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目的 调查广州市荔湾区医务人员对孕期接种季节性流感疫苗(流感疫苗)的认知及态度,为推进孕期接种流感疫苗工作提供依据及建议.方法 使用自行设计的问卷调查广州市荔湾区的产科医务人员和预防接种人员.结果 共调查183名医务人员,有效应答率为95.1%(174/183).仅21.3%(37/174)医务人员知晓中国已将孕妇纳为流感疫苗接种的推荐人群,产科医务人员对“孕妇纳为流感疫苗接种目标人群知识”得分低于预防接种人员(t=-3.133,P=0.002).53.4%(93/174)的医务人员表示不会推荐孕期接种流感疫苗,主要原因是“接种疫苗有不良反应”(61.3%,57/93)和“万一出事后有医疗纠纷”(59.1%,55/93).多因素分析显示,“孕妇纳为流感疫苗接种目标人群知识”得分高的医务人员,推荐孕期接种的愿意较强(OR=2.751,95%CI:1.959~3.862).结论 应加强对医务人员关于孕期接种流感疫苗相关知识的宣传普及,完善孕期接种流感疫苗的政策支持,提高孕期流感疫苗的接种率.“,”Objective To survey the perception and attitudes of health care workers about maternal influenza vaccination for improving maternal influenza vaccination coverage. Methods A questionnaire survey of obstetric health care workers and vaccine administrators in Liwan district of Guangzhou was conducted. Results Of the 183 health care workers recruited,174 participants(95.1%)completed surveys. Only 21.3%(37/174)of respondents knew that pregnant women were recommended to receive influenza vaccines in China. Obstetric health care workers had lower average score than vaccine administrators on knowing pregnant women were indicated for influenza vaccines (t=-3.133,P=0.002). Totally, 53.4%(93/174)of respondents claimed they would not recommend the influenza vaccination during pregnancy. The two major reasons for not recommending the vaccinations were adverse events after immunization(61.3%,57/93)and medical disputes regarding the vaccinations(59.1%,55/93). Through multivariate analysis,we found that knowing pregnant women were indicated for influenza vaccines was significantly associated with the willingness to recommend influenza vaccinations during pregnancy(OR=2.751,95%CI:1.959~3.862). Conclusions In order to improve the influenza vaccination coverage among pregnant women ,the health education to health care workers was necessary and national vaccination policy for the pregnant women should be enhanced.