流感疫苗接種行為相關因素探討－以台灣花蓮地區禽畜養殖業者為例

The Correlates of Influenza Vaccination among Poultry and Livestock Workers in Hualien

朱正一(Cheng-I Chu) ； 詹瑞慧(Rui-Hui Chan)

《台灣公共衛生雜誌》 29卷4期 (2010/08) Pp. 337-346

https://doi.org/10.6288/TJPH2010-29-04-07

摘要

Objectives: This study investigated factors affecting influenza vaccination among poultry and livestock workers in order to promote influenza vaccination. Methods: The subjects of this study came from the Bureau of Health's 2007 list of poultry and livestock workers in Hualien County. The author personally interviewed each subject utilizing a structured questionnaire and research data was generated from 136 of the 202 listed poultry and livestock workers in Hualien City, Chian, and Shoufong townships. This represented an effective response rate of 67.33%. Results: The results of this study revealed that 35.3% of Hualien's poultry and livestock workers had not been vaccinated against influenza in the past five years. The primary factors affecting influenza vaccination were: education level (F=3.965, p＜0.01), regular exercise (F=9.183, p＜0.01), self-rated health (F=3.537, p＜0.01), and presence of a high-risk disease (t=-4.925, p＜0.01). The independent variables of health beliefs, self-efficacy, and social support had significantly positive correlations with influenza vaccination. Self-efficacy was the major independent variable in predicting influenza vaccination for poultry and livestock workers. Conclusions: This study demonstrated that subjects with a low education level, regular exercise, low self-rated health, and with high-risk diseases were more likely to have received influenza vaccination. Agricultural authority' channels are recommended to promote the benefit of influenza vaccinations to the poultry and livestock workers who are more educated, do fewer exercises, and have no high-risk diseases and better self-rated health in order to raise their belief in the value of influenza vaccination.

關鍵字

禽畜養殖業者 ； 健康信念 ； 流感疫苗

並列摘要

Objectives: This study investigated factors affecting influenza vaccination among poultry and livestock workers in order to promote influenza vaccination. Methods: The subjects of this study came from the Bureau of Health's 2007 list of poultry and livestock workers in Hualien County. The author personally interviewed each subject utilizing a structured questionnaire and research data was generated from 136 of the 202 listed poultry and livestock workers in Hualien City, Chian, and Shoufong townships. This represented an effective response rate of 67.33%. Results: The results of this study revealed that 35.3% of Hualien's poultry and livestock workers had not been vaccinated against influenza in the past five years. The primary factors affecting influenza vaccination were: education level (F=3.965, p＜0.01), regular exercise (F=9.183, p＜0.01), self-rated health (F=3.537, p＜0.01), and presence of a high-risk disease (t=-4.925, p＜0.01). The independent variables of health beliefs, self-efficacy, and social support had significantly positive correlations with influenza vaccination. Self-efficacy was the major independent variable in predicting influenza vaccination for poultry and livestock workers. Conclusions: This study demonstrated that subjects with a low education level, regular exercise, low self-rated health, and with high-risk diseases were more likely to have received influenza vaccination. Agricultural authority' channels are recommended to promote the benefit of influenza vaccinations to the poultry and livestock workers who are more educated, do fewer exercises, and have no high-risk diseases and better self-rated health in order to raise their belief in the value of influenza vaccination.

並列關鍵字

poultry and livestock workers ； health belief ； influenza vaccination

參考文獻

Belshe, RB(2005).The origins of pandemic influenza-lessons from the 1918 virus.N Engl J Med.353,2209-2211.

Nelson, MI,Viboud, C,Simonsen, L(2008).Multiple reassortment reassortment events in the evolutionary history of H1N1 influenza A virus since 1918.PLoS Pathog.29(4),e1000012.

行政院衛生署疾病管制局、中華民國比較病理學會、台灣感染症醫學會、台灣醫院感染管制學會(2007)。人畜共通傳染病臨床指引。台北:行政院衛生署疾病管制局。

Gray, GC,Trampel, DW,Roth, JA(2007).Pandemic influenza planning: shouldn't swine and poultry workers be included?.Vaccine.25,4376-4381.

Gray, GC,Baker, WS(2007).The importance of including swine and poultry workers in influenza vaccination programs.Clin Pharmacol Ther.82,638-641.