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KMID : 0377519840090040633
Chung-Ang Journal of Medicine
1984 Volume.9 No. 4 p.633 ~ p.651
A Study on the Influencing Factors on Acceptance of Hepatitis-Vaccination
Kim Eun-Hee

Lee Mi-La
Abstract
Recently, incidences of many epidemic disease which had been prevalent in older days, was decreased by development of medicine, but new epidemic disease has appeared.Now, incidence of viral hepatitis type B is increasing in Korea, and 10¡­20% of total population is regarded as carrier. So every efforts to increase the rate of vaccination for hepatitis is needed. Whether one accept the health behavior such as acceptance of vaccination or not is determined by one¡¯s perception, and health belief model was developed to explore the relationship between health belief and health behavior. This study was made to find the influencing factors on acceptance of hepatitis vaccination and increment of the vaccination rate. The subject were 105 people, who got hepatitis-B vaccination shot(compliant group), and 120 people who did not get hepatitis-B vaccination shot(non compliant group). The instruments used for this study was developed by researcher on the basis of results of literature review. Analysis of the data was done by means of x^2-test, t-test and Pearson¡¯s product moment correlation. The results of this study were as follows; The first hypothesis that the perceived susceptibility of the hepatitis vaccination compliant group would be higher than that of the noncompliant group was supported (r=-2.2822, df=223.0, p£¼.05) The second hypothesis that the perceived severity of the hepatits vaccination compliant group would be higher than that of the noncompliant group was not supported(t=0.7270, df=223.0, p£¼.05) The third hypothesis that the perceived benefit of the hepatitis vaccination compliant group would be higher than that of the noncompliant group was not supported(t=-0.7080 df=223.0, p£¾.05) The fourth hypothesis that the perceived barrier of the hepatitis vaccination compliant group would be higher than that of the noncompliant group was not supported.(t=0.3997, df=223.0, p£¾.05) The fifth hypothesis that the knowledge of the hepatitis of the hepatitis vaccination compliant group would be higher than that of the noncompliant group was supported(t=-3.8941, df=220.1, p£¼.001) The sixth hypothesis that the concern on health of the hepatitis vaccination compliant group would be higher than that of the noncompliant group was not supported(t=-1.6723, df=223.0, p£¾.05) The seventh hypothesis that the advice from others of the hepatitis vaccination compliant group would be higher than that of the noncompliant group was supported(t=-3.9455, df=223.0, p£¼.001.) Correlation among variables of the compliant group was as follows: suceptibility and severity(r=0.39060, p£¼.001), suceptibility and benefit(r=0.20604, p£¼.05), suceptibility and knowledge(r=0.30068, p£¼.01), suceptibility and concerns on health(r=0.30606, p£¼.01), severity and benefit(r=0.48017, p£¼.001), severity and barrier(r=0.30396, p£¼.01), severity and concern on health(r=0.46031, p£¼.001), benefit and knowledge(r=0.23755, p£¼.05), benefit and concern on health(r=0.26538, p£¼.01), barrier and concern on health(r=0.28118, p£¼.01) barrier and advice from others(r=0.195447, p£¼.05), knowledge and concerns on health(r=0.22217, p£¼.05) were positively correlated. Correlation among variables of the noncompliant group was follows; suceptibility and severity(r=0.24620, p£¼.01) suceptibility and benefit(r=0.23775, p£¼.01), suceptibility and advice from others(r=0.22113, p£¼.05) severity and benefit(r=0.39081, p£¼.001) severity and concern on health(r=0.28168, p£¼.01), benefit and concern on health(r=0.54249, p£¼.001) benefit and advice from others(r=0.26470, p£¼.01), concern on health and advice from others(r=0.35606, p£¼.001) were positively correlated. Results of this study can be applied to nursing practice in this way: The compliance rate of hepatitis vaccination shot may be increased by nursing intervention to increase the perceived suceptibility, knowledge and advice from others. People who have lower educational levels need more nursing interventions to promote hepatitis vaccination shot than any other people. Suggestions for futher studies are as follows: 1. If one want to use health belief model to explain preventive health behavior, one would be better to include other variables such as knowledge and advice from others. 2. A study to find the effect of nursing intervention of giving knowledge to increase suceptibility in needed. 3. A study to find the influencing factors on acceptance of hepatitis vaccination of those who had the higher educational levels in needed.
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