利用结构方程模型建立老年人流感疫苗接种意愿的预测指标体系

发布时间：2018-03-01 23:36

本文关键词： 结构方程模型流感疫苗接种意愿预测指标　出处：《预防医学情报杂志》2016年08期 　论文类型：期刊论文

【摘要】：目的探讨引入计划行为理论中的相关因素,采用结构方程模型建立老年人流感疫苗接种意愿的预测指标体系。方法成都市5城区中随机抽取2个社区,每个社区抽取1个居民小区,对小区内60岁及以上老年人进行入户调查,每个居民小区调查180人。结果主观规范对老年人的接种意愿影响最大,强度为0.499;其后依次为既往接种史,强度为0.171;行为意向,强度为0.156;接种疫苗的好处,强度为0.154;接种疫苗的坏处,强度为-0.037,是负向作用;最后是预期后悔,强度为0.012。结论主观规范是影响老年人接种意愿的最重要因素,尤其是政府和医生的建议对老年人影响最大。提示政府和医疗机构应该逐步提高临床一线医护人员的认识,形成临床医学与预防医学相结合的模式,重视三级预防,从而不断提高老年人群中流感疫苗的接种率。
[Abstract]:Objective to explore the factors related to the introduction of the theory of planned behavior, the prediction index system of elderly influenza vaccination will establish a structural equation model. 2 communities were randomly selected for 5 Chengdu City, randomly selected from each community 1 residents of the community, the questionnaire survey was carried out within the area of the elderly aged 60 and above, each residential area survey 180. The willingness of subjective norm on the elderly greatest impact strength is 0.499; followed by previous vaccination history, strength of 0.171; behavior intention, strength is 0.156; the benefits of vaccination, vaccination intensity was 0.154; harm, intensity of -0.037, is a negative effect; finally the anticipated regret the most important factor, the strength of 0.012. conclusion the subjective norm is affecting the elderly willingness, especially the government and the doctor's advice. The greatest impact on the elderly that the government and medical institutions should gradually We should improve the understanding of clinical first-line medical staff, form a combination mode of clinical medicine and preventive medicine, attach importance to three level prevention, and continuously improve the coverage rate of influenza vaccine in the elderly.

【作者单位】：遂宁市中心医院;四川大学华西公共卫生学院;四川省疾病预防与控制中心;中国疾病预防与控制中心;
【分类号】：R186;R511.7

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