A study of Chinese people's beliefs, attitudes and behaviour related to influenza vaccination in an out-patient clinic

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A study of Chinese people's beliefs, attitudes and behaviour related to influenza vaccination in an out-patient clinic

 

Author: Yeung, Shuk-hing
Title: A study of Chinese people's beliefs, attitudes and behaviour related to influenza vaccination in an out-patient clinic
Degree: M.Sc.
Year: 2005
Subject: Hong Kong Polytechnic University -- Dissertations
Influenza vaccines -- China -- Hong Kong
Patients -- Attitudes
Department: School of Nursing
Pages: vii, 109, [25] leaves ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1818246
URI: http://theses.lib.polyu.edu.hk/handle/200/4391
Abstract: Influenza is a highly contagious disease with a considerable economic burden in terms of health care and lost of productivity on individual and society. Influenza vaccination is one of the principal measures to prevent the disease. However, no comprehensive information is available to explain what affect people's perception on the use of influenza vaccination in the territory. As such, this study was aimed at assessing people's attitudes towards influenza vaccination and identifying factors related to influenza vaccination. The objectives of this study were (l) to determine the influenza vaccination status among a group of Chinese adults who visited the clinic during the study period, (2) to identify the Chinese adults' intention of receiving vaccination this coming year, (3) to identify factors related to influenza vaccination, and (4) to explore people's attitudes towards influenza vaccination. The study was conducted in a government outpatient clinic, located in Hong Kong East region. A total of 452 Chinese adults 18 years of age or older was recruited for a descriptive, cross-sectional survey study between late September and early October, 2004. A self-administered questionnaire with items derived from the Health Belief Model and PRECEDE Model was used to assess people's beliefs of, attitudes towards influenza vaccination. The data were analyzed by chi-square tests for categorical variables. One-way analysis of variances and independent samples t-tests were used for continuous variables. Multivariate logistic regression analysis was performed to identify predictors of influenza vaccination. Significance was set at p< 0.05. Four hundred and fifty-two participants completed the surveys, of which, the response rate was 78.9%. Among the study group, 48.7% (220) was male and 51.3% (232) was female. The overall vaccination rate was 27% (122). Nearly 61% (275) had positive attitudes towards influenza vaccination. Approximately, 52% (232) expressed that they plan to receive vaccines this coming year. The factors associated with influenza vaccination were age, the SARS incident, positive attitude, perceived susceptibility, perceived benefits, perceived barriers, predisposing factors, reinforcing factors and enabling factors. Results of multivariate logistic regression analysis indicated that three factors: perceived barriers (OR=0.76, 95% CI 0.63, 0.91), reinforcing factors (OR=1.29, 95% CI 1.12, 1.48), and enabling factors (OR=2.37, 95% CI 1.32, 4.27) were significantly associated with influenza vaccination. In conclusion, the vaccination coverage is low in the study population. There is still a gap to be filled in by implementing influenza vaccination programme to the population or at least targeting at the high-risk populations so as to enhance vaccination coverage. The overall attitudes of the study population towards vaccination are positive. Promotion of vaccination can be achieved with government support and encouragement through public education and make the location of vaccination known and accessible to everyone. Health care workers can help their clients overcome barriers to vaccination by clarifying the myths about vaccines and enhancing easy access to vaccination services. Future study to explore health care workers' attitudes and beliefs in vaccination may also help to identify the concerns of the health care workers in their decision in either or not to recommend vaccination to the clients.

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