Volume 9, Issue 3 (2021)
Health Educ Health Promot 2021, 9(3): 201-207 |
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Morowatisharifabad M, Aalipour Z, Jambarsang S, Abbasi-Shavazi M, Mojahed M. Influenza Vaccination Uptake among Iranian Older Adults: Application of the Health Belief Model. Health Educ Health Promot 2021; 9 (3) :201-207
URL: http://hehp.modares.ac.ir/article-5-48229-en.html
URL: http://hehp.modares.ac.ir/article-5-48229-en.html
1- Department of Aging and Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , morowatisharif@yahoo.com
2- Department of Health Education & Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Research Center of Prevention & Epidemiology of Non-Communicable Diseases, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Department of Infectious Diseases, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Department of Health Education & Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Research Center of Prevention & Epidemiology of Non-Communicable Diseases, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Department of Infectious Diseases, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract: (1607 Views)
Aims: Influenza is an acute respiratory viral infection that can induce severe complications, hospitalization, and even death among older adults. Seasonal influenza vaccination has been proposed for its prevention. This study aimed to determine the related factors of influenza vaccination among Iranian older adults based on the health belief model.
Instrument & Methods: In this cross-sectional study, 206 participants 65 and older were selected from Yazd city, Iran, in 2019. A random cluster sampling was used. The data collection tool was a questionnaire based on the Health Belief Model constructs. The data were analyzed by SPSS 16 software using the Chi-square test, Pearson correlation coefficient, and logistic regression.
Findings: Only 24.3% of the participants had got a seasonal influenza vaccine over the past year, and 58.3% had received at least one dose of seasonal influenza vaccine from the age of 65. Knowledge (OR=1.27; CI=1.03-1.55), perceived susceptibility (OR=1.18; CI=1.04-1.33), and cues to action (OR=1.52; CI=1.16-1.98) were statistically significant predictors of seasonal influenza vaccination.
Conclusion: The cues to action stood as the strongest predictor of seasonal influenza vaccination, which should be addressed in health promotion intervention programs in the elderly.
Instrument & Methods: In this cross-sectional study, 206 participants 65 and older were selected from Yazd city, Iran, in 2019. A random cluster sampling was used. The data collection tool was a questionnaire based on the Health Belief Model constructs. The data were analyzed by SPSS 16 software using the Chi-square test, Pearson correlation coefficient, and logistic regression.
Findings: Only 24.3% of the participants had got a seasonal influenza vaccine over the past year, and 58.3% had received at least one dose of seasonal influenza vaccine from the age of 65. Knowledge (OR=1.27; CI=1.03-1.55), perceived susceptibility (OR=1.18; CI=1.04-1.33), and cues to action (OR=1.52; CI=1.16-1.98) were statistically significant predictors of seasonal influenza vaccination.
Conclusion: The cues to action stood as the strongest predictor of seasonal influenza vaccination, which should be addressed in health promotion intervention programs in the elderly.
Article Type: Descriptive & Survey |
Subject:
Health Education and Health Behavior
Received: 2020/12/9 | Accepted: 2021/03/12 | Published: 2021/09/5
Received: 2020/12/9 | Accepted: 2021/03/12 | Published: 2021/09/5
References
1. World health organization. Global influenza strategy [Internet]. Geneva: World Health Organization; 2019 [Cited 2020 Feb 1]. Available from: https://www.who.int/influenza/global_influenza_strategy_2019_2030/en/. [Link]
2. Canada.ca. Statement on seasonal influenza vaccine for 2015-2016 [Internet]. Ottawa: Canada.ca; 2015 [Cited 2019 Dec 7]. Available from: https://b2n.ir/m89489. [Link]
3. Simonsen L, Taylor RJ, Viboud C, Miller MA, Jackson AL. Mortality benefits of influenza vaccination in elderly people: An ongoing controversy. Lancet Infect Dis. 2007;7(10):658-66. [Link] [DOI:10.1016/S1473-3099(07)70236-0]
4. Wong CM, Yang L, Chan KP, Leung GM, Chan KH, Guan Y, et al. Influenza-associated hospitalization in a subtropical city. PLoS Med. 2006;3(4):121. [Link] [DOI:10.1371/journal.pmed.0030121] [PMID] [PMCID]
5. Ao T, MacCrachen JP, Lopez MR, Bernart C, Chacon R, Moscoso F, et al. hospitalization and death among patients with influenza, Guatemala, 2008-2012. BMC Public Health. 2019;19 Suppl 3:463. [Link] [DOI:10.1186/s12889-019-6781-6] [PMID] [PMCID]
6. Assaad U, El-Masri I, Porhomayon J, El-Solh AA. Pneumonia immunization in older adults: Review of vaccine effectiveness and strategies. Clin Interv Aging. 2012;7:453-61. [Link] [DOI:10.2147/CIA.S29675] [PMID] [PMCID]
7. Schmid P, Rauber D, Betsch C, Lidolt G, Denker ML. Barriers of influenza vaccination intention and behavior-a systematic review of influenza vaccine hesitancy, 2005-2016. PloS One. 2017;12(1):0170550. [Link] [DOI:10.1371/journal.pone.0170550] [PMID] [PMCID]
8. Bakhshi S, While AE. Maximising influenza vaccination uptake among older people. Br J Community Nurs. 2014;19(10):474-9. [Link] [DOI:10.12968/bjcn.2014.19.10.474] [PMID]
9. Tanjani PT, Babanejad M, Najafi F. Influenza vaccination uptake and its socioeconomic determinants in the older adult Iranian population: A national study. Am J Infect Control. 2015;43(5):1-5. [Link] [DOI:10.1016/j.ajic.2015.02.001] [PMID]
10. De Bekker-Grob EW, Veldwik J, Jonker M, Donkers B, Huisman J, Buis S, et al. The impact of vaccination and patient characteristics on influenza vaccination uptake of elderly people: A discrete choice experiment. Vaccine. 2018;36(11):1467-76. [Link] [DOI:10.1016/j.vaccine.2018.01.054] [PMID]
11. Rosenstock IM. The health belief model and preventive health behavior. Health Educ Behav. 1974;2(4):328-35. [Link] [DOI:10.1177/109019817400200405]
12. Wendlandt R, Cowling BJ, Chen Y, Havers F, Shifflett P, Song Y, et al. knowledge, attitudes and practices related to the influenza virus and vaccine among older adults in eastern China. Vaccine. 2018;36(19):2673-82. [Link] [DOI:10.1016/j.vaccine.2018.03.052] [PMID]
13. Lu J, Luo M, Yee AZH, Sheldenkar A, Lau J, Lwin MO. Do superstitious beliefs affect influenza vaccine uptake through shaping health beliefs. Vaccine. 2019;37(8):1046-52. [Link] [DOI:10.1016/j.vaccine.2019.01.017] [PMID]
14. Kan T, Zhang J. Factors influencing seasonal influenza vaccination behaviour among elderly people: A systematic review. Public Health. 2018;156:67-78. [Link] [DOI:10.1016/j.puhe.2017.12.007] [PMID] [PMCID]
15. Farmanara N, Sherrard L, Dube E, Gilbert NL. Determinants of non-vaccination against seasonal influenza in Canadian adults: Findings from the 2015-2016 influenza immunization coverage survey. Can J Public Health. 2018;109(3):369-78. [Link] [DOI:10.17269/s41997-018-0018-9] [PMID] [PMCID]
16. Raftopoulos V. Beliefs, knowledge and attitudes of community-dwelling Greek elders towards influenza and pneumococcal vaccination. Internet J Epidemiol. 2007;4(1):1-12. [Link] [DOI:10.5580/523]
17. Zeng Y, Yuan Z, Yin J, Han Y, Chu CI, Fang Y. Factors affecting parental intention to vaccinate kindergarten children against influenza: A cross-sectional survey in China. Vaccine. 2019;37(11):1449-56. [Link] [DOI:10.1016/j.vaccine.2019.01.071] [PMID]
18. Dehghani-Tafti A, Mazloomy Mahmoodabad SS, Morowatisharifabad MA, Afkhami Ardakani M, Rezaeipandari H, Lotfi MH. Determinants of self-care in diabetic patients based on health belief model. Glob J Health Sci. 2015;7(5):33-42. [Link] [DOI:10.5539/gjhs.v7n5p33] [PMID] [PMCID]
19. Morowatisharifabad MA. The health belief model variables as predictors of risky driving behaviors among commuters in Yazd, Iran. Traffic Inj Prev. 2009;10(5):436-40. [Link] [DOI:10.1080/15389580903081016] [PMID]
20. Mehri A, Naderian H, Morowatisharifabad MA, Akolechy M. Determinants of seat belt use among drivers in Sabzevar, Iran: A comparison of theory of planned behavior and health belief model. Traffic Inj Prev. 2011;12(1):104-9. [Link] [DOI:10.1080/15389588.2010.535227] [PMID]
21. Morowatisharifabad MA, Mirzaei Alavijeh M, Ghaneian MT, Abbasi H, Golshirzad S, Karamzadeh M. Beliefs of refrigerator craftsmen about prevention of health and environmental hazards of chlorofluorocarbons: Application of health belief model. Iran Occup Health J. 2013;10(1):87-95. [Persian] [Link]
22. Sharma M. Theoretical foundations of health education and health promotion. Burlington: Jones & Bartlett Publishers; 2016. [Link]
23. Eurostat. Flu jabs for the elderly: How countries compare [Internet]. Unknown City: Eurostat; 2018 [Cited 2020 Nov 1]. Available from: https://ec.europa.eu/eurostat/web/products-eurostat-news/-/DDN-20181213-1. [Link]
24. Ye C, Zhu W, Yu J, Li Z, Hu W, Hao L, et al. Low coverage rate and awareness of influenza vaccine among older people in Shanghai, China: A cross-sectional study. Hum Vaccin Immunother. 2018;14(11):2715-21. [Link]
25. Lu PJ, O'Halloran A, Kennedy ED, Williams WW, Kim D, Fiebelkorn AP, et al. Awareness among adults of vaccine-preventable diseases and recommended vaccinations, United States, 2015. Vaccine. 2017;35(23):3104-15. [Link] [DOI:10.1016/j.vaccine.2017.04.028] [PMID] [PMCID]
26. Kwong EWY, Lam IOY, Chan TMF. What factors affect influenza vaccine uptake among community‐dwelling older Chinese people in Hong Kong general outpatient clinics. J Clin Nurs. 2009;18(7):960-71. [Link] [DOI:10.1111/j.1365-2702.2008.02548.x] [PMID]
27. Avelino-Silva VI, Avelino-Silva TJ, Miraglia JL, Miyaji KT, Jacob-Filho W, Lopes MH. Campaign, counseling and compliance with influenza vaccine among older persons. Clinics. 2011;66(12):2031-5. [Link] [DOI:10.1590/S1807-59322011001200006] [PMID] [PMCID]
28. Eilers R, De Melker HE, Veldwijk J, Krabbe PFM. Vaccine preferences and acceptance of older adults. Vaccine. 2017;35(21):2823-30. [Link] [DOI:10.1016/j.vaccine.2017.04.014] [PMID]
29. Karafillakis E, Larson HJ. The benefit of the doubt or doubts over benefits? a systematic literature review of perceived risks of vaccines in European populations. Vaccine. 2017;35(37):4840-50. [Link] [DOI:10.1016/j.vaccine.2017.07.061] [PMID]
30. Bodeker B, Remschmidt C, Schmich P, Wichmann O. Why are older adults and individuals with underlying chronic diseases in Germany not vaccinated against flu? a population-based study. BMC Public Health. 2015;15:618. [Link] [DOI:10.1186/s12889-015-1970-4] [PMID] [PMCID]
31. Nowak GJ, Cacciatore MA, Len-Rios ME. Understanding and increasing influenza vaccination acceptance: Insights from a 2016 national survey of U.S. adults. Int J Environ Res Public Health. 2018;15(4):711. [Link] [DOI:10.3390/ijerph15040711] [PMID] [PMCID]
32. Evans MR, Prout H, Prior L, Tapper-Jones LM, Butler CC. A qualitative study of lay beliefs about influenza immunisation in older people. Br J Gen Pract. 2007;57(538):352-8. [Link]
33. Ho HJ, Chan YY, Ibrahim MAB, Wagle AA, Wong CM, Chow A. A formative research-guided educational intervention to improve the knowledge and attitudes of seniors towards influenza and pneumococcal vaccinations. Vaccine. 2017;35(47):6367-74. [Link] [DOI:10.1016/j.vaccine.2017.10.005] [PMID]
34. Abbas KM, Kong GJ, Chen D, Were SR, Marathe A. Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States. Peer J. 2018;6:5171. [Link] [DOI:10.7717/peerj.5171] [PMID] [PMCID]
35. Lau L, Lau Y, Lau YH. Prevalence and correlates of influenza vaccination among non-institutionalized elderly people: An exploratory cross-sectional survey. Int J Nurs Stud. 2009;46(6):768-77. [Link] [DOI:10.1016/j.ijnurstu.2008.12.006] [PMID] [PMCID]
36. Hendricks CS, Hendricks DL, Webb SJ, Davis JB, Spencer-Morgan B. Fostering self-efficacy as an ethical mandate in health promotion practice and research. Online J Health Ethics. 2005;2(1):6. [Link] [DOI:10.18785/ojhe.0201.06]
37. Kwong EW, Pang SM, Choi PP, Wong TK. Influenza vaccine preference and uptake among older people in nine countries. J Adv Nurs. 2010;66(10):2297-308. [Link] [DOI:10.1111/j.1365-2648.2010.05397.x] [PMID]
38. Evans MR, Watson PA. Why do older people not get immunised against influenza? a community survey. Vaccine. 2003;21(19-20):2421-7. [Link] [DOI:10.1016/S0264-410X(03)00059-8]
39. Burns VE, Ring C, Carroll D. Factors influencing influenza vaccination uptake in an elderly, community-based sample. Vaccine. 2005;23(27):3604-8. [Link] [DOI:10.1016/j.vaccine.2004.12.031] [PMID]
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