Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study
Abstract Background In China, the measles vaccine is offered for free whereas the pneumococcal vaccine is a for-fee vaccine. This difference has the potential to influence how caregivers evaluate whether a vaccine is important or necessary for their child, but it is unclear if models of health behav...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-06-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12887-017-0900-2 |
| _version_ | 1818532923846950912 |
|---|---|
| author | Abram L. Wagner Matthew L. Boulton Xiaodong Sun Bhramar Mukherjee Zhuoying Huang Irene A. Harmsen Jia Ren Brian J. Zikmund-Fisher |
| author_facet | Abram L. Wagner Matthew L. Boulton Xiaodong Sun Bhramar Mukherjee Zhuoying Huang Irene A. Harmsen Jia Ren Brian J. Zikmund-Fisher |
| author_sort | Abram L. Wagner |
| collection | DOAJ |
| description | Abstract Background In China, the measles vaccine is offered for free whereas the pneumococcal vaccine is a for-fee vaccine. This difference has the potential to influence how caregivers evaluate whether a vaccine is important or necessary for their child, but it is unclear if models of health behavior, such as the Health Belief Model, reveal the same associations for different diseases. This study compares caregiver perceptions of different diseases (measles, pneumonia and meningitis); and characterizes associations between Health Belief Model constructs and both pneumococcal vaccine uptake and perceived vaccine necessity for pneumonia, measles, and meningitis. Methods Caregivers of infants and young children between 8 months and 7 years of age from Shanghai (n = 619) completed a written survey on their perceptions of measles, pneumonia, and meningitis. We used logistic regression models to assess predictors of pneumococcal vaccine uptake and vaccine necessity. Results Only 25.2% of children had received a pneumococcal vaccine, although most caregivers believed that pneumonia (80.8%) and meningitis (92.4%), as well as measles (93.2%), vaccines were serious enough to warrant a vaccine. Perceived safety was strongly associated with both pneumococcal vaccine uptake and perceived vaccine necessity, and non-locals had 1.70 times higher odds of pneumonia vaccine necessity than non-locals (95% CI: 1.01, 2.88). Conclusions Most factors had a similar relationship with vaccine necessity, regardless of disease, indicating a common mechanism for how Chinese caregivers decided which vaccines are necessary. Because more caregivers believed meningitis needed a vaccine than pneumonia, health care workers should emphasize pneumococcal vaccination’s ability to protect against meningitis. |
| first_indexed | 2024-12-11T17:51:53Z |
| format | Article |
| id | doaj.art-682d77678c8147bc9f7a019b7f32f7ef |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-11T17:51:53Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-682d77678c8147bc9f7a019b7f32f7ef2022-12-22T00:56:11ZengBMCBMC Pediatrics1471-24312017-06-011711910.1186/s12887-017-0900-2Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional studyAbram L. Wagner0Matthew L. Boulton1Xiaodong Sun2Bhramar Mukherjee3Zhuoying Huang4Irene A. Harmsen5Jia Ren6Brian J. Zikmund-Fisher7Department of Epidemiology, University of MichiganDepartment of Epidemiology, University of MichiganDepartment of Immunization Programs, Shanghai Centers for Disease Control and PreventionDepartment of Biostatistics, University of MichiganDepartment of Immunization Programs, Shanghai Centers for Disease Control and PreventionDepartment of Epidemiology and Health Promotion, Public Health Service of AmsterdamDepartment of Immunization Programs, Shanghai Centers for Disease Control and PreventionDepartment of Health Behavior and Health Education, University of MichiganAbstract Background In China, the measles vaccine is offered for free whereas the pneumococcal vaccine is a for-fee vaccine. This difference has the potential to influence how caregivers evaluate whether a vaccine is important or necessary for their child, but it is unclear if models of health behavior, such as the Health Belief Model, reveal the same associations for different diseases. This study compares caregiver perceptions of different diseases (measles, pneumonia and meningitis); and characterizes associations between Health Belief Model constructs and both pneumococcal vaccine uptake and perceived vaccine necessity for pneumonia, measles, and meningitis. Methods Caregivers of infants and young children between 8 months and 7 years of age from Shanghai (n = 619) completed a written survey on their perceptions of measles, pneumonia, and meningitis. We used logistic regression models to assess predictors of pneumococcal vaccine uptake and vaccine necessity. Results Only 25.2% of children had received a pneumococcal vaccine, although most caregivers believed that pneumonia (80.8%) and meningitis (92.4%), as well as measles (93.2%), vaccines were serious enough to warrant a vaccine. Perceived safety was strongly associated with both pneumococcal vaccine uptake and perceived vaccine necessity, and non-locals had 1.70 times higher odds of pneumonia vaccine necessity than non-locals (95% CI: 1.01, 2.88). Conclusions Most factors had a similar relationship with vaccine necessity, regardless of disease, indicating a common mechanism for how Chinese caregivers decided which vaccines are necessary. Because more caregivers believed meningitis needed a vaccine than pneumonia, health care workers should emphasize pneumococcal vaccination’s ability to protect against meningitis.http://link.springer.com/article/10.1186/s12887-017-0900-2Health belief modelImmunization coverageChinaMeaslesPneumococcus |
| spellingShingle | Abram L. Wagner Matthew L. Boulton Xiaodong Sun Bhramar Mukherjee Zhuoying Huang Irene A. Harmsen Jia Ren Brian J. Zikmund-Fisher Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study BMC Pediatrics Health belief model Immunization coverage China Measles Pneumococcus |
| title | Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study |
| title_full | Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study |
| title_fullStr | Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study |
| title_full_unstemmed | Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study |
| title_short | Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study |
| title_sort | perceptions of measles pneumonia and meningitis vaccines among caregivers in shanghai china and the health belief model a cross sectional study |
| topic | Health belief model Immunization coverage China Measles Pneumococcus |
| url | http://link.springer.com/article/10.1186/s12887-017-0900-2 |
| work_keys_str_mv | AT abramlwagner perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy AT matthewlboulton perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy AT xiaodongsun perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy AT bhramarmukherjee perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy AT zhuoyinghuang perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy AT ireneaharmsen perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy AT jiaren perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy AT brianjzikmundfisher perceptionsofmeaslespneumoniaandmeningitisvaccinesamongcaregiversinshanghaichinaandthehealthbeliefmodelacrosssectionalstudy |