全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Factors Affecting Intention among Students to Be Vaccinated against A/H1N1 Influenza: A Health Belief Model Approach

DOI: 10.4061/2011/353207

Full-Text   Cite this paper   Add to My Lib

Abstract:

The outbreak of A/H1N1 influenza (henceforth, swine flu) in 2009 was characterized mainly by morbidity rates among young people. This study examined the factors affecting the intention to be vaccinated against the swine flu among students in Israel. Questionnaires were distributed in December 2009 among 387 students at higher-education institutions. The research questionnaire included sociodemographic characteristics and Health Belief Model principles. The results show that the factors positively affecting the intention to take the swine flu vaccine were past experience with seasonal flu shot and three HBM categories: higher levels of perceived susceptibility for catching the illness, perceived seriousness of illness, and lower levels of barriers. We conclude that offering the vaccine at workplaces may raise the intention to take the vaccine among young people in Israel. 1. Introduction On June 11, 2009, the World Health Organization issued a statement declaring that the A/H1N1 influenza virus (henceforth, the swine flu) had reached pandemic proportions [1, 2]. Around 30,000 people worldwide have died because of this virus, including 17,000 in the USA and around 90 in Israel [3, 4]. Governments geared up to launch national programs to vaccinate the population against the swine flu. Most governments planned to vaccinate groups of people at risk and healthcare personnel in the first stage and the entire population in the second stage [5]. Yet, while compliance rates were quite high in some countries, such as Australia (67%) and France (60%) [1, 6], in others the rates remained quite low. For example, according to a representative survey carried out by the CDC in 2010, by February 2010 only 23.4% of Americans had been vaccinated against the swine flu, while in Israel by February 2010 less than 10% had taken the new vaccine [7]. The purpose of the current study was to examine the factors affecting the intention among students in Israel to be vaccinated against the swine influenza. We chose to focus on this group of young people because the swine flu affected not only at-risk groups but also young people in the labor force. In fact, a major difference between seasonal influenza A and the 2009 outbreak of H1N1 influenza was the age distribution of life-threatening cases and deaths [8]. According to media reports, most deaths from H1N1 2009 influenza were among young and middle-aged adults. In contrast, most deaths from seasonal influenza A occur in the older population, while deaths of young people due to seasonal influenza are rare [9]. Indeed, the true

References

[1]  M. Schwarzinger, P. Verger, M. A. Guerville et al., “Positive attitudes of French general practitioners towards A/H1N1 influenza-pandemic vaccination: a missed opportunity to increase vaccination uptakes in the general public?” Vaccine, vol. 28, no. 15, pp. 2743–2748, 2010.
[2]  World Health Organization. Pandemic (H1N1), 2009, http://www.who.int/csr/don/2009.09.18/en/index.html.
[3]  Israeli Ministry of Health Website, 2010, http://www.health.gov.il/H1N1/mazav.asp.
[4]  http://www.flucount.org/.
[5]  Z. Kmietowicz, “Opposition to swine flu vaccine seems to be growing worldwide,” BMJ, vol. 339, article b3461, 2009.
[6]  K. Eastwood, D. N. Durrheim, A. Jones, and M. Butler, “Acceptance of pandemic (H1N1) 2009 influenza vaccination by the Australian public,” Medical Journal of Australia, vol. 192, no. 1, pp. 33–36, 2010.
[7]  http://www.health.gov.il/h1n1/WhatsNew.asp.
[8]  S. A. Webb and I. M. Seppelt, “Pandemic (H1N1) 2009 influenza (“swine flu”) in Australian and New Zealand intensive care,” Critical Care and Resuscitation, vol. 11, no. 3, pp. 170–172, 2009.
[9]  W. W. Thompson, D. K. Shay, E. Weintraub et al., “Mortality associated with influenza and respiratory syncytial virus in the United States,” JAMA, vol. 289, no. 2, pp. 179–186, 2003.
[10]  R. J. Blendon, G. K. SteelFisher, J. M. Benson, K. J. Weldon, and M. J. Herrmann, “Public views of the H1N1 vaccine,” Working Paper, Harvard Opinion Research Program Harvard School of Public Health, 2009.
[11]  J. Raude, A. L. Caille-Brillet, and M. Setbon, “The 2009 pandemic H1N1 influenza vaccination in France: who accepted to receive the vaccine and why?” PLoS Currents: Influenza, Version: 14, 2010.
[12]  M. Setbon and J. Raude, “Factors in vaccination intention against the pandemic influenza A/H1N1,” European Journal of Public Health, vol. 20, no. 5, pp. 490–494, 2010.
[13]  B. Velan, G. Kaplan, A. Ziv, V. Boyko, and L. Lerner-Geva, “Major motives in non-acceptance of A/H1N1 flu vaccination: the weight of rational assessment,” Vaccine, vol. 29, pp. 1173–1179, 2011.
[14]  M. Fishbein and I. Ajzen, Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research, Addison-Wesley, Reading, Mass, USA, 1975.
[15]  D. E. Montano and D. Kasprzyk, “The theory of reasoned action and the theory of planned behavior,” in Health Behavior and Health Education: Theory, Research and Practice, K. Glanz, B. K. Rimer, and F. M. Lewis, Eds., pp. 67–98, Jossey-Bass, San Francisco, Calif, USA, 3rd edition, 2002.
[16]  C. J. Armitage and M. Conner, “Efficacy of the theory of planned behaviour: a meta-analytic review,” British Journal of Social Psychology, vol. 40, no. 4, pp. 471–499, 2001.
[17]  D. M. Randall and J. A. Wolf, “The time interval in the intention–behaviour relationship: meta-analysis,” British Journal of Social Psychology, vol. 33, pp. 405–418, 1994.
[18]  P. Sheeran and S. Orbell, “Do intentions predict condom use? Metaanalysis and examination of six moderator variables,” British Journal of Social Psychology, vol. 37, no. 2, pp. 231–250, 1998.
[19]  I. M. Rosenstock, V. J. Strecher, and M. H. Becker, “Social learning theory and the Health Belief Model,” Health Education Quarterly, vol. 15, no. 2, pp. 175–183, 1988.
[20]  J. Nex?e, J. Kragstrup, and J. S?gaard, “Decision on influenza vaccination among the elderly: a questionnaire study based on the Health Belief Model and the Multidimensional Locus of Control Theory,” Scandinavian Journal of Primary Health Care, vol. 17, no. 2, pp. 105–110, 1999.
[21]  C. L. Blue and J. M. Valley, “Predictors of influenza vaccine. Acceptance among healthy adult workers,” AAOHN Journal, vol. 50, no. 5, pp. 227–233, 2002.
[22]  S. Shahrabani, U. Benzion, and G. Yom Din, “Factors affecting nurses' decision to get the flu vaccine,” European Journal of Health Economics, vol. 10, no. 2, pp. 227–231, 2009.
[23]  S. Shahrabani and U. Benzion, “Workplace vaccination and other factors impacting influenza vaccination decision among employees in Israel,” International Journal of Environmental Research and Public Health, vol. 7, no. 3, pp. 853–869, 2010.
[24]  J. S. Chor, K. L. Ngai, W. B. Goggins et al., “Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys,” BMJ, vol. 339, article b3391, 2009.
[25]  V. Sypsa, T. Livanios, M. Psichogiou et al., “Public perceptions in relation to intention to receive pandemic influenza vaccination in a random population sample: evidence from a cross-sectional telephone survey,” Euro Surveillance, vol. 14, no. 49, article 1, 2009.

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413