健康信念模型在解释和预测妊娠期百日咳疫苗接种意向的有效性。

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annali dell'Istituto superiore di sanita Pub Date : 2021-04-01 DOI:10.4415/ANN_21_02_09

Francesca Zambri, Ilaria Perilli, Alessia Quattrini, Francesca Marchetti, Sofia Colaceci, Angela Giusti

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引用次数: 7

摘要

简介:百日咳是一种高度传染性的呼吸道疾病，孕妇接种疫苗似乎是预防婴儿百日咳最有效的策略。本研究的目的是基于健康信念模型(HBM)的建构来评估妇女在怀孕期间对百日咳疫苗的接受程度。方法:采用300名方便样本进行多中心观察性研究。结果:大多数妇女担心在婴儿出生后的头几个月感染或传播百日咳，并认为在出生后的头几个月感染百日咳非常严重。胎次似乎是预测这种健康行为的一个因素，因为未生育妇女倾向于接种更多疫苗或有更高的意愿接种疫苗(ORa 2.8 CI 95% 1.5-5.2 p)。讨论和结论:HBM是识别健康行为的促进因素和障碍的有效工具。需要制定促进怀孕期间疫苗接种的战略，包括教育干预和宣传运动。

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Health Belief Model efficacy in explaining and predicting intention or uptake pertussis vaccination during pregnancy.

Introduction: Pertussis is a highly contagious respiratory disease and vaccination of pregnant women seems to be the most effective strategy to prevent pertussis in infants. The aim of this study is to assess the acceptance by women of pertussis vaccination during pregnancy based on Health Belief Model (HBM) constructs.

Methods: A multicentre observational study was carried out with a convenience sample of 300 respondents.

Results: Most women were worried to contract or to transmit pertussis during the first months of the infant's life and perceived pertussis contracted in the first months of life as very serious. Parity appears to be a factor predicting this health behaviour, as nulliparous women tend to get more vaccinated or have a higher intention to get vaccinated (ORa 2.8 CI 95% 1.5-5.2 p<0.01).

Discussion and conclusions: HBM is an effective tool for identifying facilitators and barriers to health behaviours. Strategies to promote vaccination during pregnancy are needed, including educational interventions and communication campaigns.

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来源期刊

Annali dell'Istituto superiore di sanita PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.80

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： Annali dell’Istituto Superiore di Sanità is a peer reviewed quarterly science journal which publishes research articles in biomedicine, translational research and in many other disciplines of the health sciences. The journal includes the following material: original articles, reviews, commentaries, editorials, brief and technical notes, book reviews. The publication of Monographic Sections has been discontinued. In case you wish to present a small number of coordinated contributions on specific themes concerning priorities in public health, please contact the Editorial office. The journal is in English.