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임신부의 인플루엔자 백신 접종률 및 관련요인

Influenza Vaccine Coverage Rate and Related Factors on Pregnant Women

감염과화학요법 2009년 41권 6호 p.349 ~ 354
김미정, 김아름, 이진수, 정문현, 이병익, 손동욱, 박신구, 박지현, 이광수, 이승연,
소속 상세정보
김미정 ( Kim MI-Jeong ) - 인하대학교 의과대학 내과학교실
김아름 ( Kim A-Reum ) - 인하대학교 의과대학 내과학교실
이진수 ( Lee Jin-Soo ) - 인하대학교 의과대학 내과학교실
정문현 ( Chung Moon-Hyun ) - 인하대학교 의과대학 내과학교실
이병익 ( Lee Byoung-Ick ) - 인하대학교 의과대학 산부인과학교실
손동욱 ( Son Dong-Wook ) - 인하대학교 의과대학 내과학교실
박신구 ( Park Shin-Goo ) - 인하대학교 의과대학 산업의학과
박지현 ( Park Jee-Hyun ) - 인하대학교 의과대학 산부인과학교실
이광수 ( Lee Kwang-Soo ) - 인하대학교 의과대학 내과학교실
이승연 ( Lee Seung-Youn ) - 인하대학교 의과대학 내과학교실

Abstract


Background: During seasonal influenza epidemics and previous pandemics, pregnant women have been at increased risk for complications related to influenza infection. Although influenza vaccination has been widely recommended to pregnant women and immunocompromised hosts, the vaccination rate is presumed to be low in pregnant women. This study was aimed to evaluate the vaccination rate and factors associated with Influenza vaccination among pregnant women, who are at high risk for developing complications from the influenza.

Materials and Methods : This study was carried out by telephone survey from April, 2007 to August, 2007. Women who were in their second trimester of pregnancy or above,- during October, 2006 and February, 2007, the recommended vaccination period, and had given birth at Inha University Hospital were selected as the study population. Immunization status, general understanding, and factors associated with vaccination were evaluated.

Results: Among a total of 506 eligible pregnant women, 227 (44.8%) responded to the questionnaires. The influenza vaccination rate among the pregnant women was only 4% (9/227). Major reasons for not receiving vaccination were first, not awaring the necessity of immunization during pregnancy (48.5%, 110/227) and second, misunderstanding that it is prohibited during pregnancy (36.1%, 82/227). The major factors that influenced the compliance of vaccination were correct understanding and doctor’s recommendation on the influenza immunization during pregnancy.

Conclusions: The influenza vaccine coverage on pregnant women was very low and the awareness of influenza vaccination during pregnancy in general was inaccurate. Shift in perception is required and this can be achieved by educating the pregnant women on the safety and efficacy of vaccination. In addition, doctors’ active encouragement to vaccination is highly recommended.

키워드

Influenza vaccine;Immunization rate;Pregnant women;Vaccination

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