Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines

Earl Gene L. Maturan, Maria Jessica Erlinda Fabroa, J. Santos
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Abstract

Vaccination is a universal health development initiative which aims to save millions of lives every year. Vaccines reduce the risks of acquiring many diseases by developing antibodies and boots the immune system of the body. Aim: This paper aims to determine the mothers’ perceptions on pediatric vaccination guided by the components of the Health Belief Model. It is likewise aimed to determine the correlation of the mother’s perception to their vaccination adherence. Methods: This study utilized a cross-sectional design utilizing a self-report scale. Participants composed of mothers who have children aged one year old and below, from Ormoc City, Philippines. Results: It revealed that mothers’ have high perceived threat (m=3.76, SD=0.77), perceived benefits (m=3.82, SD=0.84), and perceived self-efficacy (m=3.78, SD=0.79), towards vaccination. Similarly, cues to action revealed a high mean score of 3.86 (SD=0.88). On the other hand, factors such as financial (m=2.83; SD=1.06), personal (m=2.12, SD=1.02), Spiritual (m=2.29, SD=1.01), Geographical (m=2.172; SD=1.54), and Health Care Professional's Approach (m=2.26; SD=0.99) were not considered as a barrier among the participants. Among the perceptions identified, we found a positive correlation between a mother's perceived threat (r=0.290, p=<0.001), perceived benefits (r=0.147, p=0.001), and perceived self-efficacy (r=0.217, p=0.001) to their vaccination adherence. On the other hand, among the perceived barriers, only personal beliefs (r=1.78, p=<0.001) and the approach of health care providers (r=-0.096, p=0.038) revealed a significant negative relationship to a mother's adherence to vaccination. Conclusion: Related factors such as perceived threat, benefit, and self-efficacy are facilitative, while personal beliefs and negative approaches health care personnel can be barriers to immunization. When a mother's perception outweighs their perceived barriers, they are more likely to submit to vaccination.
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对儿科疫苗接种和依从性的看法:菲律宾母亲的一项研究
疫苗接种是一项全民卫生发展倡议,旨在每年挽救数百万人的生命。疫苗通过产生抗体和增强人体免疫系统来降低患许多疾病的风险。目的:通过健康信念模型的组成部分,确定母亲对儿科疫苗接种的认知。它同样旨在确定母亲的看法与他们的疫苗接种依从性的相关性。方法:本研究采用横断面设计,采用自我报告量表。参与者由菲律宾奥尔莫克市有一岁及以下孩子的母亲组成。结果:母亲对疫苗接种有较高的感知威胁(m=3.76, SD=0.77)、感知利益(m=3.82, SD=0.84)和感知自我效能(m=3.78, SD=0.79)。同样,动作提示的平均得分也很高,为3.86分(SD=0.88)。另一方面,财务(m=2.83;SD=1.06),个人(m=2.12, SD=1.02),精神(m=2.29, SD=1.01),地理(m=2.172;SD=1.54)和卫生保健专业人员的方法(m=2.26;SD=0.99)不被认为是参与者之间的障碍。在确定的感知中,我们发现母亲的感知威胁(r=0.290, p=<0.001),感知利益(r=0.147, p=0.001)和感知自我效能(r=0.217, p=0.001)与他们的疫苗接种依从性呈正相关。另一方面,在感知到的障碍中,只有个人信念(r=1.78, p=<0.001)和卫生保健提供者的方法(r=-0.096, p=0.038)显示出与母亲坚持接种疫苗的显著负相关。结论:感知威胁、利益和自我效能感等相关因素对免疫接种具有促进作用,而卫生保健人员的个人信念和消极态度可能成为免疫接种的障碍。当母亲的看法超过他们所感知到的障碍时,他们更有可能接受疫苗接种。
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