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服务不足的西班牙裔人群中的流感和疫苗接种意愿:理论推导概念的作用。

Influenza and Intentions to Vaccinate in an Underserved Hispanic Population: The Role of Theoretically Derived Constructs.

机构信息

University of Texas at El Paso School of Pharmacy, El Paso, TX, USA.

El Paso Veterans Affair (VA) Medical Center, El Paso, TX, USA.

出版信息

J Pharm Pract. 2020 Jun;33(3):326-333. doi: 10.1177/0897190018810595. Epub 2018 Nov 19.

Abstract

BACKGROUND

Past research has focused on understanding influenza vaccine acceptance in non-Hispanic white populations; however, research on the social causes of influenza vaccine acceptance rates in Hispanic populations is slowly developing.

OBJECTIVE

The purpose of this study was to assess theoretically driven predictors (i.e. attitudes, perceptions, behaviors, etc.) on influenza and the intention to vaccinate.

METHODS

A survey was administered to assess predictors of intentions to receive the influenza vaccine. The survey included items adapted from the National Flu Survey.

RESULTS

Key constructs common in models of health behaviors emerged as predictors of behavioral intentions to receive the flu vaccine. Recent vaccination within the past year ( < 0.001), perceived effectiveness of the flu vaccine ( < 0.004), and perceived safety of the flu vaccine ( = 0.009) were predictors of intentions to vaccinate. Exploratory analyses revealed that government distrust was a statistically significant predictor of intentions to vaccinate ( = 0.044).

CONCLUSION

The above results have important implications for health-care providers and public health educators. The better we understand the relationship between theoretically driven predictors and vaccine behaviors, the more educators and health-care providers can focus on meaningful, culturally sensitive, targeted-vaccine education.

摘要

背景

过去的研究主要集中在理解非西班牙裔白人群体中对流感疫苗的接受程度;然而,关于西班牙裔人群中流感疫苗接种率的社会原因的研究正在缓慢发展。

目的

本研究旨在评估流感和接种疫苗意愿的理论驱动预测因素(即态度、看法、行为等)。

方法

进行了一项调查,以评估接种流感疫苗的意愿的预测因素。该调查包括了来自国家流感调查的改编项目。

结果

健康行为模型中常见的关键结构被视为接受流感疫苗的行为意愿的预测因素。最近一年内(<0.001)的疫苗接种、流感疫苗的有效性感知(<0.004)和流感疫苗的安全性感知(=0.009)是接种意愿的预测因素。探索性分析表明,对政府的不信任是接种意愿的一个统计学上显著的预测因素(=0.044)。

结论

上述结果对医疗保健提供者和公共卫生教育者具有重要意义。我们对理论驱动的预测因素与疫苗行为之间的关系了解得越多,教育者和医疗保健提供者就能更有针对性地开展有意义的、文化敏感的疫苗教育。

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