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目的调查甲型H1N1流感(简称甲流)流行期间长春市孕妇流感发病情况与甲流疫苗接种意愿。方法以2009年8月～2010年3月在长春市60个社区卫生服务中心进行围产期保健并建卡的7 080名孕妇为目标人群,根据孕期构成比,分别随机抽取32名孕早期、73名孕中期和75名孕晚期孕妇为调查对象,采用问卷调查法,于2010年3月15～18日通过电话调查该人群急性上呼吸道感染罹患情况、甲流疫苗免费接种政策知晓情况、接种意愿及不愿接种的原因。结果共获取了179名孕妇的基本信息,其中有12.85%的孕妇愿意接种甲流疫苗,教育程度及高危情况对孕妇接种甲流疫苗的意愿有显著影响(P<0.001);孕妇对甲流疫苗免费接种信息的知晓途径主要来源于社区防保医生告知(41.73%);不愿意接种甲流疫苗的孕妇主要是担心疫苗的安全性;39.75%不愿意接种甲流疫苗的孕妇表示甲型H1N1流感再次出现高峰期时愿意接种。结论本次调查结果具有代表性,为今后采取有针对性的干预措施和干预渠道提供了依据,也为下一步重点人群疫苗接种的需求和预算提供了参考。
Objective To investigate the prevalence of influenza in pregnant women in Changchun during the epidemic of Influenza A (H1N1) and the willingness of the vaccination. Methods A total of 7080 pregnant women who carried out perinatal care and built a card in 60 community health service centers in Changchun from August 2009 to March 2010 were selected as the target groups. According to the gestational constitution rate, 32 pregnant women with early pregnancy, 73 pregnant women in the second trimester and 75 pregnant women in the second trimester were enrolled in this study. The questionnaires were used to investigate the prevalence of acute upper respiratory tract infection in this population by phone from March 15 to March 18, 2010. The vaccination policy of H1N1 vaccine was known and vaccinated Willing and unwilling to inoculation reasons. Results A total of 179 pregnant women were acquired basic information, of which 12.85% of pregnant women were willing to inoculate A flu vaccine, education level and high-risk situations had a significant impact on the willingness of pregnant women to receive A flu vaccine (P <0.001) The means of knowing about the free vaccination information mainly came from community protective doctors (41.73%). Pregnant women who did not want to receive Influenza A vaccine were mainly worried about the safety of vaccines. 39.75% of pregnant women who did not want to receive Influenza A vaccine said that the Influenza A (H1N1) Re-emergence of the peak is willing to vaccinate. Conclusion The findings of this survey are representative and provide the basis for future targeted interventions and interventions, as well as reference for the needs and budget of the next major population vaccination.