A path analysis model suggesting the association between health locus of control and compliance with childhood vaccinations
A path analysis model suggesting the association between health locus of control and compliance with childhood vaccinations
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DOI：
10.1080/21645515.2018.1471305
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发表时间：
2018-01-01
影响因子：
4.8
通讯作者：
Baron-Epel, Orna
中科院分区：
文献类型：
--
作者：
Aharon, Anat Amit;Nehama, Haim;Baron-Epel, Orna
尽管疫苗有好处，但父母对疫苗的犹豫不决正在加剧。健康控制点(HLOC)可能会影响有关儿童疫苗接种的决策。本研究的目的是调查父母的HLOC与儿童常规免疫接种计划依从性之间的关系。对731名3~4岁儿童的父母进行了横断面调查。测量内部HLOC、有权势的他人和机会HLOC(外部HLOC的维度)、信息源的可靠性和对疫苗的态度。通过通径分析探讨HLOC与疫苗接种依从性之间的直接和间接联系。结果表明，高权力他人HLOC与疫苗接种依从性有直接关系(β=0.23p<；0.001)。高内在和高机会HLOC通过父母对疫苗的态度间接相关。知觉到的信息来源的可靠性与不遵守疫苗有关(Beta=-0.07，p<；0.05)。作为结论，内部和外部HLOC之间的相互作用可能解释疫苗接种依从性。降低机会HLOC水平和增加强大的其他HLOC水平可能会提高儿童接种疫苗的依从性水平。
Despite vaccines benefits, parent's vaccine hesitancy is growing. Health locus of control (HLOC) may affect decision making regarding child vaccinations. The aim of this study was to investigate the relationship between parents' HLOC and compliance with routine childhood immunization programs. A cross-sectional survey was conducted among 731 parents of children aged 3-4 years. Internal HLOC, powerful others and chance HLOC (dimensions of external HLOC), reliability of information sources, and attitudes towards vaccines were measured. Path analysis was conducted to explore direct and indirect associations between HLOC and vaccination's compliance. The results show that High powerful others HLOC has a direct association with vaccination compliance (beta = 0.23, p < 0.001). High internal and chance HLOC have indirect associations through parents' attitudes regarding vaccines. Perceived reliability of information sources was associated with not complying with vaccines (beta = -0.07, p < 0.05). For conclusions, Interaction between internal and external HLOC may explain vaccination compliance. Decreasing levels of chance HLOC and increasing powerful others HLOC may increase levels of compliance with childhood vaccinations.