批判性疫苗素养具备率较高。结论我国孕产妇流感疫苗接种素养水平总体较低,获取疫苗信息和使用疫苗的能力有待提高。
Objective To assess the level of health literacy about influenza vaccination among pregnant and postpartum women in China,and to explore the factors influencing vaccine literacy.Methods From January 17,2024 to March 14,2024,a stratified proportional sampling method was used to conduct surveys among pregnant and postpartum women in nine province/autonomous region/municipalities representing the Eastern,Central,Western,and Northeastern regions of China.The study utilized the Chinese version of the health literacy about vaccination in adulthood in Italian(HLVa-IT),to assess maternal functional vaccine literacy and interactive-critical vaccine literacy.Each scale considered achieving 80%of the total score as the standard for having vaccine literacy.Results A total of 2035 valid questionnaires were collected from January 17 to March 14,2024.13.6%of these women had interactive-critical vaccine literacy.The results of the multivariate logistic stepwise regression analysis revealed that pregnant women who were not healthcare workers had a lower rate of functional vaccine literacy for influenza vaccination(aOR=2.236,95%CI:1.628-3.071,P<0.001).Conversely,pregnant women whose insurance covered the cost of influenza vaccination during pregnancy(aOR=0.665,95%CI:0.479-0.923,P=0.015),those who had family support for influenza vaccination during pregnancy(aOR=0.355,95%CI:0.251-0.502,P<0.001),those who had received influenza vaccination outside of pregnancy(aOR=0.691,95%CI:0.524-0.911,P=0.009),and those who perceived a decline in health status during pregnancy(aOR=0.754,95%CI:0.576-0.988,P=0.041)had higher rates of functional vaccine literacy for influenza vaccination.Additionally,pregnant women who were not healthcare workers(aOR=1.929,95%CI:1.121-3.318,P=0.018)and those who had not been informed by their doctors about vaccination during pregnancy(aOR=1.821,95%CI:1.070-3.098,P=0.027)had lower rates of critical-interactive vaccine literacy for influenza vaccination.On the other hand,pregnant women whose insurance covered the cost of influenza vaccination during pregnancy(aOR=0.537,95%CI:0.313-0.923,P=0.024),those who had family support for influenza vaccination during pregnancy(aOR=0.193,95%CI:0.114-0.328,P<0.001),and those who had received influenza vaccination outside of pregnancy(aOR=0.505,95%CI:0.306-0.832,P=0.007)had higher rates of critical-interactive vaccine literacy for influenza vaccination.Conclusions The overall level of influenza vaccination literacy among pregnant women in China is relatively low,and their ability to comprehend,analyze,and utilize information about influenza vaccines needs improvement.
作者
曾繁煜
杨凤云
郑敏
邱琇
李芬
易念华
吴颖岚
马袁英
王磊
李常惠
顾春怡
金龙妹
钱序
蒋泓
ZENG Fanyu;YANG Fengyun;ZHENG Min;QIU Xiu;LI Fen;YI Nianhua;WU Yinglan;MA Yuanying;WANG Lei;LI Changhui;GU Chunyi;JIN Longmei;QIAN Xu;JIANG Hong(Department of Maternal,Child and Adolescent Health,School of Public Health,Fudan University,Key Laboratory of Health Technology Assessment,National Health Commission,Key Laboratory of Public Health Safety,Ministry of Education,Shanghai 200032,China;Department of Obstetrics and Gynecology,Shanghai Jiading District Maternal and Child Health Care Hospital,Shanghai 201800,China;Department of Women′s Group Health Care,Yunnan Maternal and Child Health Care Hospital,Kunming 650021,China;Department of Women′s Health Care,Guangzhou Women and Children′s Medical Center,Guangzhou 510623,China;Maternal and Child Health Center,The First Affiliated Hospital of Xi′an Jiao Tong University,Xi′an 710061,China;Department of Women′s Health Care,Hubei Maternity and Child Health Care Hospital,Wuhan 430070,China;Department of Women′s Health Care,Hunan Provincial Maternal and Child Health Care Hospital,Changsha 410008,China;Department of Women′s Health Care,Women′s Hospital School of Medicine Zhejiang University,Hangzhou 310006,China;Urumqi Youai Hospital,Urumqi 830001,China;Department of Primary Health Guidance for Women′s Health,Liaoning Provincial Maternal and Child Health Hospital,Shenyang 110005,China;Nursing Department,Obstetrics and Gynecology Hospital,Fudan University,Shanghai 200011,China;Department of Obstetrics and Gynecology,Shanghai Minhang Maternal and Child Health Care Hospital,Shanghai 201102,China)
出处
《中华疾病控制杂志》
北大核心
2025年第8期882-888,948,共8页
Chinese Journal of Disease Control & Prevention
基金
比尔和梅琳达·盖茨基金会支持的“疫苗与免疫服务提供创新实验室”项目(INV-034554)
上海市第六轮加强公共卫生体系建设三年行动计划重点学科建设项目(GWVI-11.1-32)
复旦大学公共卫生学院-嘉定区卫生健康委员会公共卫生高质量发展重点学科、重点专项(GWGZLXK-2023-04)。
关键词
健康素养
疫苗接种
孕产期
因素分析
横断面研究
Health literacy
Vaccination
Perinatal period
Factor analysis
Cross-sectional stud
