Back to Search
Start Over
Adolescent Attitudes Toward Influenza Vaccination and Vaccine Uptake in a School-Based Influenza Vaccination Intervention: A Mediation Analysis.
- Source :
- Journal of School Health; Jun2011, Vol. 81 Issue 6, p304-312, 9p
- Publication Year :
- 2011
-
Abstract
- School-based vaccination programs may provide an effective strategy to immunize adolescents against influenza. This study examined whether adolescent attitudes toward influenza vaccination mediated the relationship between receipt of a school-based influenza vaccination intervention and vaccine uptake. Participants were recruited from 2 counties participating in a school-based influenza vaccination intervention trial in rural Georgia (N = 337). Data were collected from surveys distributed to adolescents at pre- and post-intervention time points and from documents indicating vaccine uptake. Guided by the Health Belief Model and the Integrated Behavioral Model, surveys assessed demographic, behavioral, and psychosocial variables. A mediation analysis was used to test whether changes in psychosocial variables from baseline to follow-up mediated the relationship between study condition and influenza vaccine uptake. Controlling for background variables, step 1 of the mediation analysis revealed a significant relationship between study condition and vaccine uptake (odds ratio = 1.77, p = .038). Step 2 of the mediation analysis revealed a significant relationship between study condition and changes in psychosocial variables from baseline to follow-up. Steps 3 and 4 of the mediation analysis revealed that there was full mediation of the relationship between study condition and receipt of an influenza vaccination by intention to receive an influenza vaccination. Findings suggest that the success of our school-based influenza vaccination intervention in increasing vaccine uptake was mediated by adolescents' intention to receive an influenza vaccination. Future influenza vaccination efforts geared toward rural adolescents may benefit from addressing adolescent attitudes toward influenza vaccination, particularly increasing intention to receive a vaccine. [ABSTRACT FROM AUTHOR]
- Subjects :
- INFLUENZA prevention
INFLUENZA vaccines
ANALYSIS of covariance
ANALYSIS of variance
CHI-squared test
CLINICAL trials
COMPUTER software
CONFIDENCE intervals
STATISTICAL correlation
DISEASE susceptibility
EPIDEMIOLOGY
ETHNIC groups
HEALTH attitudes
HEALTH education
HIGH school students
HIGH schools
IMMUNIZATION
RESEARCH methodology
MEDICAL protocols
MIDDLE school students
MIDDLE schools
MOTIVATION (Psychology)
MULTIVARIATE analysis
PROBABILITY theory
RESEARCH funding
SCALE analysis (Psychology)
SCHOOL health services
SELF-efficacy
SELF-evaluation
STUDENT attitudes
SURVEYS
T-test (Statistics)
THEORY
DATA analysis
MULTIPLE regression analysis
PRE-tests & post-tests
ADOLESCENCE
VACCINATION
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 00224391
- Volume :
- 81
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of School Health
- Publication Type :
- Academic Journal
- Accession number :
- 104898529
- Full Text :
- https://doi.org/10.1111/j.1746-1561.2011.00595.x