利用健康信念模型预测亚美尼亚的 COVID-19 疫苗接种率:一项全国性调查的结果。
Predicting COVID-19 vaccination uptake in Armenia using the Health Belief Model: Results from a nationwide survey.
机构信息
Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia.
Public Health Department, Ministry of Health, Yerevan, Armenia.
出版信息
Hum Vaccin Immunother. 2023 Dec 31;19(1):2165383. doi: 10.1080/21645515.2023.2165383. Epub 2023 Jan 23.
Health behavior theories have been effectively used for studying populations' awareness, attitudes, and beliefs related to COVID-19 preventative behaviors. The aim of this study was to explore the factors associated with the intention to get vaccinated against COVID-19 in the Armenian population using the Health Belief Model (HBM) as a framework. We applied stratified two-stage random sampling to conduct a telephone survey of 3,483 adults in 2021. The multi-domain survey instrument included questions on socio-demographic characteristics, COVID-19-related knowledge, COVID-19 susceptibility, severity and self-efficacy beliefs, sources of information on COVID-19, COVID-19 vaccination practice, and its benefits and barriers. We performed bivariate and hierarchical multivariate regression analysis with the entry of variables in blocks. In total, about 12% of the sample ( = 393) was vaccinated against COVID-19. Of 2,838 unvaccinated participants, about 53% ( = 1516) had an intention to get vaccinated. The final hierarchical logistic regression model containing socio-demographic characteristics, knowledge about COVID-19, and HBM constructs explained 43% of the variance in the intention to get vaccinated against COVID-19. Participants' age, employment status, average monthly expenditures, perceived threat, benefits, perceived barriers, self-efficacy, and cues to action were significant and independent predictors of the intention to get COVID-19 vaccination. This study confirmed the utility of the HBM in highlighting drivers of an important health-protective behavior in the context of pandemics. Health policy makers, communication specialists, and healthcare providers should particularly stress the effectiveness and safety of the vaccines in their efforts to increase vaccination rates and focus on unemployed and low-income population groups.
健康行为理论已被有效地用于研究与 COVID-19 预防行为相关的人群意识、态度和信念。本研究旨在使用健康信念模型 (HBM) 作为框架,探讨与亚美尼亚人群 COVID-19 疫苗接种意愿相关的因素。我们采用分层两阶段随机抽样方法,于 2021 年对 3483 名成年人进行了电话调查。多领域调查工具包括社会人口特征、COVID-19 相关知识、COVID-19 易感性、严重程度和自我效能信念、COVID-19 信息来源、COVID-19 疫苗接种实践及其益处和障碍的问题。我们使用分块逐步进入变量的方法进行了双变量和分层多元回归分析。在样本中,约 12%( = 393)已接种 COVID-19 疫苗。在 2838 名未接种疫苗的参与者中,约 53%( = 1516)有接种疫苗的意愿。包含社会人口特征、COVID-19 知识和 HBM 结构的最终分层逻辑回归模型解释了 COVID-19 疫苗接种意愿的 43%变异。参与者的年龄、就业状况、月平均支出、感知威胁、益处、感知障碍、自我效能和提示因素是 COVID-19 疫苗接种意愿的重要且独立的预测因素。本研究证实了 HBM 在突出大流行背景下重要健康保护行为驱动因素方面的作用。卫生政策制定者、沟通专家和医疗保健提供者应特别强调疫苗的有效性和安全性,以努力提高疫苗接种率,并关注失业和低收入人群。
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