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老年人对 COVID-19 疫苗的接受度:健康信念模型的应用。

Older adults' acceptance of the COVID-19 vaccine: Application of the health belief model.

机构信息

Gerontological Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt.

出版信息

Nurs Open. 2023 Oct;10(10):6989-7002. doi: 10.1002/nop2.1954. Epub 2023 Jul 23.

Abstract

AIMS

To determine the prevalence of COVID-19 vaccination acceptance among older adults and the factors that independently predict vaccine acceptance using the Health Belief Model (HBM).

DESIGN

This was a cross-sectional, descriptive study.

METHODS

Consenting older adults aged 60 years and older (n = 384) from Primary Health Care Centers in rural and urban areas of Mansoura District, Egypt, who could interact adequately with researchers participated in the study. The data were collected through an electronic questionnaire that included socio-demographic data, health-related characteristics, and health beliefs based on the HBM framework.

RESULTS

Overall, 46.9% were willing to receive the COVID-19 vaccine, 19.5% declined, and 33.6% were undecided. Higher perceptions of COVID-19 severity, vaccine benefits, and action cues were associated with vaccine acceptance (p = 0.05).

PUBLIC CONTRIBUTION

Vaccination campaigns that highlight the benefits of immunization should be prioritized by policymakers. In addition, vaccinated peoples should use social media to spread awareness about the advantages and challenges of vaccination. Nurse leaders should apply the HBM to forecast health-related behaviors, especially vaccination attitudes.

摘要

目的

使用健康信念模型(HBM)确定老年人对 COVID-19 疫苗接种的接受程度,以及独立预测疫苗接种接受程度的因素。

设计

这是一项横断面描述性研究。

方法

同意参与研究的来自埃及曼苏拉区农村和城市地区初级保健中心的 60 岁及以上的老年人(n=384),他们能够与研究人员充分互动。数据通过电子问卷收集,包括社会人口统计学数据、与健康相关的特征以及基于 HBM 框架的健康信念。

结果

总体而言,46.9%的人愿意接种 COVID-19 疫苗,19.5%的人拒绝,33.6%的人犹豫不决。对 COVID-19 严重程度、疫苗效益和行动提示的更高认知与疫苗接种接受度相关(p=0.05)。

公众贡献

政策制定者应优先开展突出免疫接种效益的疫苗接种运动。此外,已接种疫苗的人群应利用社交媒体传播有关疫苗接种的优势和挑战的意识。护士领导者应运用 HBM 预测与健康相关的行为,特别是疫苗接种态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08fd/10495744/d01d8e5253e5/NOP2-10-6989-g001.jpg

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