The relationship between perceptions and self-paid hepatitis B vaccination: A structural equation modeling approach

Autor: Abram L. Wagner, Niazlin Mohd Taib, Subramaniam Munusamy, Harapan Harapan, Alias Radam, Khalid Ab Rahim, Mudatsir Mudatsir, Yogambigai Rajamoorthy
Rok vydání: 2018
Předmět:
Male
Gastroenterology and hepatology
Cross-sectional study
Social Sciences
01 natural sciences
Hepatitis
Geographical Locations
0302 clinical medicine
Sociology
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
Public and Occupational Health
030212 general & internal medicine
Vaccines
Medically Uninsured
Multidisciplinary
Vaccination
Discriminant Analysis
Middle Aged
Hepatitis B
Vaccination and Immunization
Infectious hepatitis
Infectious Diseases
Convergent validity
Social Systems
Medicine
Female
Behavioral and Social Aspects of Health
Algorithms
Research Article
Adult
Asia
Infectious Disease Control
Science
Immunology
Viral diseases
Disease cluster
Structural equation modeling
03 medical and health sciences
Willingness to pay
Humans
Hepatitis B Vaccines
0101 mathematics
Liver diseases
Behavior
010102 general mathematics
Malaysia
Discriminant validity
Biology and Life Sciences
Models
Theoretical
Cross-Sectional Studies
Negative relationship
People and Places
Patient Compliance
Preventive Medicine
Demography
Zdroj: PLoS ONE
PLoS ONE, Vol 13, Iss 12, p e0208402 (2018)
ISSN: 1932-6203
Popis: BackgroundMalaysia has a comprehensive, publicly-funded immunization program for hepatitis B (HepB) among infants, but adults must pay for the vaccine. The number of HepB carriers among adults is expected to increase in the future; therefore, we examined the impact of five constructs (cues to action, perceived barriers, perceived benefit, perceived severity, and perceived susceptibility) on adults' willingness to pay (WTP) for HepB vaccine; secondarily, we examined the association between perceived barriers and perceived benefits.MethodsAdults were selected through a stratified, two-stage cluster community sample in Selangor, Malaysia. The reliability, convergent validity, and discriminant validity of the measurement model were assessed before implementing a partial least squares structural equation model (PLS-SEM) to evaluate the significance of the structural paths.ResultsA total of 728 participants were enrolled. The five constructs all showed adequate internal reliability, convergent validity, and discriminant validity. There was a significant, positive relationship to WTP from constructs (perceived barriers [Path coefficient (β) = 0.082, P = 0.036], perceived susceptibility [β = 0.214, PConclusionsPolicy and programs should be targeted that can modify individuals' thoughts about disease risk, their obstacles in obtaining the preventive action, and their readiness to obtain a vaccine. Such programs include educational materials about disease risk and clinic visits that can pair HepB screening and vaccination.
Databáze: OpenAIRE
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