Prevalence of and factors affecting diabetes mellitus clients in receiving influenza vaccination : a cross-sectional survey

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Prevalence of and factors affecting diabetes mellitus clients in receiving influenza vaccination : a cross-sectional survey


Author: Cheung, Ka Man Karen
Title: Prevalence of and factors affecting diabetes mellitus clients in receiving influenza vaccination : a cross-sectional survey
Degree: M.Sc.
Year: 2013
Subject: Diabetics.
Influenza -- Vaccination -- China -- Hong Kong.
Influenza vaccines -- China -- Hong Kong.
Hong Kong Polytechnic University -- Dissertations
Department: Faculty of Health and Social Sciences
Pages: 133 pages ; 30 cm
Language: English
InnoPac Record:
Abstract: Background: Influenza can lead to serious complications in diabetes mellitus clients, and epidemiologic evidence shows that diabetes mellitus clients have higher mortality, morbidity and hospitalizations rate due to influenza and its complications. Influenza can be prevented by influenza vaccination effectively and diabetes mellitus clients are one of the target groups recommended for influenza vaccination. In Hong Kong, the percentage of the population for diabetes has been increased to 10% in 2010. The prevalence of influenza vaccination among diabetes mellitus clients in Asian countries was not satisfactory while that in Hong Kong was not available. Because of the increase of diabetes population and unsatisfactory vaccination prevalence among diabetes population, it is essential to identify the prevalence of influenza vaccination and the factors affecting diabetes mellitus clients to receive influenza vaccination in order to promote the vaccination effectively. Aims and objectives of study: To explore the prevalence of and the factors affecting diabetes mellitus clients in receiving influenza vaccination. Methods: This was a cross-sectional survey study. A self-administered questionnaire was distributed to diabetes mellitus clients from two diabetes mellitus organizations by convenience and snowball sampling methods. The questionnaire was developed based on the Health Belief Model and had two sections with a total of 44 items. Results: There were 212 questionnaires distributed with 199 questionnaires received. The total response rate was 93.9%, and finally 183 questionnaires were analyzed. There were 101 subjects (55.2%) received influenza vaccination in the previous year and 102 subjects (55.7%) intended to receive influenza vaccination in the current year. Intention to be vaccinated increased with older age, female gender, retirement, low monthly income, fair/poor perceived health status and fewer number of influenza- like illness history, vaccinated in the previous year, higher perceived susceptibility, higher perceived seriousness, higher perceived benefits, lower perceived barriers, and with cues to action. The predictors of diabetes mellitus clients’ intention of receiving influenza vaccination were vaccination history and perceived barriers. Conclusion: Health care professionals can promote influenza vaccination successfully based on the Health Belief Model by educating diabetes mellitus clients, also their family and friends, of the susceptibility and seriousness of influenza as well as the benefits of the vaccination. The government can consider minimizing the barriers to the vaccination by providing subsidy to all target groups, increasing access and advertising the need of receiving the vaccination.

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