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Factors Associated with Rotavirus Vaccination Behavior among Mothers of Infants: using the Health Belief Model

영아를 위한 어머니의 로타바이러스 예방접종 이행과 관련 요인: 건강신념모형을 중심으로

  • 이승현 (이화여자대학원 간호학과) ;
  • 양숙자 (이화여자대학교 간호대학)
  • Received : 2017.02.21
  • Accepted : 2017.04.13
  • Published : 2017.04.30

Abstract

Purpose: This study was conducted to identify the sociodemographic characteristics and health belief related to rotavirus vaccination behavior among mothers of infants. Methods: Data collection was performed through an on-line survey between 13 and 16 October, 2016, and the subjects targeted were 240 mothers with infants between the ages of 8 months and 12 months. The collected data were analyzed using $X^2$ test, Fisher's Exact test, ANOVA, and Logistic Regression with SPSS 23.0 program. Results: The complete rotavirus vaccination rate was 76.7%, the incomplete vaccination rate was 9.2%, and the non-vaccination rate was 14.2%. Factors associated with complete rotavirus vaccination were the mother's age (OR=3.306, 95% CI=1.087 to 10.054), the perceived benefits (OR=6.500, 95% CI=2.163 to 19.528) and the self-efficacy (OR=11.568, 95% CI=2.921 to 45.818), and approximately 40.8% of explanation power was observed. Conclusion: To increase the rotavirus vaccination rate, counseling and education by nurses should be performed to increase the self-efficacy and public awareness of the benefits of rotavirus vaccination for mothers with infants.

Keywords

References

  1. Bae, S. S. (2013). The theory and approaches of health promotion. Seoul: Gyechukmunhwasa.
  2. Bang, K. S., Kwon, M. K., Choi, M. Y., Huh, B. Y., & Chung, S. J. (2012). Perception of the importance of health promotion behavior for infants and toddlers according to mothers of children in this age group and graduate students in nursing. Child Health Nursing Research, 18(2), 60-67. http://dx.doi.org/10.4094/jkachn.2012.18.2.60
  3. Flood, E. M., Rousculp, M. D., Ryan, K. J., Beusterien, K. M., Divino, V. M., & Mahadevia, P. J. (2010). Parents' decision -making regarding vaccinating their children against influenza: a web-based survey. Clinical Therapeutics, 32(8), 1448-146 http://dx.doi.org/10.1016/.020
  4. Han, Y. R. & Park, H. S. (2009). Barriers and solutions of immunization programs for children among vulnerable classes in community health centers. Journal of Korean Public Health Nursing, 23(1), 113-128.
  5. Health Insurance Review & Assessment Service. (2016). Healthcare bigdata hub medical statistic information. Retrieved July 20, 2016, from http://opendata.hira.or.kr/op/opc/olap4t hDsInfo.do
  6. Hinman, A. R., Orenstein, W. A., & Schuchat, A. (2011). Vaccine preventable disease, immunization, and MMWR 1961-2011. Morbidity and Mortality Weekly Report, 60(4). 49-53.
  7. James, A. & Taylor, M. D. (1996). The association between parental health beliefs and immunization status among children followed by private pediatricians. Clinical Pediatrics, 35(1), 18-22. https://doi.org/10.1177/000992289603500104
  8. Karafillakis, E., Hassounah, S., Atchison, C. (2015). Effectiveness and impact of rotavirus vaccines in Europe, 2006-2014. Vaccine, 33(18), 2097-2107. http://dx.doi.org/10.1016/j.vaccine.2015.03.016
  9. Kim, H. S., Lee, H. J., Ra, J. S., & Choi, E. K. (2008). Immunization statuses of children in childcare centers and sociodemographic factors associated with delayed DTaP4 immunization. Journal of Korean Public Health Nursing, 22(1), 121-130.
  10. Ko, K. M. (2012). The impact of health campaigns on the public's awareness & behavior regarding cervical cancer. Unpublished master's thesis, Ewha Womans University, Seoul.
  11. Korea Centers for Disease Control and Prevention. (2010). Vaccination coverage and barriers in hard to reach children (Issue Brief No. 2009E0054800). Seoul: Author. Retrieved April 4, 2017, from http://cdc.go.kr/CDC/notice/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=1498
  12. Korea Centers for Disease Control and Prevention. (2013-a). Epidemiology and prevention of vaccine-preventable disease (4th ed.). Seoul: Author.
  13. Korea Centers for Disease Control and Prevention. (2013-b). 2013 Korea National Immunization Survey (Issue Brief No. 2013E3200100). Seoul: Author. Retrieved April 4, 2017, from http://cdc.go.kr/CDC/notice/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=28239
  14. Lee, S. G. & Jeon, S. Y. (2015). Factors associated with DTaP, Hib, PCV 4th dose booster vaccination coverage rate. Journal of the Korean Society of Maternal and Child Health, 19(2), 265-278.
  15. Lee, Y. L. (2011). Factors associated with optional infant vaccination. Unpublished master's thesis, Seoul National University, Seoul.
  16. Nam, H. K. (2016). Research on the health care and the demand for visiting health care services for vulnerable children in comparison with non-vulnerable children in a region. Journal of Korean Public Health Nursing, 30(3), 556-569. http://dx.dio.org/10.5932/ JKPHN.2016.30.3.556
  17. Marlow, R. D. & Finn, A. (2012). The promise of immunization against rotavirus. Archives of Disease in Childhood, 97, 736-40. http://dx.doi.org/10.1136/archdischild-2011-301472
  18. Phua, K. B., Lim, F. S., Lau, Y. L., Nelson, E. A. S., Huang, L. M., Quak, S. H., & Bock, H. L. (2009). Safety and efficacy of human rotavirus vaccine during the first 2 years of life in Asian infants: randomised, double -blind, controlled study. Vaccine, 27(43), 5936-5941. http://dx.doi.org/10.1016/j.vaccine.2009.07.098
  19. Smith, P. J., Humiston, S. G., Marcuse, E. K., Zhen, Z., Dorell, C. G., & Hibbs, B. (2011). Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the health belief model. Public Health Reports, 126(2), 135-146. https://doi.org/10.1177/00333549111260S215
  20. Sohn, T. Y., Lee, C. J., Kim, Y. J., Kang, M. J., Kim, S. H., & Kim, K. N. (2014). Clinical and epidemiological study of 1,165 hospitalized cases of rotaviral gastroenteritis before and after the introduction of rotavirus vaccine, 2006-2013. Pediatric Infection and Vaccine, 21(3), 174-180. https://doi.org/10.14776/kjpid.2014.21.3.174
  21. Statistics Korea. (2016). Birth Statistics in 2015. Seoul: Author. Retrieved April 4, 2017, from http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&bSeq=&aSeq=355737&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt
  22. Reiter, P. L., Brewer, N. T., Gottlieb, S. L., McRee, A. L., & Smith, J. S. (2009). Parents' health beliefs and HPV vaccination of their adolescent daughters. Socail Science & Medicine, 69, 475-480. http://dx.doi.org/10.1016/j.socscimed.2009.05.024
  23. Rickert, V. I., Auslander, B. A., Cox, D. S., Rosenthal, S. L., Rickert, J. A., & Zimet, G. D. (2014). School-based vaccination of young US male: impact of health beliefs on intent and first dose acceptance. Vaccine, 32, 1982-1987. http://dx.doi.org/10.1016/j.vaccine.2014.01.049
  24. Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education & Behavior, 2(4), 328-335. https://doi.org/10.1177/109019817400200403
  25. Tate, J. E., Burton, A. H., Boschi-Pinto, C., & Parashar, U. D. (2016). Global, regional, and national estimates of rotavirus mortality in children <5 years of age, 2000-2013. Clinical Infectious Diseases, 62(2), S96-S105. https://doi.org/10.1093/cid/civ1013
  26. The Korean Pediatric Society. (2012). Immunization guideline (7th ed.). Seoul: Medical Munhwasa.
  27. Tuma, J. N., Smith, S. M., Kirk, R. H., Hagmann, C. E., & Zemel, P. C. (2002). Belief and attitudes of caregivers toward compliance with childhood immunization in Cameroon. Puplic Health, 116(1), 55-61. http://dx.doi.org/10.1038/sj.ph.1900813
  28. World Health Organization (2013). Rotavirus vaccines: WHO position paper. Weekly Epidemiological Record, 88, 49-64.
  29. Yang, B. M., Jo, D. S., Kim, Y. H., Hong, J. M., & Kim, J. S. (2008). The societal cost of rotavirus infection in South Korea. Korea Journal of Pediatrics, 51(9). 977-986. https://doi.org/10.3345/kjp.2008.51.9.977