Understanding the public's decision-making about seasonal flu vaccination during a pandemic: Application of the precaution adoption process model.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2024-11-22 DOI:10.1177/13591053241296650

Carly Meyer, Vivi Antonopoulou, Louis Goffe, Aikaterini Grimani, Fiona Graham, Jan Lecouturier, Mei Yee Tang, Paul Chadwick, Falko F Sniehotta

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Abstract

Understanding the behavioural factors influencing flu vaccination is crucial for mitigating seasonal infection outbreaks. This study utilised the Precaution Adoption Process Model (PAPM) to examine the public's decision-making about seasonal flu vaccination through an online cross-sectional survey with 2004 participants in England, UK. Results showed varying stages of decision-making: 7% in Stage 2 (unengaged), 10% in Stage 3 (undecided), 7% in Stage 4 (decided not to vaccinate), 39% in Stage 5 (decided to vaccinate) and 38% in Stage 6 (vaccinated). Regression modelling revealed factors common across stages and unique to certain stages, such as flu vaccination history distinguishing those who received the vaccine. Vaccine knowledge (Stage 2), perceived benefits (Stage 4), perceived control and fear of needles (Stage 5) were uniquely associated with specific PAPM stages. The study discusses policy implications for integrating these findings to improve flu vaccination uptake, highlighting the importance of tailored strategies based on decision-making stages.

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了解大流行期间公众对季节性流感疫苗接种的决策：预防措施采纳过程模型的应用。

了解影响流感疫苗接种的行为因素对于缓解季节性感染爆发至关重要。本研究利用预防采纳过程模型 (PAPM)，通过对英国英格兰 2004 名参与者进行在线横断面调查，研究公众对季节性流感疫苗接种的决策。结果显示了不同的决策阶段：7% 处于第二阶段（未参与），10% 处于第三阶段（未决定），7% 处于第四阶段（决定不接种），39% 处于第五阶段（决定接种），38% 处于第六阶段（接种）。回归模型揭示了各阶段的共同因素和某些阶段的独特因素，例如，流感疫苗接种史可将接种者区分开来。疫苗知识（第 2 阶段）、感知到的益处（第 4 阶段）、感知到的控制和对针头的恐惧（第 5 阶段）与特定的 PAPM 阶段有着独特的联系。研究讨论了综合这些发现对提高流感疫苗接种率的政策影响，强调了根据决策阶段制定有针对性的策略的重要性。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.