Modifiable determinants of attitude towards dengue vaccination among healthy inhabitants of Aceh, Indonesia: Findings from a community-based survey

Modifiable determinants of attitude towards dengue vaccination among healthy inhabitants of Aceh, Indonesia: Findings from a community-based survey
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DOI:
10.1016/j.apjtm.2016.07.036
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发表时间:
2016-11-01
影响因子:
3.1
通讯作者:
Mueller, Ruth
Mueller, Ruth
中科院分区:
医学4区
文献类型:
--
作者:
Harapan, Harapan;Anwar, Samsul;Mueller, Ruth

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目的:探讨和了解亚齐(印度尼西亚苏门答腊岛北方)居民对登革热疫苗接种的态度及其可改变的决定因素,该地区受2004年12月26日地震和海啸影响最严重。研究方法:一项基于社区的横断面研究在2014年11月至2015年3月期间随机选择的亚齐省9个县(Kabupaten或Kotamadya)的535名健康居民中进行。一套有效的,预先测试,结构化的问卷被用来指导采访。调查问卷涵盖了一系列解释变量和一个结果变量(对登革热疫苗接种的态度)。多步逻辑回归分析和斯皮尔曼等级相关被用来检验解释变量对结果变量的作用。结果:超过70%的参与者对登革热疫苗接种的态度较差。与登革热疫苗接种态度差相关的可变因素是教育水平低、从事农民和传统市场交易、社会经济地位低以及对登革热的知识、态度和行为差(P
Objective: To explore and understand the attitude towards dengue vaccination and its modifiable determinants among inhabitants of Aceh (northern Sumatra Island, Indonesia), the region that was most severely affected by the earthquake and tsunami of 26 December 2004. Methods: A community based, cross-sectional study was conducted among 535 healthy inhabitants in nine regencies (Kabupaten or Kotamadya) of Aceh that were selected randomly from November 2014 to March 2015. A set of validated, pre-tested, structured questionnaires was used to guide the interviews. The questionnaires covered a range of explanatory variables and one outcome variable (attitude to dengue vaccination). Multi-step logistic regression analysis and Spearman's rank correlation were used to test the role of explanatory variables for the outcome variable. Results: More than 70% of the participants had a poor attitude towards dengue vaccination. Modifiable determinants associated with poor attitude to dengue vaccination were low education level, working as farmers and traditional market traders, low socioeconomic status and poor knowledge, attitude and practice regarding dengue fever (P