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The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study
BACKGROUND: Migrant workers are a susceptible population to the hepatitis b virus (HBV) and a vulnerable spot in China’s immunization procedures. There is no free HBV immunization program for migrant workers in China, so understanding migrant workers’ motivation to receive the HBV vaccine is the fir...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7418384/ https://www.ncbi.nlm.nih.gov/pubmed/32778075 http://dx.doi.org/10.1186/s12889-020-09292-2 |
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author | Liu, Cai Nicholas, Stephen Wang, Jian |
author_facet | Liu, Cai Nicholas, Stephen Wang, Jian |
author_sort | Liu, Cai |
collection | PubMed |
description | BACKGROUND: Migrant workers are a susceptible population to the hepatitis b virus (HBV) and a vulnerable spot in China’s immunization procedures. There is no free HBV immunization program for migrant workers in China, so understanding migrant workers’ motivation to receive the HBV vaccine is the first step in designing effective immunization policies. METHODS: A fully specified protection motivation theory (PMT) model of HBV vaccination intention among migrant workers was specified. Data were collected through a cross-sectional survey of 406 migrant workers in three migrant-dense industries in Tianjin, China. Principal component factor analysis was used to produce PMT factors and nested binary logistic regression modeling was applied to assess the associations between protection motivation and HBV vaccination intention of migrant workers. RESULTS: The nested binary logistic regression model suggested that the severity factor and self-efficacy factor were positively related to HBV vaccination intention (OR = 2.15, 95% CI: 1.25–3.71; OR = 2.75, 95% CI: 1.62–4.66) while the response costs was negatively related to the HBV vaccination motivation (OR = 0.50, 95% CI: 0.29–0.83). The socio-demographic variables showed that younger, married and good self-rated health status participants were statistically associated with the intention of taking the HBV vaccine. Sex, education level and income group were not significantly associated with vaccination intention. The migrant-industry variables showed that migrant location had a strong effect on migrant workers’ vaccination intention. CONCLUSION: Socio-demographic, migrant-industry variables and PMT factors (severity, self-efficacy and response costs) were statistically associated with migrant workers’ intention to vaccinate. Our results suggest that health policy makers should provide more information to migrants on HBV severity; inform migrant workers on where, when and how to get the HBV vaccine; tap into work organizations as a location for vaccinations; and identify migrant worker subgroups for targeted interventions. |
format | Online Article Text |
id | pubmed-7418384 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74183842020-08-12 The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study Liu, Cai Nicholas, Stephen Wang, Jian BMC Public Health Research Article BACKGROUND: Migrant workers are a susceptible population to the hepatitis b virus (HBV) and a vulnerable spot in China’s immunization procedures. There is no free HBV immunization program for migrant workers in China, so understanding migrant workers’ motivation to receive the HBV vaccine is the first step in designing effective immunization policies. METHODS: A fully specified protection motivation theory (PMT) model of HBV vaccination intention among migrant workers was specified. Data were collected through a cross-sectional survey of 406 migrant workers in three migrant-dense industries in Tianjin, China. Principal component factor analysis was used to produce PMT factors and nested binary logistic regression modeling was applied to assess the associations between protection motivation and HBV vaccination intention of migrant workers. RESULTS: The nested binary logistic regression model suggested that the severity factor and self-efficacy factor were positively related to HBV vaccination intention (OR = 2.15, 95% CI: 1.25–3.71; OR = 2.75, 95% CI: 1.62–4.66) while the response costs was negatively related to the HBV vaccination motivation (OR = 0.50, 95% CI: 0.29–0.83). The socio-demographic variables showed that younger, married and good self-rated health status participants were statistically associated with the intention of taking the HBV vaccine. Sex, education level and income group were not significantly associated with vaccination intention. The migrant-industry variables showed that migrant location had a strong effect on migrant workers’ vaccination intention. CONCLUSION: Socio-demographic, migrant-industry variables and PMT factors (severity, self-efficacy and response costs) were statistically associated with migrant workers’ intention to vaccinate. Our results suggest that health policy makers should provide more information to migrants on HBV severity; inform migrant workers on where, when and how to get the HBV vaccine; tap into work organizations as a location for vaccinations; and identify migrant worker subgroups for targeted interventions. BioMed Central 2020-08-10 /pmc/articles/PMC7418384/ /pubmed/32778075 http://dx.doi.org/10.1186/s12889-020-09292-2 Text en © The Author(s). 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Liu, Cai Nicholas, Stephen Wang, Jian The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study |
title | The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study |
title_full | The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study |
title_fullStr | The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study |
title_full_unstemmed | The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study |
title_short | The association between protection motivation and hepatitis b vaccination intention among migrant workers in Tianjin, China: a cross-sectional study |
title_sort | association between protection motivation and hepatitis b vaccination intention among migrant workers in tianjin, china: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7418384/ https://www.ncbi.nlm.nih.gov/pubmed/32778075 http://dx.doi.org/10.1186/s12889-020-09292-2 |
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