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 |
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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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