碩士 / 慈濟大學 / 公共衛生研究所 / 97 / Quite a few papers show that influenza vaccinations have thus far become the most effective way to reduce the impact of influenza. In 1998, Taiwan initiated a pioneer project to provide free of charge Influenza Vaccinations for the high risk group of elderly persons over 65 years of age, and in 2003, extended the scope to include vaccinations to poultry and livestock workers. Though the policy had eliminated any financial barriers, the rate of vaccination among poultry and livestock workers was only 50.4%, based on data from the Center for Disease Control, R.O.C. statistics report for 2007. Among Taiwan’s counties, Hualien’s rate is lower than average at 31.2%. In this study, we sought to discover the relevant factors affecting the rate of influenza vaccinations among poultry and livestock workers in Hualien County. We expect this study will provide to the Bureau of Health data which facilitates influenza vaccinations and maximizes the policy benefit.
The candidates in this study came from the Bureau of Health’s 2007 list of poultry and livestock workers in Hualien County. The research data was generated by all the 202 listed poultry and livestock workers from Hualien City, Chi-an, and Shoufong townships. To avoid bias from the inconsistency of interviewers’ questioning style, the author personally interviewed each candidate with a structured questionnaire. These data were analyzed using descriptive statistics, t-test, one way ANOVA, Pearson’s correlation, and multiple regression analysis.
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, and only an average of 7.4％ of Hualien’s poultry and livestock workers are vaccinated each year. The primary factors affecting influenza vaccination rates for poultry and livestock workers were: education level (F=3.965，p=.005), regular exercise (F=9.183，p=.000), self-rated health (F=3.537，p=.017), and high-risk disease(t=-4.925，p=.000), among others. On the other hand, gender, age, marital status, monthly household income, and the frequency of smoking, drinking and common cold showed no statistically significant impact.
In the independent variables of health belief, perceived severity(r=.159，p=.065), perceived susceptibility (r=.261，p=.002), perceived benefits (r=.529，p=.000) had significantly positive correlations with influenza vaccination rates, whereas perceived medical facility barriers (r=.440，p=.000), perceived effective barriers (r=.343，p=.000) had significantly negative correlations with influenza vaccination. Moreover, perceived benefits, perceived medical facility barriers and perceived effective barriers can effectively predict the influenza vaccination rate for poultry and livestock workers.
The results of multiple regression analysis revealed that self-efficacy is the major independent variable in predicting influenza vaccination rates for poultry and livestock workers. Within the category of social supports, the relatives’ support (r=.676，p=.000) had a higher correlation than that of group support (r=.245，p=.000) in predicting influenza vaccination rates. It shows that the major channel of support for receiving influenza vaccinations among poultry and livestock workers comes from family or colleagues, and the secondary channels were the agricultural and health authorities.
As a recommendation, one should make use of the agricultural authority’s channel in promoting the benefit of influenza vaccinations to the employers of registered poultry and livestock workers. However, in addition to sending postcard reminders, As a means to reduce the time barriers and to facilitate use of such medical services, health authorities could set up a designated timeframe (such as holidays or evenings) at local clinics, so that poultry and livestock workers could receive their vaccinations quickly and intensively.
| Identifer | oai:union.ndltd.org:TW/097TCU05058010 |
| Creators | Rui-Hui Chan, 詹瑞慧 |
| Contributors | Cheng-I Chu, 朱正一 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 120 |
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