Determing factors of influenza vaccination among elderly apply Health Belief Model
Objective¡G Influenza is an important public health problem, and may seriously damage the elderly population. Although influenza vaccination is a safe, and can significantly reduces morbidity and influenza -related complication mortality in elderly people, however, the influenza vaccination rate did not reach expected goals. Therefore, to explore the potential factors that affect the vaccination rate becomes a critical research question. The purpose of this study was to apply the Health Belief Model, which includes demographic, health state and healthy behaviour, knowledge about influenza and influenza vaccine, perceived susceptility, perceived seriousness, perceived benefit and barrier, and cues to action variables, to understand factors motivating the community elderly people to receive influenza vaccination.
Design: The sampling designs were stratified and systematic sampling with total 700 sample. During June 2007 , a structured questionnaire was sent to the elderly people¡]¡Ù65 years¡^in Kaohsiung city¡C
Result: The male and female sample distribution rates were equally in 50%, average age was 72.87 years old and 59.6% elderly people had chronic disease (such as hypertension, heart disease and diabetes). Chi-square tests showed that ¡§chronic disease¡¨, ¡§health examination¡¨, ¡§always seek care from specific physician¡¨, ¡§exercise ¡§, ¡§ recognize about influenza and influenza vaccination¡¨, ¡§ perceived seriousness¡¨, ¡§ perceived benefit and barrier¡¨, were significantly associated with having ever been vaccinated. Logistic regression results indicated that ¡§think the influenza vaccination can effectively prevent influenza¡¨, ¡§regular health examination¡¨, ¡§cues to action¡¨ and ¡§perceived barriers¡¨ were found to be the significant predictors of acceptance of influenza vaccination.
Conclusions¡GThe study results indicated that health care worker¡¦s attitude about influenza and influenza vaccination will directly influence community elderly people's cognition. Therefore, by educating the health care worker about influenza seriousness and the vaccination effectiveness may successfully promote vaccination rate. Through health education activities in the community, it may increase correct cognition about influenza and the benefit of vaccination. In addition, the health department needs to strengthen the health policy marketing in order to increase influenza vaccinations rate, reduce morbidity and influenza -related complication mortality.
Advisor:Yuan-Yi Chia; Ying-Chun Li; Hsiu-Yueh Hsu
School:National Sun Yat-Sen University
School Location:China - Taiwan
Source Type:Master's Thesis
Keywords:health belief model elderly influenza vaccination
Date of Publication:11/26/2007