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The Health Belief Model and Factors Relating to Potential Use of a Vaccine for Shigellosis in Kaeng Koi District, Saraburi Province, Thailand
Ist Teil von
Journal of health, population and nutrition, 2013-10, Vol.22 (2)
Ort / Verlag
Bangladesh: icddr,b
Erscheinungsjahr
2013
Link zum Volltext
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Shigellosis is an important cause of morbidity and mortality throughout
the world. Approximately, 1.1 million deaths occur a year due to this
disease, making it the fourth leading cause of mortality worldwide.
This paper explores local interest in and potential use of a vaccine
for shigellosis in Thailand where Shigella poses an important
public-health concern. Data for this study were collected during
June-November 2002 from 522 subjects surveyed using a sociobehavioural
questionnaire in Kaeng Koi district in central Thailand. The community
demand and likely use of a vaccine were examined in relation to the
Health Belief Model, which provides analytical constructs for
investigating the multiple issues of local readiness to accept and
access a new vaccine. As the key outcome variable, most respondents
showed interest in receiving a vaccine against dysentery which they
thought would provide useful protection against the disease. However,
there was only a moderate number who perceived dysentery as serious and
themselves as susceptible to it, although it was perceived to cause
some burden to and additional expense for families. Most people
identified a number of groups who were thought to be especially
vulnerable to dysentery, such as the elderly, pre-school, and
school-age children, and poor labourers. Other outcomes of the study
included the identification of acceptable and convenient sites for its
delivery, such as government health clinics and private clinics, and
respected sources for information about the vaccine, such as health
clinic personnel and community health volunteers. This information
suggests that components of the Health Belief Model may be useful in
identifying community acceptance of a vaccine and the means of
introducing it. This health information is important for planning and
implementing vaccine programmes.