The barriers and facilitators of herpes zoster vaccination intentions of urban residents in China: a qualitative study.

IF 4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Beibei Yuan, Chao Long, Ming Wang, Elizabeth Maitland, Stephen Nicholas, Xianjing Qin, Weiying Zhao, Dawei Zhu, Ping He
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引用次数: 0

Abstract

Background: In an aging society, herpes zoster (HZ) increases the health burden on infected patients. While quantitative studies point to a lack of willingness to accept the HZ vaccine in China, there is limited number of studies with in-depth qualitative analysis on HZ vaccination intention. This study undertakes a qualitive study method to identify the barriers and facilitators behind urban residents' HZ vaccination intention in three China cities, and contributes towards some targeted vaccination promotion suggestions to China and other LMICs with similar low coverage of HZ vaccination.

Methods: We conducted 12 focus group discussions in three cities of China. In each discussion we recruited 3 to 6 participants aged 20 and older to catch the views on the HZ vaccine from residents with a wider age range. Participants were recruited by purposive sampling techniques. Guided by the health belief model, thematic analysis was used to group participants' HZ vaccine attitudes and to identify the barriers and facilitators to HZ vaccination.

Results: The attitude of 59 participants participating in the focus group discussions showed a low-level acceptability of the HZ vaccine with only 27.1% (16/59) displaying a willingness to HZ vaccine uptake. The barriers to HZ vaccination included limited or incorrect conception on HZ prevalence, risk factors, susceptibility, symptoms, prevention and treatment methods, and the high cost of the HZ vaccine. Perceived vulnerability to HZ, fear of HZ pain and individuals' financial capacity were the strongest facilitators to HZ vaccination. In addition, it was found that advocacy of HZ vaccination by health professionals or government financial subsidies to HZ vaccination, could attenuate the above barriers to HZ vaccine uptake.

Conclusions: Our study revealed a series of barriers and facilitators of HZ vaccination intention. We recommend HZ education and advocacy by health workers and government health officials to address the limited HZ knowledge and HZ misconceptions, and the government (or health insurance providers) to pay or subsidize the high costs of HZ vaccination to increase the HZ vaccination rate.

中国城市居民带状疱疹疫苗接种意愿的障碍与促进因素:一项定性研究。
背景:在老龄化社会中,带状疱疹(HZ)增加了感染患者的健康负担。虽然定量研究表明中国民众对HZ疫苗的接受意愿不足,但对HZ疫苗接种意愿进行深入定性分析的研究数量有限。本研究采用定性研究方法,识别中国三个城市城市居民HZ疫苗接种意愿的障碍和促进因素,为中国和其他类似低HZ疫苗接种覆盖率的中低收入国家提供有针对性的疫苗接种促进建议。方法:在中国3个城市进行了12次焦点小组讨论。在每次讨论中,我们招募了3至6名年龄在20岁及以上的参与者,以了解年龄范围更广的居民对HZ疫苗的看法。参与者是通过有目的的抽样技术招募的。在健康信念模型的指导下,采用主题分析对参与者的HZ疫苗态度进行分组,并确定HZ疫苗接种的障碍和促进因素。结果:参加焦点小组讨论的59名参与者对HZ疫苗的可接受性较低,只有27.1%(16/59)表示愿意接种HZ疫苗。接种HZ疫苗的障碍包括对HZ患病率、危险因素、易感性、症状、预防和治疗方法的认识有限或不正确,以及HZ疫苗的高成本。对HZ的感知脆弱性,对HZ疼痛的恐惧和个人的经济能力是HZ疫苗接种的最强促进因素。此外,研究还发现,卫生专业人员倡导HZ疫苗接种或政府财政补贴HZ疫苗接种可以减弱上述HZ疫苗接种障碍。结论:我们的研究揭示了HZ疫苗接种意向的一系列障碍和促进因素。我们建议卫生工作者和政府卫生官员进行HZ教育和宣传,以解决有限的HZ知识和HZ误解,并建议政府(或健康保险提供者)支付或补贴高成本的HZ疫苗接种,以提高HZ疫苗接种率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Global Health Research and Policy
Global Health Research and Policy Social Sciences-Health (social science)
CiteScore
12.00
自引率
1.10%
发文量
43
审稿时长
5 weeks
期刊介绍: Global Health Research and Policy, an open-access, multidisciplinary journal, publishes research on various aspects of global health, addressing topics like health equity, health systems and policy, social determinants of health, disease burden, population health, and other urgent global health issues. It serves as a forum for high-quality research focused on regional and global health improvement, emphasizing solutions for health equity.
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