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中国孕产妇流行性感冒疫苗接种健康素养水平及相关因素

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

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. 中国孕产妇流行性感冒疫苗接种健康素养水平及相关因素[J]. 中华疾病控制杂志, 2025, 29(8): 882-888. doi: 10.16462/j.cnki.zhjbkz.2025.08.003
引用本文: 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. 中国孕产妇流行性感冒疫苗接种健康素养水平及相关因素[J]. 中华疾病控制杂志, 2025, 29(8): 882-888. doi: 10.16462/j.cnki.zhjbkz.2025.08.003
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. The current status and factors associated with influenza vaccination literacy among pregnant and postpartum women in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(8): 882-888. doi: 10.16462/j.cnki.zhjbkz.2025.08.003
Citation: 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. The current status and factors associated with influenza vaccination literacy among pregnant and postpartum women in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(8): 882-888. doi: 10.16462/j.cnki.zhjbkz.2025.08.003

中国孕产妇流行性感冒疫苗接种健康素养水平及相关因素

doi: 10.16462/j.cnki.zhjbkz.2025.08.003
基金项目: 

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

详细信息
    通讯作者:

    蒋泓,E-mail: h_jiang@fudan.edu.cn

    杨凤云,E-mail: jdyfy@126.com

  • 中图分类号: R173; R181.3

The current status and factors associated with influenza vaccination literacy among pregnant and postpartum women in China

Funds: 

Bill & Melinda Gates Foundation-Supported Project "Laboratory for Innovations in Vaccine and Immunization Service Delivery" INV-034554

Key Discipline Construction Project of the Sixth Round of the Three-Year Action Plan to Strengthen Public Health Systems in Shanghai GWVI-11.1-32

The Key Discipline and Project of High-quality Development of Public Health of School of Public Health, Fudan University-Jiading District Health Commission GWGZLXK-2023-04

More Information
  • 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2 035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。
  • 表  1  研究对象的一般人口学资料

    Table  1.   Individual characteristics of pregnant and postpartum women

    变量
    Characteristics
    人数
    Number of people
    变量
    Characteristics
    人数
    Number of people
    总人数Number of participants 2 035(100.0) 家庭结构Family structure
    地区Region   核心家庭Nuclear family 1 139(56.0)
      东部Eastern region 717(35.2)   主干家庭Stem family 631(31.0)
      中部Central region 447(22.0)   联合家庭Extended family 202(9.9)
      西部Western region 681(33.5)   其他Others 63(3.1)
      东北Northeastern region 190(9.3) 打算/正在哺乳Intent/being breastfeeding
    年龄组Age group/years   是Yes 1 847(90.8)
      <20 15(0.7)   否No 188(9.2)
      20~<35 1 688(83.0)   初产妇Primipara
      ≥35 332(16.3)   是Yes 1 133(55.7)
    孕产期阶段The stage of pregnancy and childbirth   否No 902(44.3)
      孕早First trimester 495(24.3) 保险能覆盖孕产期接种流行性感冒疫苗的费用
    Insurance covered the cost of influenza vaccination during pregnancy
      孕中Second trimester 506(24.8)   是Yes 310(15.2)
      孕晚Third trimester 519(25.6)   否No 1 725(84.8)
      产后Postpartum period 515(25.3) 曾了解过孕产期接种流行性感冒疫苗
    Previously informed about influenza vaccination during pregnancy
    民族Ethnic group   是Yes 735(36.1)
      汉族Han ethnic group 1 859(91.4)   否No 1 500(73.9)
      其他Others 176(8.6) 医生是否介绍过孕产期接种流行性感冒疫苗的信息
    Doctor recommended influenza vaccination during pregnancy
    居住地Residence   是Yes 852(41.9)
      城市Urban 1 633(80.2)   否No 1 183(58.1)
      其他Rural 402(19.8) 家人支持孕产期接种流行性感冒疫苗
    Family supported influenza vaccination during pregnancy
    文化程度Education   是Yes 211(10.4)
      初中及以下Junior school or below 203(10.0)   否No 1 824(89.6)
      高中/中专Senior high school 257(12.6) 非孕产期接种过流行性感冒疫苗Received influenza vaccine outside of pregnancy
      职高/大专Vocational school/junior college 493(24.2)   是Yes 611(30.0)
      本科及以上College and above 1 082(53.2)   否No 1 424(70.0)
    本人是否为医务工作者Healthcare professional 感觉孕产期健康状况变差Perceived decline in health during pregnancy
      是Yes 309(15.2)   是Yes 1 359(66.8)
      否No 1 726(84.8)   否No 676(33.2)
    直系亲属是否为医务工作者
    Healthcare worker in immediate family
    孕前患有慢性非传染性疾病Pre-existing chronic condition before pregnancy
      是Yes 223(11.0)   是Yes 349(17.1)
      否No 1 812(89.0)   否No 1 686(82.9)
    家庭人均年收入Annual household income/10 000 yuan 患有孕产期相关疾病Perinatal-related illness
      >20 395(19.4)   是Yes 256(12.6)
      5~20 1 172(57.6)   否No 1 779(87.4)
      <5 469(23.0) 孕产期患有流行性感冒Influenza during perinatal period
    婚姻状况Marital status   是Yes 401(19.7)
      已婚Married 1 977(97.1)   否No 1 634(80.3)
      其他Others 58(2.9)
    注:①以人数(占比%)表示。
    Note: ① Number of people (proportion/%).
    下载: 导出CSV

    表  2  功能性疫苗素养的多因素logistic逐步回归分析

    Table  2.   Multivariate logistic stepwise regression analysis of functional vaccine literacy

    变量
    Characteristics
    cOR值value
    (95% CI)
    P
    value
    aOR值value
    (95% CI)
    P
    value
    本人为医务工作者Healthcare professional
      是Yes 1.000 1.000
      否No 2.636(1.835~3.338) < 0.001 2.236(1.628~3.071) < 0.001
    保险能覆盖孕产期接种流行性感冒疫苗的费用
    Insurance covered the cost of influenza vaccination during pregnancy
      否No 1.000 1.000
      是Yes 0.505(0.412~0.618) < 0.001 0.665(0.479~0.923) 0.015
    家人支持孕产期接种流行性感冒疫苗
    Family supported influenza vaccination during pregnancy
      否No 1.000 1.000
      是Yes 0.274(0.201~0.373) < 0.001 0.355(0.251~0.502) < 0.001
    非孕产期接种过流行性感冒疫苗
    Received influenza vaccine outside of pregnancy
      是Yes 1.000 1.000
      否No 0.558(0.467~0.667) < 0.001 0.691(0.524~0.911) 0.009
    感觉孕产期健康状况变差
    Perceived decline in health during pregnancy
      是Yes 1.000 1.000
      否No 0.701(0.589~0.834) 0.007 0.754(0.576~0.988) 0.041
    注:控制变量为年龄、民族、居住地、文化程度、家庭人均年收入、家庭结构。
    Note: The control variables are age, ethnicity, place of residence, education, per capita annual income of the family, and family structure.
    下载: 导出CSV

    表  3  互动性-批判性疫苗素养的多因素logistic逐步回归分析

    Table  3.   Multivariate logistic stepwise regression analysis of critical-interactive vaccine literacy

    变量
    Characteristics
    cOR值value
    (95% CI)
    P
    value
    aOR值value
    (95% CI)
    P
    value
    本人为医务工作者Healthcare professional
      是Yes 1.000
      否No 3.347(2.789~4.016) < 0.001 1.929(1.121~3.318) 0.018
    保险能覆盖孕产期接种流行性感冒疫苗的费用
    Insurance covered the cost of influenza vaccination during pregnancy
      否No 1.000
      是Yes 0.300(0.214~0.421) < 0.001 0.537(0.313~0.923) 0.024
    医生介绍过孕产期接种流行性感冒疫苗的信息
    Doctor recommended influenza vaccination during pregnancy
      是Yes 1.000
      否No 3.075(2.543~3.718) < 0.001 1.821(1.070~3.098) 0.027
    家人支持孕产期接种流行性感冒疫苗
    Family supported influenza vaccination during pregnancy
      否No 1.000
      是Yes 0.113(0.078~0.163) < 0.001 0.193(0.114~0.328) < 0.001
    非孕产期接种过流行性感冒疫苗
    Received influenza vaccine outside of pregnancy
      否No 1.000
      是Yes 0.321(0.234~0.441) < 0.001 0.505(0.306~0.832) 0.007
    注:控制变量为年龄、民族、居住地、文化程度、家庭人均年收入、家庭结构;cOR, 未控制变量时的OR值;aOR, 控制变量后的OR值。
    Note: The control variables are age, ethnicity, place of residence, education, per capita annual income of the family, and family structure; cOR, the OR value when the variable is not controlled; aOR, the OR value after controlling the variable.
    下载: 导出CSV
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  • 收稿日期:  2025-04-15
  • 修回日期:  2025-06-09
  • 刊出日期:  2025-08-10

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