新冠疫情下从官方新媒体途径获取孕产保健信息与防护知识行为的横断面调查  

A cross-sectional survey on information access through hospital’s official account on new media and its association with antenatal care knowledge and health behaviors of pregnant women under COVID-19 epidemic

作　　者：李星颖 陈维怡 金龙妹 张晓华 杨凤云[4] 沈恋迪 张欣文[5] 喇雪娜 娜扎凯提·阿不都克里木 谢震宇 朱小玲 王丽 蒋泓[1,3] LI Xing-ying;CHEN Wei-yi;JIN Long-mei;ZHANG Xiao-hua;YANG Feng-yun;SHEN Lian-di;ZHANG Xin-wen;LA Xue-na;ABUDUKELIMU Nazhakaiti;XIE Zhen-yu;ZHU Xiao-ling;WANG Li;JIANG Hong(School of Public Health,Key Lab of Health Technology Assessment,National Health Commission,Fudan University,Shanghai 200032,China;Shanghai Minhang Maternity and Childcare Hospital,Shanghai 201102,China;Minhang Institute,School of Public Health,Fudan University,Shanghai 201100,China;Shanghai Jiading Maternity and Childcare Hospital,Shanghai 201800,China;Department of Obstetrics and Gynecology,Xi’an Fourth Hospital,Xi’an 710004,Shaanxi Province,China;Shanghai Pudong Maternity and Childcare Hospital,Shanghai 201200,China;Jiangxi Leping Maternity and Childcare Hospital,Leping 330006,Jiangxi Province,China;Changzhou Maternal and Child Health Care Hospital,Changzhou 213000,Jiangsu Province,China)

机构地区：[1]复旦大学公共卫生学院,国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海200032 [2]上海市闵行区妇幼保健院,上海201102 [3]复旦大学公共卫生学院闵行分院,上海201100 [4]上海市嘉定区妇幼保健院,上海201800 [5]陕西省西安市第四医院妇产科,西安710004 [6]上海市浦东新区妇幼保健院,上海201200 [7]江西省乐平市妇幼保健院,乐平330006 [8]江苏省常州市妇幼保健院,常州213000

出　　处：《复旦学报（医学版）》2021年第4期520-526,共7页Fudan University Journal of Medical Sciences

基　　金：上海市第五轮公共卫生体系建设三年行动计划(2020-2022年)重点学科项目(GWV-10.1-XK08);上海市公共卫生体系建设三年行动计划(2020-2022年)(GWV-10.2-XD10)。

摘　　要：目的了解新冠肺炎疫情下,孕妇通过官方新媒体途径获取孕产保健信息及新冠相关的孕产保健知识与个人防护行为的关系,为完善我国突发公共卫生事件下的孕产保健服务应急预案提供依据。方法于2020年2月5日至3月1日我国新冠疫情暴发高峰期间,采用横断面在线调查方法,收集孕妇疫情期间获取孕产保健服务和健康教育信息的渠道、孕产保健知识和防护行为状况。结果共收集到来自21个省/区/直辖市的1936份有效问卷。75.4%的孕产妇曾通过官方新媒体渠道(如医院官方微信公众号、微博账户)获取孕产保健信息。多元Logistic回归分析显示,通过新媒体渠道获得孕产保健信息的孕妇,孕产保健知识得分(aOR=1.36,95%CI:1.08~1.71,P<0.01)和个人防护行为得分(aOR=1.46,95%CI:1.18~1.82,P<0.01)均高于从其他途径获取信息者。结论通过卫生机构的官方新媒体账号获取信息与孕妇在疫情下更好的孕产保健知识掌握和更好的个人防护行为相关。在突发重大公共卫生事件背景下,卫生机构可通过使用新媒体官方账号促进孕妇对于服务信息和健康教育的可及性;同时也需注意加强培训,提高新媒体平台开展健康教育和服务的质量。Objective To explore the association between accessing antenatal care information through hospitals’official new media accounts and antenatal care knowledge and individual prevention behavior under COVID-19 epidemic,and to provide evidence for improving the emergency plan for maternity health care services in China under public health emergencies.Methods The online survey was conducted from Feb 5th to Mar 1st,2020,at the peak of the COVID-19 epidemic in China.Approaches of accessing antenatal care information,COVID-19 related antenatal care knowledge and individual prevention behavior was collected via cross-sectional design.Results A total of 1936 valid questionnaires were obtained from 21 provinces,autonomous regions and municipalities.Under the COVID-19 epidemic,75.4%of the pregnant women reported they got institutional service and health education information from hospitals’official new media accounts such as WeChat and Weibo.Multivariate Logistic analysis showed that pregnant women who received information from official accounts of new media had higher scores of COVID-19 relevant antenatal care knowledge(aOR=1.36,95%CI:1.08-1.71,P<0.01)and individual prevention behaviors(aOR=1.46,95%CI:1.18-1.82,P<0.01)than those who obtained information from other sources.Conclusion The access to antenatal care knowledge via hospitals’official social media accounts was associated with better antenatal care knowledge and individual prevention behaviors among pregnant women.Under major public health emergency,it is suggested for health institutions to disseminate antenatal health care information via hospitals’official accounts in new media like Wechat and Weibo.Appropriate training should be developed to ensure the quality of health education and service provision in official new media accounts.

关 键 词：新型冠状病毒肺炎(COVID-19) 新媒体 孕产保健知识 个人防护行为 

分 类 号：R563.1[医药卫生—呼吸系统] R715.3[医药卫生—内科学]