Psychosocial correlates of intention to receive an influenza vaccination among rural adolescents.
Psychosocial correlates of intention to receive an influenza vaccination among rural adolescents.
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农村青少年接受流感疫苗接种意愿的社会心理相关性。
DOI：
10.1093/her/cyq037
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发表时间：
2010
影响因子：
2.4
通讯作者：
DiClemente,RalphJ
中科院分区：
文献类型：
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作者：
Painter,JuliaE;Sales,JessicaM;Pazol,Karen;Wingood,GinaM;Windle,Michael;Orenstein,WalterA;DiClemente,RalphJ
疾病控制和预防中心免疫实践咨询委员会最近扩大了年度流感疫苗接种建议，将所有6个月至18岁的儿童包括在内。青少年对流感疫苗接种的态度可能在接触到这一新增加的年龄组方面发挥关键作用。本研究调查了农村青少年对流感疫苗接种的态度与接种意愿之间的关系。数据收集于2008年9月/ 10月，在H1N1流感大流行之前，在格鲁吉亚农村参加以学校为基础的流感疫苗接种干预试验的两个县对青少年进行的基线调查（N= 337）。调查项目基于健康信念模型和综合行为模型的构念。大约三分之一的参与者（33.8%）打算接种流感疫苗，33.5%的人不打算接种，28.8%的人不确定。控制背景因素后，接种流感疫苗的意向与低感知障碍（优势比(OR) = 0.77，P< 0.001）、禁令规范（OR = 1.23，P= 0.002）和过去一年接种流感疫苗（OR = 6.21，P< 0.001）相关。研究结果表明，感知障碍和强制性社会规范可能影响农村青少年对疫苗接种的接受程度。未来针对农村初高中学生的流感疫苗接种工作可能受益于解决青少年对流感疫苗接种的态度。
The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices recently expanded annual influenza vaccination recommendations to include all children 6 months through 18 years of age. Adolescent attitudes toward influenza vaccination may play a key role in reaching this newly added age group. This study examined the association between attitudes toward influenza vaccination and intention to be vaccinated among rural adolescents. Data were collected from baseline surveys distributed to adolescents in September/October 2008, prior to the H1N1 influenza pandemic, in two counties participating in a school-based influenza vaccination intervention trial in rural Georgia (N= 337). Survey items were based on constructs from the Health Belief Model and the Integrated Behavioral Model. Approximately one-third of participants (33.8%) intended to receive an influenza vaccination, 33.5% did not intend to be vaccinated and 28.8% were unsure. Controlling for background factors, intention to receive an influenza vaccination was associated with low perceived barriers [odds ratio (OR) = 0.77,P< 0.001], injunctive norms (OR = 1.23,P= 0.002) and receipt of influenza vaccination in the past year (OR = 6.21,P< 0.001). Findings suggest that perceived barriers and injunctive social norms may influence vaccination acceptance among rural adolescents. Future influenza vaccination efforts geared toward rural middle and high school students may benefit from addressing adolescent attitudes toward influenza vaccination.