In England, influenza and pertussis vaccinations are recommended for pregnant women. However, in some areas, vaccination coverage rates are low. The aim of this study was to gain an in-depth understanding of how structural and sociopolitical factors influence attitudes toward and access to maternal vaccination. Participants were recruited in Hackney (a London borough), which has one of the lowest maternal vaccination coverage rates in the UK. In-depth interviews with pregnant/recently pregnant women explored experiences of care during pregnancy and their views on maternal vaccination. Interviews with healthcare professionals explored their views on maternal vaccination, and how they discussed it with patients. Data were analyzed thematically. Findings suggest that the currently popular individualist approach to healthcare places burdens on pregnant women that can negatively influence their vaccination decisions. Other structural factors, such as the state of the healthcare system, also influence women’s attitudes toward and access to vaccination, especially if they have certain intersecting identities.

中文翻译：

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孕产妇疫苗接种的制度嵌入及其对孕期疫苗接种接受度的影响

在英格兰，建议孕妇接种流感和百日咳疫苗。但是，在某些地区，疫苗接种覆盖率较低。本研究的目的是深入了解结构和社会政治因素如何影响对母亲接种疫苗的态度和获取途径。参与者是在哈克尼（伦敦自治市镇）招募的，这里是英国孕产妇疫苗接种覆盖率最低的地区之一。对孕期/新孕期妇女进行深度访谈，探讨孕期护理经验及对孕产妇疫苗接种的看法。与医疗保健专业人员的访谈探讨了他们对母亲接种疫苗的看法，以及他们如何与患者讨论。数据进行了专题分析。研究结果表明，目前流行的个人主义医疗保健方法给孕妇带来了负担，这会对她们的疫苗接种决定产生负面影响。其他结构性因素，例如医疗保健系统的状况，也会影响女性对疫苗接种的态度和获得接种的机会，特别是如果她们具有某些相互交叉的身份。