Predictors of Influenza Vaccination among Chinese Middle School Students Based on the Health Belief Model: A Mixed-Methods Study

Asihaer, Yeerlin; Sun, Mengyang; Li, Miao; Xiao, Huidi; Amaerjiang, Nubiya; Guan, Mengying; Thapa, Bipin; Hu, Yifei

doi:10.3390/vaccines10111802

Cited by 6 publications

(9 citation statements)

References 46 publications

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“…These findings are consistent with a recent study conducted at the end of 2022 in 14 Eastern Mediterranean region (EMR) countries, which demonstrated that half of parents in these countries were hesitant about vaccinating their children against influenza (Fadl et al, 2023). It is also in line with a study conducted among Chinese middle-school students, which found an overall vaccination rate of 38.2% in this group (Asihaer et al, 2022).…”

Section: The Main Reasons For Preferring To Vaccinate Children In Gra...supporting

confidence: 92%

“…Most of the parental concerns raised in this study center around vaccine safety and efficacy issues. As has been previously reported, vaccine safety and potential side-effects are the main barriers to vaccination (Asihaer et al, 2022;Price et al, 2022). Interestingly, lack of trust in the Ministry of Health and in the pharmaceutical companies increased among 78% of the vaccine skeptics in our study following the COVID-19 events.…”

Section: The Main Reasons For Preferring To Vaccinate Children In Gra...supporting

confidence: 67%

“…The survey was distributed by Sarid Research Institute for Research Services via an online panel containing a wide pool of potential interviewees who had consented to participate in surveys from time to time. Eligible participants were required to be (1) 18+ years old and (2) parents of a child aged 6 months to 11 years. To compose a representative sample of the Jewish adult population in Israel, respondents were sampled by layers based on age, gender, geographic area, and level of religiosity.…”

Section: Study Participants and Survey Designmentioning

confidence: 99%

“…(1) Socio-demographic predictor variables: (1) (2) Health-related predictor variables: (1) whether the respondent got vaccinated against COVID-19; (2) whether the respondent already got vaccinated against flu this winter (i.e., around December 2022); (3) whether the children of the respondent got vaccinated against COVID-19; (4) whether a family member suffers from a chronic disease (one or more of the following: heart disease, vascular disease and/or stroke, diabetes mellitus, hypertension, chronic lung disease, including asthma or immune suppression); (5) the existence of past episodes of flu in the current winter; (6) the existence of past episodes of hospitalization in the family in the current winter.…”

Section: Variables and Measurementsmentioning

confidence: 99%

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Has the COVID-19 Pandemic Changed Parental Attitudes and Beliefs Regarding Vaccinating their Children against the Flu?

Shmueli

2023

Preprint

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Introduction: This study assessed whether the COVID 19 pandemic has altered parent's attitudes toward vaccinating their children against the flu, and the contributing sociodemographic, health related, and behavioral factors, as well as barriers to school based vaccination programs. Methods: We conducted a cross sectional online survey of parents of children aged 6 months to 11 years in Israel (n=975) between December 21 to 31, 2022. A multivariate regression was performed to determine predictors of these parent's willingness to vaccinate their children aged 6 months to 11 years against the flu in the winter of 2023 (December 2022 to February 2023). Results: Overall, 45% of parents stated that they did not intend to vaccinate their children against the flu in the winter of 2023, citing fears of side effects and concerns about vaccine effectiveness. Among those who did not trust the Ministry of Health and pharmaceutical companies prior to the pandemic, this trend increased in 78% of them following the COVID 19 events. In contrast, 39% of parents stated that they had already vaccinated their children against the flu, with an additional 16% intending to do so. Forty one percent reported an increased intention following the pandemic. Only 37% of parents vaccinated their children at school in grades 2 to 4, mainly due to a preference for HMO clinics and lack of available nurses at school. The Health Belief Model variables, namely, perceived susceptibility, severity and benefits, displayed the largest effect sizes. Conclusions: Understanding the impact of the COVID 19 pandemic on parents' willingness to vaccinate their children against the flu is crucial. Notably, the pandemic has increased vaccine receptivity among some parents. Healthcare providers and public health officials need to address parents' concerns about the safety and efficacy of the influenza vaccine to improve vaccination rates among children. Implementing school based vaccination programs is an important strategy for promoting public health, but may be challenging. To increase uptake, nursing staff in student health facilities should be more accessible, and clear explanations about the efficacy of nasal spray vaccinations should be provided.

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Section: The Main Reasons For Preferring To Vaccinate Children In Gra...supporting

confidence: 92%

Section: The Main Reasons For Preferring To Vaccinate Children In Gra...supporting

confidence: 67%

Section: Study Participants and Survey Designmentioning

confidence: 99%

Section: Variables and Measurementsmentioning

confidence: 99%

See 2 more Smart Citations

Has the COVID-19 Pandemic Changed Parental Attitudes and Beliefs Regarding Vaccinating their Children against the Flu?

Shmueli

2023

Preprint

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“…[ 17 ] The TPB and HBM approaches have been combined in recent studies to identify health-related behaviors and intentions to receive the influenza vaccine. [ 18 19 ] So far, limited studies have investigated the intention to receive the COVID-19 vaccine. The results of a recent study on the effect of the constructs of the HBM and the TPB in predicting the intention to receive the COVID-19 vaccine have shown that these two models have good predictability in determining the intention of vaccination behavior.…”

Section: Introductionmentioning

confidence: 99%

The predictors of the intention to receive Covid-19 vaccine using the health belief model and theory of planned behavior in South Khorasan province

Khazir,

Kouhpeikar,

Rahaei

et al. 2023

Journal of Education and Health Promotion

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BACKGROUND: Widespread vaccination coverage in the shortest time is one of the most effective ways for controlling the COVID-19 pandemic. Factors affecting people's intention to get the COVID-19 vaccine are of great importance. The present study aimed to investigate the predictors of the intention to receive the Covid-19 vaccine based on the constructs of the health belief model (HBM) and theory of planned behavior (TPB) in South Khorasan Province. MATERIALS AND METHODS: In this cross-sectional-analytical study, 320 people over 18 years in South Khorasan province were randomly selected by cluster sampling method in 2021. The data was collected by a researcher-made questionnaire, including demographic information (9 questions), and the constructs of the health belief model (19 questions), and the theory of planned behavior (13 questions), using the self-report method. Finally, data were analyzed using t-test, ANOVA, linear regression, and Pearson correlation tests. RESULTS: The mean age of the study participants was 36.57 ± 11.56 with a range of 18-66 years. In the regression model, perceived susceptibility (β = 0.247, P = 0.003), perceived severity (β = 0.247, P = 0.003) from HBM, attitude (β = 0.247, P = 0.003), and perceived behavioral control (β = 0.247, P = 0.003) from TPB were significant predictors of the intention to get the Covid-19 vaccine. The constructs of the two models were able to explain 33% of the variance of the intention to receive the Covid-19 vaccine. CONCLUSIONS: The study findings reveal that HBM and TPB can predict factors affecting an individual's intention to receive the vaccine. The results can be utilized to design interventions with the aim of increasing vaccine uptake.

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Acceptance of influenza vaccination and associated factors among teachers in China: A cross-sectional study based on health belief model

Gu,

Liu,

Chen

et al. 2023

Human Vaccines & Immunotherapeutics

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Teachers played an important role on the transmission of influenza in schools and communities. The study aims to investigate the influenza vaccination coverage and the factors determining flu vaccination acceptance among teachers in Hangzhou, China. A total of 1039 junior high school teachers in Hangzhou were recruited. The self-made questionnaire was used to investigate the influenza vaccine coverage among teachers and the influencing factors of influenza vaccination acceptance. Univariate analysis using the chi-square test and multivariable analysis using binary logistic regression were conducted to determine the relative predictors. The Influenza vaccine coverage among teachers was 5.9% (62/1039). 52.9% of teachers had the intention to receive influenza vaccine, 25.3% (247/977)/21.8% (213/977) of participants was hesitant/did not have the intention to get influenza vaccine. The top three sources for teachers to gain knowledge about influenza were website (72%), TV/radio (66.1%) and social media (58%). Whether get influenza vaccination before, knowledge about influenza and influenza vaccine, the beliefs for the likelihood of catching flu, the severity of getting flu, the effectiveness of influenza vaccine, the possibility of side effects after vaccination, and the troublesome of vaccination, doctors’ recommendation, as well as the situation of vaccination among other teachers were the associated factors of influenza vaccination acceptance. The influenza vaccination coverage was low but the intentions were relatively high among junior high school teachers. Future research should focus on the relationship between vaccination acceptance and behavior to increase influenza vaccination rates.

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Predictors of Influenza Vaccination among Chinese Middle School Students Based on the Health Belief Model: A Mixed-Methods Study

Cited by 6 publications

References 46 publications

Has the COVID-19 Pandemic Changed Parental Attitudes and Beliefs Regarding Vaccinating their Children against the Flu?

Has the COVID-19 Pandemic Changed Parental Attitudes and Beliefs Regarding Vaccinating their Children against the Flu?

The predictors of the intention to receive Covid-19 vaccine using the health belief model and theory of planned behavior in South Khorasan province

Acceptance of influenza vaccination and associated factors among teachers in China: A cross-sectional study based on health belief model

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