Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USA
Objective Vaccination is the most effective strategy for preventing infectious diseases, yet it is underused in young adults. College students are important targets for the influenza vaccine given this population’s low vaccination rates; however, limited research has focused on international college...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/12/e085377.full |
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| author | Charles Liu Jiying Ling ChengChing Liu Angela Chia-Chen Chen Nagwan Zahry Ravichandran Ammigan Loveleen Kaur |
| author_facet | Charles Liu Jiying Ling ChengChing Liu Angela Chia-Chen Chen Nagwan Zahry Ravichandran Ammigan Loveleen Kaur |
| author_sort | Charles Liu |
| collection | DOAJ |
| description | Objective Vaccination is the most effective strategy for preventing infectious diseases, yet it is underused in young adults. College students are important targets for the influenza vaccine given this population’s low vaccination rates; however, limited research has focused on international college students’ vaccination status. This study examined the relationships between the theory of planned behaviour (TPB; attitudes, perceived behavioural control (PBC) and subjective norms) and students’ intention of receiving an influenza vaccine.Design, setting and participants A cross-sectional study was conducted with a convenience sample of 222 domestic students recruited via Amazon Mechanical Turk and 197 international students recruited through the Registrar’s Office at a Midwest university.Results International students had higher levels of PBC, intention and attitudes towards receiving an influenza vaccine compared with domestic students. Being Hispanic (β=−5.33; 95% CI −9.84 to −0.81, p=0.021), up-to-date vaccination status (β=−1.60; 95% CI −2.99 to −0.17, p=0.028) and identifying as smokers (β=−2.94; 95% CI −5.72 to −0.15, p=0.039) significantly lowered college students’ intention. Attitudes (international: β=0.14; 95% CI 0.04 to 0.23, p=0.003; domestic: β=0.14; 95% CI 0.07 to 0.22, p<0.001), subjective norms (international: β=0.40; 95% CI 0.29 to 0.51, p<0.001; domestic: β=0.34; 95% CI 0.23 to 0.44 p<0.001), and PBC (international: β=0.09; 95% CI 0.004 to 0.18, p=0.042; domestic: β=0.10; 95% CI 0.01 to 0.19, p=0.019) were significantly associated with both domestic and international students’ intention of receiving an influenza vaccine.Conclusion Findings support the TPB’s potential utility to enhance domestic and international college students’ influenza vaccination rates. |
| format | Article |
| id | doaj-art-be25c4c078574595974b3cab32ab8f3f |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-be25c4c078574595974b3cab32ab8f3f2025-01-14T13:20:10ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-085377Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USACharles Liu0Jiying Ling1ChengChing Liu2Angela Chia-Chen Chen3Nagwan Zahry4Ravichandran Ammigan5Loveleen Kaur61 College of Nursing, Michigan State University, East Lansing, Michigan, USA1 College of Nursing, Michigan State University, East Lansing, Michigan, USA1 College of Nursing, Michigan State University, East Lansing, Michigan, USA1 College of Nursing, Michigan State University, East Lansing, Michigan, USA2 Education and Outreach, Division of Student Life & Engagement, Michigan State University, East Lansing, Michigan, USA3 Department of Communication, The University of Tennessee at Chattanooga, Chattanooga, Tennessee, USA4 University of Delaware, Newark, New Jersey, USAObjective Vaccination is the most effective strategy for preventing infectious diseases, yet it is underused in young adults. College students are important targets for the influenza vaccine given this population’s low vaccination rates; however, limited research has focused on international college students’ vaccination status. This study examined the relationships between the theory of planned behaviour (TPB; attitudes, perceived behavioural control (PBC) and subjective norms) and students’ intention of receiving an influenza vaccine.Design, setting and participants A cross-sectional study was conducted with a convenience sample of 222 domestic students recruited via Amazon Mechanical Turk and 197 international students recruited through the Registrar’s Office at a Midwest university.Results International students had higher levels of PBC, intention and attitudes towards receiving an influenza vaccine compared with domestic students. Being Hispanic (β=−5.33; 95% CI −9.84 to −0.81, p=0.021), up-to-date vaccination status (β=−1.60; 95% CI −2.99 to −0.17, p=0.028) and identifying as smokers (β=−2.94; 95% CI −5.72 to −0.15, p=0.039) significantly lowered college students’ intention. Attitudes (international: β=0.14; 95% CI 0.04 to 0.23, p=0.003; domestic: β=0.14; 95% CI 0.07 to 0.22, p<0.001), subjective norms (international: β=0.40; 95% CI 0.29 to 0.51, p<0.001; domestic: β=0.34; 95% CI 0.23 to 0.44 p<0.001), and PBC (international: β=0.09; 95% CI 0.004 to 0.18, p=0.042; domestic: β=0.10; 95% CI 0.01 to 0.19, p=0.019) were significantly associated with both domestic and international students’ intention of receiving an influenza vaccine.Conclusion Findings support the TPB’s potential utility to enhance domestic and international college students’ influenza vaccination rates.https://bmjopen.bmj.com/content/14/12/e085377.full |
| spellingShingle | Charles Liu Jiying Ling ChengChing Liu Angela Chia-Chen Chen Nagwan Zahry Ravichandran Ammigan Loveleen Kaur Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USA BMJ Open |
| title | Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USA |
| title_full | Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USA |
| title_fullStr | Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USA |
| title_full_unstemmed | Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USA |
| title_short | Determining the intention of receiving the influenza vaccine: a cross-sectional survey among international and domestic college students in the USA |
| title_sort | determining the intention of receiving the influenza vaccine a cross sectional survey among international and domestic college students in the usa |
| url | https://bmjopen.bmj.com/content/14/12/e085377.full |
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