The social ecological model as a framework for determinants of 2009 H1N1 influenza vaccine uptake in the United States.
The social ecological model as a framework for determinants of 2009 H1N1 influenza vaccine uptake in the United States.
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DOI：
10.1177/1090198111415105
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发表时间：
2012-04
期刊：
影响因子：
--
通讯作者：
Freimuth VS
中科院分区：
文献类型：
--
作者：
Kumar S;Quinn SC;Kim KH;Musa D;Hilyard KM;Freimuth VS
关于流感疫苗接种的研究主要集中在个人因素（感知风险，过去的疫苗接受情况，感知疫苗安全性）和医生建议。我们利用社会生态学框架来研究2009年H1N1流感大流行期间的流感疫苗接种情况。2010年1月，我们对2079名成年人进行了调查，其中非洲裔美国人和西班牙裔美国人的样本显著过量，我们发现18.4%（95%CI 15.6-21.5）的人接种了2009年H1N1疫苗。在社会生态模型的每一个层次的变量是重要的预测摄取以及意图得到疫苗。自我层面解释了53%，人际层面解释了47%，机构层面解释了34%，政策和社区层面各解释了8%与疫苗接种相关的方差。这两个层次共同解释了65%的方差，表明针对框架多个层次的干预措施比针对单一层次的干预措施更有效。
Research on influenza vaccine uptake has focused largely on intrapersonal determinants (perceived risk, past vaccine acceptance, perceived vaccine safety) and on physician recommendation. We utilized a social ecological framework to examine influenza vaccine uptake during the 2009 H1N1 pandemic. Surveying an adult population (n=2079) in January 2010 with significant oversamples of African Americans and Hispanics, we found that 18.4% (95% CI 15.6–21.5) had gotten the 2009 H1N1 vaccine. Variables at each level of the social ecological model were significant predictors of uptake as well as of intent to get the vaccine. The intrapersonal level explained 53%, the interpersonal explained 47%, the institutional level explained 34%, and the policy and community levels each explained 8% of the variance associated with vaccine uptake. The levels together explained 65% of the variance, suggesting that interventions targeting multiple levels of the framework would be more effective than interventions aimed at a single level.
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