Highlights
- •We explored the intention of Muslim Arabs to vaccinate their children against flu.
- •The Health Belief Model was used and it predicted 88% of the intention.
- •Parents' age and number of children were associated with vaccination.
- •Community nurses and physicians were identified as important cues to action.
- •Interventions to raise vaccination rates should begin on parent-nurse encounter.
Purpose:
The purpose of the current study was to explore factors related to the intention of
parents from the Muslim Arab ethnic minority in Israel to vaccinate their children
against influenza, using the Health Belief Model (HBM).
Design and Methods
This study is a cross sectional quantitative study. A convenience sample of 200 parents
of children aged 12 and younger completed a questionnaire based on the HBM.
Results
Perceived susceptibility, severity, benefits, and barriers predicted 88% of parents'
intention to vaccinate their children. Parents who vaccinated their children in the
past year were younger and had fewer children. Community nurses and physicians were
identified as important cues to action.
Conclusions
The HBM components predicted a high percentage of parents' intention to vaccinate
their children
Practice Implications
Interventions to raise vaccination coverage rates among children belonging to an ethnic
minority of Israeli Muslim Arabs should begin on the micro level of the parent–health
care professional encounter.
Key words
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References
- Meta-analysis of the relationship between risk perception and health behavior: The example of vaccination.Health Psychology. 2007; 26: 136-145https://doi.org/10.1037/0278-6133.26.2.136
- Recommendations for prevention and control of influenza in children, 2014–2015.Pediatrics. 2014; 134: e1503-e1519https://doi.org/10.1542/peds.2014-2413
- Children, the flu, and the flu vaccine.(Retrieved July 12, 2015, from)
- Selected data from the statistical abstract of Israel No. 65, 2014.(Retrieved from)
- Health disparities and prevention: Racial/ethnic barriers to flu vaccinations.Journal of Community Health. 2007; 32: 5-20https://doi.org/10.1007/s10900-006-9031-7
- Using the health belief model to understand caregiver factors influencing childhood influenza vaccinations.Journal of Community Health Nursing. 2011; 28: 29-40https://doi.org/10.1080/07370016.2011.539087
- The healthcare experiences of Arab Israeli women in a reformed healthcare system.Health Policy. 2004; 69: 101-116https://doi.org/10.1016/j.healthpol.2003.12.005
- Influenza vaccination coverage among children with high-risk medical conditions.Vaccine. 2006; 24: 5251-5255https://doi.org/10.1016/j.vaccine.2006.03.059
- Parents' decision-making regarding vaccinating their children against influenza: A web-based survey.Clinical Therapeutics. 2010; 32: 1448-1467https://doi.org/10.1016/j.clinthera.2010.06.020
- Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior.Annals of Behavioral Medicine. 2012; 44: 171-180https://doi.org/10.1007/s12160-012-9366-5
- Parental perspectives on influenza vaccination among children with asthma.Public Health Reports. 2006; 121: 181-188
- Parent opinions about universal influenza vaccination for infants and toddlers.Archives of Pediatrics & Adolescent Medicine. 2005; 159: 108-112https://doi.org/10.1001/archpedi.159.2.108
- Factors associated with influenza vaccine receipt in community dwelling adults and their children.Vaccine. 2014; 32: 1841-1847https://doi.org/10.1016/j.vaccine.2014.01.075
- Influenza vaccination for infants, children, and pregnant women.(Retrieved from:)http://www.health.gov.il/Subjects/pregnancy/Childbirth/Vaccination_of_infants/Pages/flu.aspx(Hebrew)Date: 2015
- Concluding report — 2014/2015 influenza season.(Retrieved from:) (Hebrew)
- Parental perspectives on influenza immunization of children aged 6 to 23 months.American Journal of Preventive Medicine. 2005; 29: 210-214https://doi.org/10.1016/j.amepre.2005.05.010
- Mothers and vaccination: Knowledge, attitudes, and practice in Iran.Journal of Pediatric Infectious Diseases. 2007; 2: 29-34
- The Health Belief Model and preventive health behavior.Health Education Monographs. 1974; 2: 354-386
- The health belief model: Explaining health behaviour through expectancies.in: Lewis K.G.F. Rimer B. Health behaviour and health education: Theory research and practice. Jossey-Bass, San Francisco, CA1990: 45-66
- Parental reasons for non-uptake of influenza vaccination in young at-risk groups: A qualitative study.British Journal of General Practice. 2011; 61: e386-e391https://doi.org/10.3399/bjgp11X583155
- Workplace vaccination and other factors impacting influenza vaccination decision among employees in Israel.International Journal of Environmental Research and Public Health. 2010; 7: 853-869https://doi.org/10.3390/ijerph7030853
- How experience shapes health beliefs the case of influenza vaccination.Health Education & Behavior. 2012; 39: 612-619https://doi.org/10.1177/1090198111427411
- Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the Health Belief Model.Public Health Reports. 2011; 126: 135-146
- Does greater accessibility to higher education reduce wage inequality? The case of the Arab minority in Israel.Studies in Higher Education. 2015; https://doi.org/10.1080/03075079.2015.1076781
- Parents' knowledge and attitudes on childhood immunization. Taif, Saudi Arabia.Journal of Vaccines & Vaccination. 2013; 5: 2https://doi.org/10.4172/2157-7560.1000215
Article info
Publication history
Published online: February 02, 2016
Accepted:
December 2,
2015
Received in revised form:
November 25,
2015
Received:
August 10,
2015
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.