+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Determinants of Parental Intentions to Vaccinate Kindergarten Children Against Seasonal Influenza in Xiamen, China



Determinants of Parental Intentions to Vaccinate Kindergarten Children Against Seasonal Influenza in Xiamen, China



Journal of Primary Prevention 40(3): 325-342



Seasonal influenza epidemics occur almost every year, and children under 6 years of age constitute one of the most susceptible groups. While free vaccinations are offered to preschool children in some large cities in China, Xiamen lacks a free vaccination policy and other effective policies aimed at increasing parents' acceptance of the vaccine. Using the health belief model (HBM), we sought to: (1) investigate the determinants of parents' intentions to vaccinate their kindergarten children against seasonal influenza if the free policy were implemented, and (2) explore the possible interaction effects between "cues to action" and "perceived susceptibility" and/or "perceived severity." A total of 1350 parents with kindergarten children were selected by stratified random sampling from half the population in Xiamen, of whom 1211 responded effectively to our survey. Scobit models with testing for interactions among the key concepts of the HBM were used to investigate factors associated with parents' intentions to vaccinate their children. In total, 85.1% of 1211 parents reported that they were willing to vaccinate their children if free influenza vaccinations were offered, although only 37 children (3.1%) had received influenza vaccination in the previous year, and 261 (21.6%) had been vaccinated since birth. Parents' perceived susceptibility (AOR = 1.77), perceived benefits (AOR = 3.12), perceived barriers (AOR = 0.38) and cues to action (AOR = 3.54) in terms of childhood vaccination against influenza were significantly associated with their vaccination intentions. The only observed interaction effect was between perceived susceptibility and cues to action (AOR = 1.57), which had additive effects on strengthening parental intentions to vaccinate their children. Our findings can be used as a basis for formulating government strategies aimed at improving influenza vaccination coverage among children in kindergarten and guiding culturally informed primary prevention efforts among their parents.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066773346

Download citation: RISBibTeXText

PMID: 31077014

DOI: 10.1007/s10935-019-00550-7


Related references

Factors affecting parental intention to vaccinate kindergarten children against influenza: A cross-sectional survey in China. Vaccine 37(11): 1449-1456, 2019

Determinants of older adults' intentions to vaccinate against influenza: a theoretical application. Journal of Public Health 28(2): 139-144, 2006

A self-affirmation exercise does not improve intentions to vaccinate among parents with negative vaccine attitudes (and may decrease intentions to vaccinate). Plos one 12(7): E0181368, 2017

Scoring and psychometric validation of the 'Determinants of Intentions to Vaccinate' (DIVA © ) questionnaire. Bmc Family Practice 17(1): 143, 2016

Predictors of Parental Initiation of Hpv Vaccination Among Parents Reporting Intentions to Vaccinate in a School-Based Health Clinic (Sbhc). Journal of Adolescent Health 52(2): S30-S31, 2013

Influenza and Intentions to Vaccinate in an Underserved Hispanic Population: The Role of Theoretically Derived Constructs. Journal of Pharmacy Practice 2018: 897190018810595, 2018

Impact of information on intentions to vaccinate in a potential epidemic: Swine-origin Influenza A (H1N1). Social Science and Medicine 72(2): 142-148, 2011

Risk factors and outcomes for pandemic H1N1 influenza compared with seasonal influenza in hospitalized children in China. Canadian Journal of Infectious Diseases and Medical Microbiology 23(4): 199-203, 2012

Coverage and factors associated with influenza vaccination among kindergarten children 2-7 years old in a low-income city of north-western China (2014-2016). Plos One 12(7): E0181539-E0181539, 2017

Against the new H1N1 influenza (swine influenza): vaccinate or don't vaccinate (all)? That is currently the question!. Infection 37(5): 379-380, 2009

Message Framing, Perceived Susceptibility, and Intentions to Vaccinate Children Against HPV Among African American Parents. Health Communication 31(7): 798-805, 2015

Effectiveness of seasonal influenza vaccine against clinically diagnosed influenza over 2 consecutive seasons in children in Guangzhou, China: a matched case-control study. Human Vaccines and Immunotherapeutics 9(8): 1720-1724, 2013

Programme to vaccinate poultry workers against seasonal influenza: options for delivery in the East of England. Zoonoses and Public Health 58(1): 60-68, 2011

Implementation of the Recommendation to Vaccinate Pregnant Women against Seasonal Influenza - Vaccination Rates and Acceptance. Geburtshilfe und Frauenheilkunde 77(4): 340-351, 2017

Parental obligation to vaccinate children under Austrian civil law?. Wiener Klinische Wochenschrift 131(15-16): 353-355, 2019