儿童计划免疫行为改变通径模型分析

目的 构建儿童计划免疫行为改变通径模型,探讨少数民族地区儿童计划免疫的影响因素及行为改变模式.方法 在贵州省黔东南州实施儿童计划免疫信息、教育与传播(IEC)策略的3个试点县进行终末评估,采用分层整群随机抽样方法,采用自行设计的调查问卷;调查2岁～儿童母亲291人;根据调查数据,应用通径分析方法,建立儿童计划免疫行为改变通径分析模型.结果 被调查母亲在有关计划免疫知识、态度、行为意向、突变管理能力、社会支持、计划免疫行为上的得分依次为39.70,11.80,11.82,11.10,10.60,28.30.各变量对于儿童计划免疫行为的决定系数(R2)分别为0.4477,0.2813,0.2125,0.3990,0.2435,0.1161.绪论计划免疫行为受IEC策略、知识、态度、行为意向、突变管理能力、社会支持以及一般人口社会学特征的影响,并且这些影响因素之间也存在相互作用.

Integrated application of behavior change theories in IEC strategies on children's Immunization

Objective A new behavior change path model was built to explore the influencing factors and behavior change model on children's immunization in minority areas. Methods With stratified-cluster random sampling, villages were selected in 3 intervention counties and 291 mothers with children under 2 years old were surveyed using self-designed questionnaire. Path analysis was used to build a behavior change model on children's immunization. Results The mothers' scores of knowledge, attitudes, intents, emergency management, social support and immunization behaviors were 39.7,11.8, 11.82,11.1,10.6, and 28.3, respectively. The behaviors of children's immunization were influenced by information, educa-tion and communication (IEC) strategies, knowledge, attitudes,intents, emergency management, social support and some de-mographic and social characteristics, and those factors were also interacdonal. Conclusion Individuals ' public and social factors should be taken into account for effective strategies to improve children's immunization.