摘要
目的:以健康信念为中介,分析疫苗素养通过健康信念对疫苗接种意愿的影响。方法:采用多阶段分层整群随机抽样,通过问卷调查,收集中老年人疫苗素养、健康信念、疫苗接种意愿水平,分析健康信念对疫苗素养与接种意愿的中介作用。结果:共收集有效问卷354份。疫苗素养、健康信念、接种意愿均分别为(3.15±0.85)分、(3.21±0.62)分、(3.93±1.18)分。疫苗素养对接种意愿总效应和直接效应标准化系数为0.364(95%CI:0.222~0.506)和0.261(95%CI:0.113~0.409)。引入健康信念后,间接效应标准化系数为0.103(95%CI:0.009~0.222),部分介导疫苗素养与接种意愿,占总效应的28.30%,其中,感知利益、感知障碍维度在影响中存在中介效应。结论:健康信念在疫苗素养对接种意愿影响中有中介作用,公共卫生工作人员应重视提升中老年人的疫苗素养,确定干预策略的切入点和针对性措施,以提高疫苗接种率。
Objective:To analyze the effect of vaccine literacy on vaccination intention through health beliefs.Methods:Stratified cluster random sampling was used to collect the level of vaccine literacy,health belief and vaccination willingness of the elderly,and analyze the mediating effect of health belief on vaccine literacy and vaccination intention.Results:A total of 354 valid questionnaires were collected.Vaccine literacy,health beliefs,and willingness to vaccinate were all divided into(3.15±0.85),(3.21±0.62),and(3.93±1.18)points.The standardization coefficient of the total and direct effects of vaccine literacy to vaccination was 0.364(95%CI:0.222~0.506)and 0.261(95%CI:0.113~0.409).After the introduction of health beliefs,the standardization coefficient of the indirect effect was 0.103(95%CI:0.009~0.222),which partially mediated vaccine literacy and willingness to vaccinate,accounting for 28.30%of the total effect.Among them,perceived benefits and perceived barriers dimensions have intermediary effects in the influence.Conclusions:Health beliefs have a mediating role in the impact of vaccine literacy on willingness to vaccinate,and public health workers should attach attention to mprove raccine literacy among middle-aged and older adults to identify entry points and targeted measures for intervention strategies to increase raccination rates.
作者
黄春霞
王丽
马晓玲
金伟
侯艳萌
范颖煊
张眉
HUANG Chunxia;WANG Li;MA Xiaoling;JIN Wei;HOU Yanmeng;FAN Yingxuan;ZHANG Mei(Shihezi University School of Medicine,Shihezi,Xinjiang 832003,China;Center for Disease Control and Prevention,Eighth Division,Xinjiang Production and Construction Corps,Shihezi,Xinjiang 832000,China;Center for Disease Control and Prevention,Xinjiang Production and Construction Corps,Tumushuke,Xinjiang 843900,China)
出处
《农垦医学》
2025年第3期237-243,共7页
Journal of Nongken Medicine
基金
新疆生产建设兵团五共同一促进项目基金(CZ0002710)。
关键词
疫苗素养
健康信念
疫苗接种意愿
Vaccine literacy
Health beliefs
Willingness to vaccinate
