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Associated Factors of Behavioral Intention Regarding Childhood Influenza Vaccination Among Parents of Ever-Vaccinated and Never-Vaccinated 24- to 59-Month-Old Children in Hong Kong.
Asia Pac J Public Health. 2021 Mar-Apr; 33(2-3):262-272.AP

Abstract

The World Health Organization recommends young children receive influenza vaccination (IV) annually. Stratified by children's previous IV status, this study investigated the associated factors of parental intention to let their children aged 24 to 59 months receive IV in the next 12 months in Hong Kong, China. We conducted a cross-sectional population-based telephone survey among 540 Chinese parents of children aged 24 to 59 months. The prevalence of parental intention regarding their child's IV was 68.9% and 19.8%, respectively, in the ever-vaccinated and never-vaccinated groups. Adjusted for background factors, perceived susceptibility (adjusted odds ratio [ORa] = 3.20, 95% confidence interval [CI] = 1.07-9.54), perceived benefit (ORa = 4.77, 95% CI = 2.52-9.05), perceived barrier (ORa = 0.38, 95% CI = 0.17-0.84), cue to action (ORa = 3.57, 95% CI = 1.88-6.78), subjective norm (ORa = 11.23, 95% CI = 6.17-20.46), and having family members vaccinated (ORa = 1.79, 95% CI = 1.09-2.96) were associated with parental intention for ever-vaccinated children's IV, while only perceived benefit (ORa = 8.85, 95% CI = 3.36-23.34) and subjective norm (ORa = 21.66, 95% CI = 9.25-50.71) were significant for never-vaccinated children. Our findings showed that the identified factors and applicability of the health belief model varied according to child's vaccination status. Health promotion should consider segmentation principles. Besides modifying related cognitions like perceived benefit and barrier (only for the ever-vaccinated group), such programs should improve cue to action involving health professionals and family members and create supportive subjective norms.

Authors+Show Affiliations

The Chinese University of Hong Kong, Hong Kong, China. The Chinese University of Hong Kong, Shenzhen, China.University of Macau, Macao, China.The Chinese University of Hong Kong, Hong Kong, China.The Chinese University of Hong Kong, Hong Kong, China.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

33218255

Citation

Lau, Joseph T F., et al. "Associated Factors of Behavioral Intention Regarding Childhood Influenza Vaccination Among Parents of Ever-Vaccinated and Never-Vaccinated 24- to 59-Month-Old Children in Hong Kong." Asia-Pacific Journal of Public Health, vol. 33, no. 2-3, 2021, pp. 262-272.
Lau JTF, Wu AMS, Ma YL, et al. Associated Factors of Behavioral Intention Regarding Childhood Influenza Vaccination Among Parents of Ever-Vaccinated and Never-Vaccinated 24- to 59-Month-Old Children in Hong Kong. Asia Pac J Public Health. 2021;33(2-3):262-272.
Lau, J. T. F., Wu, A. M. S., Ma, Y. L., & Lau, M. M. C. (2021). Associated Factors of Behavioral Intention Regarding Childhood Influenza Vaccination Among Parents of Ever-Vaccinated and Never-Vaccinated 24- to 59-Month-Old Children in Hong Kong. Asia-Pacific Journal of Public Health, 33(2-3), 262-272. https://doi.org/10.1177/1010539520973098
Lau JTF, et al. Associated Factors of Behavioral Intention Regarding Childhood Influenza Vaccination Among Parents of Ever-Vaccinated and Never-Vaccinated 24- to 59-Month-Old Children in Hong Kong. Asia Pac J Public Health. 2021 Mar-Apr;33(2-3):262-272. PubMed PMID: 33218255.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associated Factors of Behavioral Intention Regarding Childhood Influenza Vaccination Among Parents of Ever-Vaccinated and Never-Vaccinated 24- to 59-Month-Old Children in Hong Kong. AU - Lau,Joseph T F, AU - Wu,Anise M S, AU - Ma,Yee Ling, AU - Lau,Mason M C, Y1 - 2020/11/20/ PY - 2020/11/22/pubmed PY - 2021/9/14/medline PY - 2020/11/21/entrez KW - health belief model KW - influenza vaccination KW - intention KW - parents KW - subjective norm SP - 262 EP - 272 JF - Asia-Pacific journal of public health JO - Asia Pac J Public Health VL - 33 IS - 2-3 N2 - The World Health Organization recommends young children receive influenza vaccination (IV) annually. Stratified by children's previous IV status, this study investigated the associated factors of parental intention to let their children aged 24 to 59 months receive IV in the next 12 months in Hong Kong, China. We conducted a cross-sectional population-based telephone survey among 540 Chinese parents of children aged 24 to 59 months. The prevalence of parental intention regarding their child's IV was 68.9% and 19.8%, respectively, in the ever-vaccinated and never-vaccinated groups. Adjusted for background factors, perceived susceptibility (adjusted odds ratio [ORa] = 3.20, 95% confidence interval [CI] = 1.07-9.54), perceived benefit (ORa = 4.77, 95% CI = 2.52-9.05), perceived barrier (ORa = 0.38, 95% CI = 0.17-0.84), cue to action (ORa = 3.57, 95% CI = 1.88-6.78), subjective norm (ORa = 11.23, 95% CI = 6.17-20.46), and having family members vaccinated (ORa = 1.79, 95% CI = 1.09-2.96) were associated with parental intention for ever-vaccinated children's IV, while only perceived benefit (ORa = 8.85, 95% CI = 3.36-23.34) and subjective norm (ORa = 21.66, 95% CI = 9.25-50.71) were significant for never-vaccinated children. Our findings showed that the identified factors and applicability of the health belief model varied according to child's vaccination status. Health promotion should consider segmentation principles. Besides modifying related cognitions like perceived benefit and barrier (only for the ever-vaccinated group), such programs should improve cue to action involving health professionals and family members and create supportive subjective norms. SN - 1941-2479 UR - https://www.unboundmedicine.com/medline/citation/33218255/Associated_Factors_of_Behavioral_Intention_Regarding_Childhood_Influenza_Vaccination_Among_Parents_of_Ever_Vaccinated_and_Never_Vaccinated_24__to_59_Month_Old_Children_in_Hong_Kong_ L2 - https://journals.sagepub.com/doi/10.1177/1010539520973098?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -