Factors influencing seasonal influenza vaccination behaviour among elderly people: a systematic review

被引:96
|
作者
Kan, T. [1 ]
Zhang, J. [1 ]
机构
[1] Second Mil Med Univ, Sch Nursing, 800 Xiangyin Rd, Shanghai 200433, Peoples R China
关键词
Seasonal influenza; Vaccination; Elderly; Health behaviour; Systematic review; HEALTH BELIEF MODEL; HONG-KONG; ADULTS INTENTIONS; UNITED-STATES; OLDER-PEOPLE; IMMUNIZATION; DETERMINANTS; ASSOCIATION; KNOWLEDGE; ATTITUDES;
D O I
10.1016/j.puhe.2017.12.007
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: To explore the behaviour-related factors influencing influenza vaccination among elderly people using a framework derived from the Health Belief Model (HBM) and the Theory of Reasoned Action (TRA). Study design: Systematic review. Methods: Five databases were searched using predetermined strategies in March 2016, and 1927 citations were identified. Articles were selected according to inclusion and exclusion criteria. Key information was extracted from selected studies using a predesigned sheet. Both authors assessed study quality using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) or Critical Appraisal Skills Programme (CASP) checklist. Results: Thirty-six articles were selected. A new framework was proposed that contributes to shared understanding of factors influencing health behaviour. Possible determinants of influenza vaccination among elderly people were knowledge, health promotion factors, all constructs of the HBM, and some concepts of the TRA. Key factors were threat perception, behavioural beliefs, subjective norms, recommendations, past behaviour and perceived barriers. Conclusions: This is the first systematic review to analyse the factors influencing influenza vaccination behaviour of elderly people using a framework integrating the HBM and the TRA. The framework identified key factors of influenza vaccination and presented the inter-relation of behaviour-related variables. However, further well-designed studies are required to explore the inter-relationships accurately and comprehensively. (C) 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:67 / 78
页数:12
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