Department of Social Welfare, Duksung Women's University, Seoul, South Korea.
Institute of International Affairs, Seoul National University, Seoul, South Korea.
Soc Work Public Health. 2021 Apr 3;36(3):377-391. doi: 10.1080/19371918.2021.1895945. Epub 2021 Mar 11.
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.
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。
