Using Theoretical Constructs to Identify Key Issues for Targeted Message Design: African American Seniors' Perceptions About Influenza and Influenza Vaccination
Using Theoretical Constructs to Identify Key Issues for Targeted Message Design: African American Seniors' Perceptions About Influenza and Influenza Vaccination
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DOI：
10.1080/10410230902889258
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发表时间：
2009-01-01
影响因子：
3.9
通讯作者：
Makoul, Gregory
中科院分区：
文献类型：
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作者：
Cameron, Kenzie A.;Rintamaki, Lance S.;Makoul, Gregory
与非西班牙裔白人老年人相比，非裔美国老年人（65 岁及以上）接种流感疫苗的可能性较小。显然需要有针对性的信息和干预措施来解决这种差异。第一步，我们对 6 个非裔美国老年人（N = 48）进行了焦点小组讨论，以确定当前对流感和流感疫苗接种的看法。使用扩展并行过程模型的 4 个主要结构来组织新兴主题类别。易感性因个人健康状况、背景知识和年龄相关风险的看法而异。一些参与者认为流感是一个小麻烦；其他人则认为它具有威胁性并且可能致命。参与者讨论了与自我效能相关或先于的问题，包括疫苗的可及性和负担能力。关于反应效果，一些参与者对疫苗有信心，一些参与者质疑其预防能力或认为疫苗会引起流感，还有一些参与者指出了预期的副作用。讨论了消息开发的影响和建议。
African American seniors (65 and older) are less likely to be vaccinated against influenza than are non-Hispanic White seniors. There is a clear need for targeted messages and interventions to address this disparity. As a first step, 6 focus groups of African American seniors (N = 48) were conducted to identify current perceptions about influenza and influenza vaccination. Emergent thematic categories were organized using the 4 main constructs of the extended parallel process model. Susceptibility varied based on perceptions of individual health status, background knowledge, and age-related risk. Some participants saw influenza as a minor nuisance; others viewed it as threatening and potentially deadly. Participants discussed issues related or antecedent to self-efficacy, including vaccine accessibility and affordability. Regarding response efficacy, some participants had confidence in the vaccine, some questioned its preventive ability or believed that the vaccine caused influenza, and others noted expected side effects. Implications and recommendations for message development are discussed.