臺灣中部地區懷孕婦女H1N1新型流感疫苗接種行為及相關因素探討

李幸倫

doi:10.6342/NTU.2012.00803

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臺灣中部地區懷孕婦女H1N1新型流感疫苗接種行為及相關因素探討

Acceptance of H1N1 influenza vaccination and related factors among the pregnant women in the middle area of Taiwan

李幸倫 , Masters　　Advisor：黃璉華　　

繁體中文 DOI： 10.6342/NTU.2012.00803

懷孕婦女； H1N1新型流感； H1N1新型流感疫苗；健康信念； pregnant women ； novel Influenza A (H1N1) ； novel influenza A (H1N1) vaccine ； health beliefs

Abstract │ Reference (143) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

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Facing the first influenza pandemic of the 21st century, in order to reduce the prevalence of the H1N1 flu virus in the community and reduce the mortality, the World Health Organization suggested that vaccination is an important strategy. Based on the Health Belief Model, this study used a structured questionnaire to collect data in Changhua area. Due to the pregnant women vaccination program for the first time, the main purpose of this study was to understand the experiences and views of the vaccination of pregnant women, and to understand the factors affecting H1N1 vaccination behavior of pregnant women, to provide for reference value for public health policy in the future.
This study was a retrospective case-control study, self-administered questionnaire was used. A total of 163 valid samples were collected, with 74 in vaccination group, 89 in control group. Data was analyzed with SAS statistical software version 9.2. The results revealed that factors affecting H1N1 vaccination behavior of pregnant women included college education (OR=0.35, 95% CI: 0.14-0.89), medical professional (OR=0.10, 95% CI: 0.01-0.84), knowing pregnant women need to inoculation of H1N1 recommendations (OR=4.53, 95% CI: 1.09-18.79) and the perceived barriers of H1N1 influenza vaccination (OR=12.18, 95% CI: 3.64-40.71). Age, pregnancy history, religion, and the average household income, health behaviors and health status, health status during pregnancy, seasonal influenza vaccination history, H1N1 influenza knowledge and other factors had no statistically significant differences.
Study results showed that domestic H1N1 vaccination rates of pregnant women was lower than other country. In addition to vaccination barrier factors, there are some other factors. It is recommended that obstetricians should be strengthened the cognition of susceptibility and severity of pregnant women infected with H1N1 influenza, and to strengthen the reporting and monitoring mechanisms of pregnant women infected with H1N1 influenza, and to overcome the misunderstanding of the public or medical personnel to H1N1 influenza vaccine. People with higher education and medical professional should be given more detailed information related to the disease and vaccination, to increase pregnant women’s vaccination rate, and to promote more effective policies.

Reference ( 143 ) 〈TOP〉

王任賢（2009）．疫苗發展之過去、現在與未來．感染控制雜誌，19（6），370-374。
連結：
江大維（2006）．流行性感冒的全球大流行．疫情報導，22（3），132-135。
連結：
江瑞坤、陳世琦、陳欣欣（2008）．流行性感冒與H5N1禽流感．基層醫學，23（3），66-69。
連結：
行政院衛生署疾病管制局（2004）．流感及禽流感簡介及因應措施．疫情報導，20（1），1-12。
連結：
行政院衛生署國民健康局（2012年8月31日）．國民指標互動調查網站-98年度吸菸百分比，按性別、縣市別分．取自https://olap.bhp.doh.gov.tw/index.aspx1
連結：

Times Cited (1) 〈TOP〉

李虹霖(2015)。以健康信念模式探討影響社區民眾結核病防治行為及相關因素研究。臺灣大學護理學研究所學位論文。2015。1-74。

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