簡易檢索 / 詳目顯示

研究生: 廖冠甯
Liao, Guan-Ning
論文名稱: 以健康信念模式探討大學生接種流感疫苗意圖之影響因素
Factors Associated with University Students' Intention of Influenza Vaccination: A Health Belief Model Approach
指導教授: 張鳳琴
Chang, Fong-Ching
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 81
中文關鍵詞: 健康信念模式流感流感疫苗大學生意圖
英文關鍵詞: Health belief model, influenza, influenza vaccine, university students, intention
DOI URL: https://doi.org/10.6345/NTNU202204477
論文種類: 學術論文
相關次數: 點閱:346下載:37
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 本研究以健康信念模式探討大學生接種流感疫苗意圖之影響因素,研究對象為103學年度在學之大學學生,以結構式問卷進行調查,於臺北市三所大學進行取樣,得有效問卷共計629份。重要結果如下:
    一、研究對象流感自覺罹患性、流感自覺嚴重度、流感疫苗接種自覺行動利益皆屬中上程度,流感疫苗接種自我效能、流感疫苗接種意圖屬中等程度。
    二、研究對象流感自覺罹患性、流感疫苗接種自我效能與流感疫苗接種意圖呈顯著正相關,而流感疫苗接種自覺行動障礙與流感疫苗接種意圖呈顯著負相關。
    三、曾上網搜尋流感疫苗相關訊息、曾接種流感疫苗、曾得過流感、醫事人員建議、親友建議接種及從衛生單位獲得相關訊息與研究對象流感疫苗接種意圖呈顯著差異。
    四、流感自覺罹患性、流感疫苗接種自我效能、親友建議接種、曾上網搜尋流感疫苗相關訊息、過去曾接種流感疫苗能有效預測大學生接種流感疫苗意圖。
    根據研究結果,建議學校與政府單位在宣導流感疫苗接種上可著重提升學生流感罹患性感知、流感疫苗接種自我效能及搜尋流感資訊之電子健康素養,及鼓勵學生多與親友討論流感疫苗接種。

    The present study aimed to examine factors related to influenza vaccination intention among university students. A total of 629 valid self-administered questionnaires were collected from three universities in Taipei. The major findings were as follows.

    1. University students had middle-high levels of perceived susceptibility, perceived seriousness of influenza, and middle levels of perceived benefits, and self-efficacy of influenza vaccination.
    2. Perceived susceptibility of influenza and self-efficacy was positively associated with intention to receive an influenza vaccine, while perceived barriers of influenza vaccination was negatively associated with intention to influenza vaccination.
    3. Prior influenza vaccination uptake, receiving advice from medical personnel, family, and friends were associated with influenza vaccination.
    4. Perceived influenza susceptibility, influenza vaccination self-efficacy, receiving advices from family and friends, and searching online influenza information were significant associated with influenza vaccination intention.
    According to the results, it was suggested that schools and governments could strengthen influenza susceptibility messages, self-efficacy, and ehealth literacy to promote influenza vaccination. Parents and friends could discuss influenza vaccination with students.

    第一章 緒論 1 第一節 研究動機及重要性 1 第二節 研究目的 3 第三節 研究問題 3 第四節 研究假設 4 第五節 名詞界定 5 第二章 文獻探討 7 第一節 流感與流感疫苗 7 第二節 流感疫苗接種情形 9 第三節 健康信念模式 10 第四節 影響接種流感疫苗之因素 13 第三章 研究方法 19 第一節 研究架構 19 第二節 研究對象 21 第三節 研究工具 21 第四節 研究步驟 26 第五節 資料處理與統計分析 27 第四章 研究結果 29 第一節 研究對象背景資料描述 29 第二節 研究對象流感健康信念、流感疫苗接種意圖分布情形 33 第三節 研究對象背景變項、流感過去經驗與流感疫苗接種健康信念之關係 41 第四節 研究對象背景變項、流感疫苗接種健康信念、流感過去經驗、流感疫苗接種行動線索與流感疫苗接種意圖之關係 49 第五章 討論、結論與建議 59 第一節 討論 59 第二節 結論 61 第三節 建議 63 參考文獻 65 附錄一 研究問卷 73 附錄二 專家效度名單 79 附錄三 研究倫理審查核可證明書 80 附錄四 訪員說明 81

    中文部分
    王綺敏(2016)。影響花蓮地區幼兒流感疫苗接種因素之探討(未出版碩士論文)。慈濟大學,花蓮市。
    行政院衛生署疾病管制局(2011)。認識流感疫苗 教學手冊。取自:http://www.cdc.gov.tw/professional/page.aspx?treeid=beac9c103df952c4&nowtreeid=45e72c18c1ff4691
    朱銘慧(2015)。台北地區長期照護機構工作人員流感疫苗接種行為相關因素之探討(未出版碩士論文)。國立臺北護理健康大學,臺北市。
    何美鄉(2011)。發展中的流感疫苗。臺灣醫學。15(3),282-288。
    高冬花(2010)。新型流感疫苗接種影響因素之探討(未出版碩士論文)。高雄醫學大學,高雄市。
    教育部(2015)。取自https://stats.moe.gov.tw/。
    教育部統計處(2016)。性別統計指標彙總性資料-學生-大學校院系所學生人數-按性別分。取自:http://stats.moe.gov.tw/files/detail/103/103_students.xls
    陳清文(2010)。應用健康信念模式-探討國軍衛生部隊官兵H1N1疫苗接種意願及其影響因素(未出版碩士論文)。臺北醫學大學,臺北市。
    郭慧菁(2016)。國小學童家長對其子女接種流感疫苗決策之相關因素探討(未出版碩士論文)。國立臺北護理健康大學,台北市。
    張鳳琴、李景美、邱瓊慧、陳炳宏、苗迺芳、江振東…黃莉芸(2015)。大學生對醫藥科技傳播風險感知與素養之調查研究。科技部。(計畫編號:103 - 2511 - S - 003 - 043)。
    黃瑽寧(2011)。季節性流感疫苗。臺灣醫學。15(3),273-281。
    楊秋蘭(2007)。以健康信念模式探討老人族群接種流感疫苗之因素(未出版碩士論文)。國立中山大學,高雄市。
    廖琪玉、陳漢瑛. (2007)。流感疫苗接種的健康信念與行為意向之研究-以北部某醫學中心醫護人員為例。健康促進暨衛生教育雜誌, (27), 1-21.
    廖琪玉(2007)。健康信念模式應用於醫護人員流感疫苗接種行為意向之研究-以北部某醫學中心為例(未出版碩士論文)。國立臺北教育大學,臺北市。
    衛生福利部疾病管制署(2015a)。取自:http://www.cdc.gov.tw/qa.aspx?treeid=5784355BFD011A1C&nowtreeid=3BE6F1D3C0663416(上網查詢時間:104/12/24 17:36)
    衛生福利部疾病管制署(2015b)。季節性流感疫苗Q&A。取自:http://www.cdc.gov.tw/qa.aspx?treeid=5784355bfd011a1c&nowtreeid=b75910e5baf64d2d(上網查詢時間:104/12/24 17:47)
    衛生福利部疾病管制署(2015c)。103 年度流感疫苗接種計畫成果。取自:http://www.cdc.gov.tw/professional/list.aspx?treeid=beac9c103df952c4&nowtreeid=a4c431743aaa081f
    衛生福利部疾病管制署(2016a)。季節性流感防治工作手冊。取自:http://www.cdc.gov.tw/uploads/files/34517034-23e8-46f9-8e7d-389dba509ed6.pdf
    衛生福利部疾病管制署(2016b)。取自:http://www.cdc.gov.tw/qa.aspx?treeid=5784355bfd011a1c&nowtreeid=c9f4604adf008d60
    衛生福利部疾病管制署(2016c)。傳染病統計資料查詢系統。取自:http://nidss.cdc.gov.tw/ch/Default.aspx?op=2&treeid=1F07E8862BA550CF&nowtreeid=F7AED6781DEEC68D
    衛生福利部疾病管制署(2016d)。流感速迅。取自:http://www.cdc.gov.tw/list.aspx?treeid=1F07E8862BA550CF&nowtreeid=204B424A955D572F
    蔡宗益、賴寧生、郭淑慧、江瑞坤(2010)。南臺灣中老年健檢民眾接種H1N1疫苗的意願和其相關因素調查。志為護理-慈濟護理雜誌,10(3),73-82。
    劉嘉年 (2010)。台灣社區老人接受流行性感冒疫苗注射的相關因素分析。臺灣醫學,14(6),616-624。

    英文部分
    Abolfotouh, M. A., BaniMustafa, A. a. A., Mahfouz, A. A., Al-Assiri, M. H., Al-Juhani, A. F., & Alaskar, A. S. (2015). Using the health belief model to predict breast self examination among Saudi women. BMC Public Health, 15, 1-12. doi:10.1186/s12889-015-2510-y
    Bayu, H., Berhe, Y., Mulat, A., & Alemu, A. (2016). Cervical Cancer Screening Service Uptake and Associated Factors among Age Eligible Women in Mekelle Zone, Northern Ethiopia, 2015: A Community Based Study Using Health Belief Model. PLoS ONE, 11(3), 1-13. doi:10.1371/journal.pone.0149908
    Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84(2), 191.
    Becker, M. H. “The Health Belief Model and Personal Health Behavior.” Health Education Monographs, 1974, 2, 324–473.
    Benjamin, S. M., & Bahr, K. O. (2016). Barriers Associated with Seasonal Influenza Vaccination among College Students. Influenza research and treatment, 2016.
    Bults, M., Beaujean, D. J., de Zwart, O., Kok, G., van Empelen, P., van Steenbergen, J. E., . . . Voeten, H. A. (2011). Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC Public Health, 11, 2. doi:10.1186/1471-2458-11-2
    Byrne, C., Walsh, J., Kola, S., & Sarma, K. M. (2012). Predicting intention to uptake H1N1 influenza vaccine in a university sample. British Journal of Health Psychology, 17(3), 582-595. doi:10.1111/j.2044-8287.2011.02057.x
    Champion, V. L., & Skinner, C. S. (2008). The health belief model. Health behavior and health education: Theory, research, and practice, 4, 45-65.
    Chan, T. C., Fu, Y. C., Wang, D. W., & Chuang, J. H. (2014). Determinants of receiving the pandemic (H1N1) 2009 vaccine and intention to receive the seasonal influenza vaccine in Taiwan. PLoS ONE, 9(6), e101083. doi:10.1371/journal.pone.0101083
    Chen, C.-H., Chiu, P.-J., Chih, Y.-C., & Yeh, G.-L. (2015). Determinants of influenza vaccination among young Taiwanese children. Vaccine, 33(16), 1993-1998. doi:10.1016/j.vaccine.2015.01.032
    Coe, A. B., Gatewood, S. B. S., Moczygemba, L. R., Goode, J.-V. K. R., & Beckner, J. O. (2012). The use of the health belief model to assess predictors of intent to receive the novel (2009) H1N1 influenza vaccine. Innovations In Pharmacy, 3(2), 1-11. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=22844651&lang=zh-tw&site=ehost-live
    Dardis, M. R., Koharchik, L. S., & Dukes, S. (2015). Using the Health Belief Model to develop educational strategies to improve pertussis vaccination rates among preschool staff. NASN School Nurse (Print), 30(1), 20-25. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=25626237&lang=zh-tw&site=ehost-live
    Das, B. M., & Evans, E. M. (2014). Understanding Weight Management Perceptions in First-Year College Students Using the Health Belief Model. Journal of American College Health, 62(7), 488-497. doi:10.1080/07448481.2014.923429
    Hwisa, N. T., Katakam, P., Chandu, B. R., Ismael, M. H., & Bader, A. (2014). Pandemic influenza A (H1N1) vaccination among libyan health care personnel: A cross-sectional retrospective study. J Pharm Bioallied Sci, 6(3), 192-197. doi:10.4103/0975-7406.130958
    Hwisa, N. T., Katakam, P., Chandu, B. R., Ismael, M. H., & Bader, A. (2014). Pandemic influenza A (H1N1) vaccination among libyan health care personnel: A cross-sectional retrospective study. Journal of Pharmacy & Bioallied Sciences, 6(3), 192-197. doi:10.4103/0975-7406.130958
    Keller, J. J., Kim, J. H., Lau, J. C., Wong, A. H., & Griffiths, S. M. (2014). Intention to engage in preventive behaviors in response to the A/H1N1 pandemic among university entrants in four Chinese cities. Asia Pac J Public Health, 26(1), 42-47. doi:10.1177/1010539513496842
    Kowalsky, J. M.,& Basta,T. B. (2015, November). Applying the health belief model to understand college students' intention to vaccinate against the seasonal influenza: Opportunities for health promotion. In 2015 APHA Annual Meeting & Expo (Oct. 31-Nov. 4, 2015). APHA.
    Lehmann, B. A., Ruiter, R. A., Wicker, S., Chapman, G., & Kok, G. (2015). Medical students' attitude towards influenza vaccination. BMC Infect Dis, 15, 185. doi:10.1186/s12879-015-0929-5
    Liao, Q., Cowling, B. J., Wendy Wing Tak, L., & Richard, F. (2011). Factors Affecting Intention to Receive and Self-Reported Receipt of 2009 Pandemic (H1N1) Vaccine in Hong Kong: A Longitudinal Study. PLoS ONE, 6(3), 1-13. doi:10.1371/journal.pone.0017713
    Malosh, R., Ohmit, S. E., Petrie, J. G., Thompson, M. G., Aiello, A. E., & Monto, A. S. (2014). Factors associated with influenza vaccine receipt in community dwelling adults and their children. Vaccine, 32(16), 1841-1847. doi:10.1016/j.vaccine.2014.01.075
    Mavros, M. N., Mitsikostas, P. K., Kontopidis, I. G., Moris, D. N., Dimopoulos, G., & Falagas, M. E. (2011). H1N1v influenza vaccine in Greek medical students. Eur J Public Health, 21(3), 329-332. doi:10.1093/eurpub/ckq109
    Mena, G., Llupia, A., Garcia-Basteiro, A. L., Sequera, V. G., Aldea, M., Bayas, J. M., & Trilla, A. (2013). Educating on professional habits: attitudes of medical students towards diverse strategies for promoting influenza vaccination and factors associated with the intention to get vaccinated. BMC Med Educ, 13, 99. doi:10.1186/1472-6920-13-99
    Mo, P. K. H., & Lau, J. T. F. (2015). Influenza vaccination uptake and associated factors among elderly population in Hong Kong: the application of the Health Belief Model. Health Educ Res, 30(5), 706-718. doi:10.1093/her/cyv038
    Naing, C. c. g. c., & Tan, R. r. g. c. (2011). Knowledge about the pandemic influenza A (H1N1) and willingness to accept vaccination: a cross-sectional survey. Journal of Public Health (09431853), 19(6), 511-516. doi:10.1007/s10389-011-0434-2
    Poehling, K. A., Blocker, J., Ip, E. H., Peters, T. R., & Wolfson, M. (2012). 2009-2010 seasonal influenza vaccination coverage among college students from 8 universities in North Carolina. J Am Coll Health, 60(8), 541-547. doi:10.1080/07448481.2012.700973
    Rebmann, T., Wright, K. S., Anthony, J., Knaup, R. C., & Peters, E. B. (2012). Seasonal and H1N1 influenza vaccine compliance and intent to be vaccinated among emergency medical services personnel. Am J Infect Control, 40(7), 632-636. doi:10.1016/j.ajic.2011.12.016
    Renner, B., & Reuter, T. (2012). Predicting vaccination using numerical and affective risk perceptions: the case of A/H1N1 influenza. Vaccine, 30(49), 7019-7026. doi:10.1016/j.vaccine.2012.09.064
    Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Education & Behavior, 2(4), 354-386.
    Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health Educ Q, 15(2), 175-183.
    Shahrabani, S., & Benzion, U. (2012). How Experience Shapes Health Beliefs The Case of Influenza Vaccination. Health education & behavior, 39(5), 612-619.
    Strecher,V.J., Rosenstock, I. M. (1997).The health belief model. In Baum, A.,Cambridge Handbook of Psychology, Health and Medicine(pp.113-114). UK:Cambridge University Press.
    Teitler-Regev, S., Shahrabani, S., & Benzion, U. (2011). Factors Affecting Intention among Students to Be Vaccinated against A/H1N1 Influenza: A Health Belief Model Approach. Adv Prev Med, 2011, 353207. doi:10.4061/2011/353207
    Tomaskov, H., Bohacova, S., & Slachtova, H. (2012). Attitudes of the medical students from two Czech universities to pandemic flu A (H1N1) 2009 and to influenza vaccination. Cent Eur J Public Health, 20(3), 215-218.
    Vidourek, R. A., King, K. A., Rosen, B. L., & Fehr, S. K. (2015). USING THE HEALTH BELIEF MODEL TO EXPLORE FEMALE'S PERCEPTIONS OF MALE HPV VACCINATION. American Journal of Health Studies, 30(4), 187-195. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=113906620&lang=zh-tw&site=ehost-live
    Wozniak-Kosek, A., Kempinska-Miroslawska, B., Mendrycka, M., Saracen, A., & Hoser, G. (2014). Factors affecting decision concerning influenza vaccination among students of medical faculties. Acta Biochim Pol, 61(4), 829-832.
    Yang, S., He, C., Zhang, X., Sun, K., Wu, S., Sun, X., & Li, Y. (2016). Determinants of antihypertensive adherence among patients in Beijing: Application of the health belief model. Patient Educ Couns. doi:10.1016/j.pec.2016.06.014
    Yang, Z. J. (2015). Predicting young adults' intentions to get the H1N1 vaccine: an integrated model. J Health Commun, 20(1), 69-79. doi:10.1080/10810730.2014.904023

    下載圖示
    QR CODE