摘要
目的调查孕前优生体检夫妇含麻疹和风疹成分疫苗(Measles and rubella containing vaccine,MRCV)的接种意愿及其影响因素。方法依据健康信念模型理论自行设计问卷,采用现场自填问卷方法调查妇幼保健院孕前优生体检夫妇的麻疹、风疹知识知晓率,以及接种MRCV的意愿率和影响因素。结果在790名孕前优生体检夫妇中,愿意接种MRCV者664名(84.05%)。3个月内有怀孕计划(OR=0.38,95%CI:0.22-0.63)、疾病严重感认知(OR=2.14,95%CI:1.38-3.31)、意愿改变益处感认知(OR=1.81,95%CI:1.11-2.95)对接种意愿有影响。在愿意接种疫苗的664人中,458人(68.98%)希望疫苗接种前查验抗体,497人(74.85%)知道接种疫苗后需避孕3个月后仍会接种,508人(76.51%)表示接种疫苗自费也会接种,322人(48.49%)希望在婚检健康咨询时告知疾病与接种疫苗知识。结论孕前优生体检夫妇MRCV接种意愿较高,加强宣传疾病危害、疫苗接种益处等信息有利于提高接种意愿。
Objective To determine the willingness of couples in a preconception care program to accept measles and rubella containing vaccines（ MRCV）,and to identify factors influencing MRCV acceptance.Methods We used the Health Belief Model to design a questionnaire for a field survey of awareness of knowledge about measles and rubella,and the willingness of couples in a preconception care program in maternal and child health hospitals to accept MRCV. Results Of 790 respondents,664（ 84. 05%）were willing to receive MRCV. Willingness was influenced by whether the couple planned a pregnancy within 3 months（ OR = 0. 38,95% CI： 0. 22-0. 63）,the sense of disease seriousness（ OR = 2. 14,95%CI： 1. 38-3. 31）,and the sense of benefits of the vaccine（ OR = 1. 81,95% CI： 1. 11-2. 95）. Among the 664 respondents willing to be vaccinated,458（ 68. 98%） would like to be tested for antibodies before vaccination; 497（ 74. 85%） were willing to receive MRCV followed by 3 months of contraception;508（ 76. 51%） would receive the vaccine even if it was not free; and 322（ 48. 49%） would like to receive information on vaccines and diseases during their preconception care. Conclusions The willingness to receive MRCV was high among couples in the preconception care program. Willingness may be able to be improved by enhancing public education on the risk of diseases and the benefits of immunization.
出处
《中国疫苗和免疫》
北大核心
2017年第6期666-671,共6页
Chinese Journal of Vaccines and Immunization
关键词
孕前优生体检
含麻疹和风疹成分疫苗
接种意愿
健康信念模型
Preconception care
Measles and rubella containing vaccine
Immunization willinghess
Health belief model
