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首页> 外文期刊>Journal of Community Health >A Prenatal Intervention Study to Improve Timeliness of Immunization Initiation in Latino Infants
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A Prenatal Intervention Study to Improve Timeliness of Immunization Initiation in Latino Infants

机译：一项产前干预研究，旨在提高拉丁裔婴儿免疫接种的及时性

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This was a prospective randomized cohort study to assess the effectiveness of an educational immunization intervention with pregnant Latinas on timely initiation of infant immunization. Study participants were recruited from two community clinics in north San Diego County. A total of three hundred and fifty-two Latinas in the third trimester of pregnancy were recruited and randomly assigned to intervention or control groups. Participants received either a culturally and linguistically appropriate session on infant immunization (intervention) or a session on prevention of Sudden Infant Death Syndrome (control). The main outcome measures were pre-post immunization knowledge change and infant immunization status at 92 days. Immunization knowledge increased significantly in the intervention group [p < .0001, 95%CI (1.76, 2.47)]. No difference was found between groups in immunization series initiation: 95 percent of the children in the intervention group were up-to-date by 92 days from birth, and 93 percent of the control group was up-to-date at 92 days. The lack of significant association between receiving immunization education and infant immunization series initiation suggests that parent education may be necessary but not sufficient for timely immunization, particularly in clinics with effective well-child programs. Given the significant increase in immunization knowledge, the broader and perhaps more important implication is that language- and culturally specific infant health education messages in the prenatal period may have a positive long-term impact on the child's health and promote well-child care overall. Future studies should assess the role of prenatal well-child education in the context of clinics with low immunization levels
机译：这是一项前瞻性随机队列研究，旨在评估针对怀孕的拉丁裔的教育性免疫干预措施对及时开始婴儿免疫接种的有效性。研究参与者是从北圣地亚哥县的两个社区诊所招募的。妊娠晚期共征集了三百五十二拉丁裔，并随机分配到干预组或对照组。参加者在文化和语言上均接受了有关婴儿免疫接种（干预）或预防婴儿猝死综合症（对照）的培训。主要结局指标为92天后的免疫前知识变化和婴儿免疫状况。干预组的免疫知识显着增加[p <.0001，95％CI（1.76，2.47）]。免疫系列开始时各组之间没有差异：干预组中95％的孩子在出生后92天是最新的，而对照组的93％在92天时是最新的。接受免疫教育与婴儿免疫系列开始之间缺乏显着联系，这表明父母教育可能是必要的，但不足以及时进行免疫接种，特别是在有有效的儿童计划的诊所中。鉴于免疫知识的显着增加，更广泛甚至可能更重要的含义是，在产前阶段特定语言和文化背景的婴儿健康教育信息可能会对孩子的健康产生长期的积极影响，并总体上促进良好的儿童保健。未来的研究应评估在免疫水平较低的诊所中进行产前良好儿童教育的作用

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