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健康信念对美国大学生流感疫苗接种和身体健康的影响:种族差异(白种人、非裔美国人、西班牙裔和亚裔)。

Effects of Health Beliefs on Flu Vaccination and Physical Health among Under/Graduate Students in the U.S.: Racial Differences (Whites, African Americans, Hispanics, and Asians).

机构信息

Department of Social Welfare, Duksung Women's University, Seoul, South Korea.

Institute of International Affairs, Seoul National University, Seoul, South Korea.

出版信息

Soc Work Public Health. 2021 Apr 3;36(3):377-391. doi: 10.1080/19371918.2021.1895945. Epub 2021 Mar 11.

Abstract

Physicians highlight that annual flu vaccination is the best strategy for preventing seasonal flu and flu-associated complications and it reduces the burden of infectious diseases. Path analyses were used to understand whether health beliefs (barriers, benefits, susceptibility, severity) influence flu vaccinations, in turn, enhance self-rated health of White, African American, Hispanic, and Asian adults in the U.S. ( = 446). Multiple-group analyses were performed to see whether given paths vary across the four groups. Regardless of race, perceived barriers and benefits significantly influenced flu vaccination. There was a group variance in the path-model of the perceived barriers, flu vaccination, and self-rated health. Although the direct effect of perceived barriers on flu vaccination was shown for all racial groups, the direct effect of perceived barriers on self-rated health was shown only for Asians. Social workers and healthcare providers should be educated to appropriately interpret different meanings of health beliefs of diverse racial groups.

摘要

医生强调,每年接种流感疫苗是预防季节性流感和流感相关并发症的最佳策略,它可以减轻传染病的负担。通过路径分析,我们试图了解健康信念(障碍、益处、易感性和严重性)是否会影响流感疫苗接种,进而提高美国白种人、非裔美国人、西班牙裔和亚裔成年人的自我健康评估(n=446)。我们还进行了多组分析,以观察这些路径是否因四个群体而异。无论种族如何,感知障碍和益处都显著影响流感疫苗接种。在感知障碍、流感疫苗接种和自我健康评估的路径模型中存在群体差异。尽管所有种族群体都显示出感知障碍对流感疫苗接种的直接影响,但感知障碍对自我健康评估的直接影响仅在亚裔群体中显示。社会工作者和医疗保健提供者应该接受教育,以适当解释不同种族群体健康信念的不同含义。

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