Multi-centre study on cultural dimensions and perceived attitudes of nurses towards influenza vaccination uptake

K O Kwok; K K Li; S S Lee; P H Y Chng; V W I Wei; N H Ismail; N Mosli; D Koh; A Lai; J W Lim

doi:10.1016/j.jhin.2018.11.017

Multi-centre study on cultural dimensions and perceived attitudes of nurses towards influenza vaccination uptake

J Hosp Infect. 2019 Jul;102(3):337-342. doi: 10.1016/j.jhin.2018.11.017. Epub 2018 Nov 28.

Authors

K O Kwok¹, K K Li², S S Lee³, P H Y Chng⁴, V W I Wei⁵, N H Ismail⁶, N Mosli⁶, D Koh⁷, A Lai⁸, J W Lim⁹

Affiliations

¹ The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China; Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong, China; Shenzhen Research Institute of the Chinese University of Hong Kong, Shenzhen, China. Electronic address: kkokwok@cuhk.edu.hk.
² Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China.
³ Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
⁴ Nursing Administration (Infection Control), Yishun Community Hospital, Singapore.
⁵ The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
⁶ Occupational Health Division, Public Health Services, Ministry of Health, Brunei Darussalam.
⁷ PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam; NUS Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
⁸ Occupational Health Division, Public Health Services, Ministry of Health, Brunei Darussalam; PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.
⁹ NUS Saw Swee Hock School of Public Health, National University of Singapore, Singapore; Health for Life Center, Khoo Teck Puat Hospital (KTPH), Singapore.

PMID: 30500386
DOI: 10.1016/j.jhin.2018.11.017

Abstract

This study explored how cultural values affected Health Belief Model (HBM) components and the influenza vaccine uptake among nurses across three Asian populations using a survey conducted in 2017 (N = 3971). The vaccination coverages were 33.5% (Brunei), 35.6% (Hong Kong) and 69.5% (Singapore). Three HBM components (perceived susceptibility, perceived benefits and cues to action) were positively associated with vaccination. A direct negative link and an indirect positive link via HBM were observed between collectivism and vaccination, whereas a negative indirect link via HBM between power distance and vaccination was observed. Cultural values, notably collectivism, advanced HBM to study nurses' vaccination.

Keywords: Cultural values; Health belief model; Influenza vaccination.

Publication types

Multicenter Study

MeSH terms

Adolescent
Adult
Aged
Aged, 80 and over
Brunei
Cross Infection / prevention & control
Cross-Sectional Studies
Culture*
Disease Transmission, Infectious / prevention & control
Female
Health Knowledge, Attitudes, Practice*
Hong Kong
Humans
Influenza, Human / prevention & control*
Influenza, Human / transmission
Male
Middle Aged
Nurses / psychology*
Singapore
Vaccination / psychology*
Vaccination Coverage*
Young Adult