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Psychosocial Influences on Parental Decision-Making Regarding Vaccination Against Seasonal Influenza for Young Children in Hong Kong: a Longitudinal Study, 2012-2013.
Int J Behav Med. 2016 10; 23(5):621-34.IJ

Abstract

PURPOSE

Vaccination uptake remained low, although annual subsidies are provided to encourage 6-72-month-old Hong Kong children to be vaccinated against seasonal influenza. This study was aimed to investigate the psychosocial influences on parental decision-making regarding young children's seasonal influenza vaccination.

METHODS

One-thousand two-hundred twenty-six parents of eligible children were recruited using random digit dialing in August-October 2012 to assess baseline perceptions and re-contacted in March 2013 to record children's vaccination uptake. Structural equation modeling (SEM) was performed to examine factors associated with parental decision about children's vaccination based on the complete data of 1222 respondents.

RESULTS

Of the 1226 respondents who completed the follow-up survey, 34.3 % reported that their child was vaccinated during the follow-up period. Child's past influenza vaccination history (β = 0.48), belief in vaccination safety (β = 0.35), and social norms (β = 0.25) were strongly associated with parental intention to vaccinate their child which directly predicted child vaccination uptake (β = 0.57). Belief in vaccination safety (β = 0.42) and social norms (β = 0.36) were strongly associated with vaccination intention of parents whose children never received influenza vaccine.

CONCLUSION

Interventions that address concerns on vaccination safety and utilize social norms may be effective to initiate Chinese parents to vaccinate their children.

Authors+Show Affiliations

School of Public Health, Li Ka Shing Faculty of Medicine, Hong Kong Special Administrative Region, The University of Hong Kong, Hong Kong, China. qyliao11@hku.hk.School of Public Health, Li Ka Shing Faculty of Medicine, Hong Kong Special Administrative Region, The University of Hong Kong, Hong Kong, China.School of Public Health, Li Ka Shing Faculty of Medicine, Hong Kong Special Administrative Region, The University of Hong Kong, Hong Kong, China.School of Public Health, Li Ka Shing Faculty of Medicine, Hong Kong Special Administrative Region, The University of Hong Kong, Hong Kong, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26987657

Citation

Liao, Qiuyan, et al. "Psychosocial Influences On Parental Decision-Making Regarding Vaccination Against Seasonal Influenza for Young Children in Hong Kong: a Longitudinal Study, 2012-2013." International Journal of Behavioral Medicine, vol. 23, no. 5, 2016, pp. 621-34.
Liao Q, Lam WW, Cowling BJ, et al. Psychosocial Influences on Parental Decision-Making Regarding Vaccination Against Seasonal Influenza for Young Children in Hong Kong: a Longitudinal Study, 2012-2013. Int J Behav Med. 2016;23(5):621-34.
Liao, Q., Lam, W. W., Cowling, B. J., & Fielding, R. (2016). Psychosocial Influences on Parental Decision-Making Regarding Vaccination Against Seasonal Influenza for Young Children in Hong Kong: a Longitudinal Study, 2012-2013. International Journal of Behavioral Medicine, 23(5), 621-34. https://doi.org/10.1007/s12529-016-9551-1
Liao Q, et al. Psychosocial Influences On Parental Decision-Making Regarding Vaccination Against Seasonal Influenza for Young Children in Hong Kong: a Longitudinal Study, 2012-2013. Int J Behav Med. 2016;23(5):621-34. PubMed PMID: 26987657.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychosocial Influences on Parental Decision-Making Regarding Vaccination Against Seasonal Influenza for Young Children in Hong Kong: a Longitudinal Study, 2012-2013. AU - Liao,Qiuyan, AU - Lam,Wendy Wing Tak, AU - Cowling,Benjamin J, AU - Fielding,Richard, PY - 2016/3/19/entrez PY - 2016/3/19/pubmed PY - 2017/10/24/medline KW - Parental decision KW - Seasonal influenza KW - Vaccination uptake KW - Young child SP - 621 EP - 34 JF - International journal of behavioral medicine JO - Int J Behav Med VL - 23 IS - 5 N2 - PURPOSE: Vaccination uptake remained low, although annual subsidies are provided to encourage 6-72-month-old Hong Kong children to be vaccinated against seasonal influenza. This study was aimed to investigate the psychosocial influences on parental decision-making regarding young children's seasonal influenza vaccination. METHODS: One-thousand two-hundred twenty-six parents of eligible children were recruited using random digit dialing in August-October 2012 to assess baseline perceptions and re-contacted in March 2013 to record children's vaccination uptake. Structural equation modeling (SEM) was performed to examine factors associated with parental decision about children's vaccination based on the complete data of 1222 respondents. RESULTS: Of the 1226 respondents who completed the follow-up survey, 34.3 % reported that their child was vaccinated during the follow-up period. Child's past influenza vaccination history (β = 0.48), belief in vaccination safety (β = 0.35), and social norms (β = 0.25) were strongly associated with parental intention to vaccinate their child which directly predicted child vaccination uptake (β = 0.57). Belief in vaccination safety (β = 0.42) and social norms (β = 0.36) were strongly associated with vaccination intention of parents whose children never received influenza vaccine. CONCLUSION: Interventions that address concerns on vaccination safety and utilize social norms may be effective to initiate Chinese parents to vaccinate their children. SN - 1532-7558 UR - https://www.unboundmedicine.com/medline/citation/26987657/Psychosocial_Influences_on_Parental_Decision_Making_Regarding_Vaccination_Against_Seasonal_Influenza_for_Young_Children_in_Hong_Kong:_a_Longitudinal_Study_2012_2013_ L2 - https://dx.doi.org/10.1007/s12529-016-9551-1 DB - PRIME DP - Unbound Medicine ER -