A study on Infants' Acceptance of Hepatitis B Vaccine - Health Education Planning, Intervention & Evaluation
Date Issued
1988-08
Date
1988-08
Author(s)
Yen, Han-Wen
Yen.Lee-Lan
Chiang, Yung-Shung
Abstract
探討台灣地區在全面實施新生兒B型肝炎預防注射後，台灣地區新生兒接受注射之實際情況及影響此一行為之衛生教育判斷。前一年在了解衛生人員對提高新生兒B型肝炎預防注射率的態度和行為及現有衛生教育宣導資訊情形。第二年在了解新生兒母親對新生兒B型肝炎預防注射之認知、態度和行為及影響因素。
研叫對象之選取，以第一年所抽取之地區：2鄉(台中縣大里鄉、太平鄉)，2鎮(苗栗縣竹南鎮、苑裡鎮)，2縣轄市(南投市、新營市)，2區(台北市木柵區、南港區)，為研究地區，再將該地區內75年7月1日至75年12月31日之間生產的婦女，隨機抽取十分之一，約六百四十人為研究對象。以訪視問卷收集資料，結果如下：
1.新生兒母親B型肝炎知識測驗答對率為63.67%，不理想。
2.新生兒母親對B型肝炎的態度是正向的(五分量表得分4.04分)
3.以單因子變異數分析檢定新生兒母親在B型肝炎知識、態度各項得分與各自變項之關係發現：不同教育程度組在B型肝炎一般知識、疫苗知識、知識總分、嚴重態度、自我接受態度及態度總分上多有顯著差異。
4.新生兒母親產前B型肝炎檢查率達96.9%，但大多數的新生兒母親並不清楚她們的檢查結果。
5.新生兒母親對於B型肝炎的主要意見來源為「丈夫」，主要的傳播媒體為「電視宣導」。
In Taiwan, the carrier rate of the hepatitis B surface antigen (HBeAg) is 15-20 per 100 population, and least 40% of these carriers are infected by their mothers during early life. These carriers are at increased risk of chronic liver disease. Approximately 90% of the infants of infected mothers become carriers.
In order to eliminate the chance of "mother to infant transmission" and to reduce the carrier rates in Taiwan, an islandwide hepatitis B vaccine immunization program has been designed and implemented for newborn infants by free charge since July, 1986.
The purpose of this study was to examine the factors which might inhibit the feasibility of the immunization program, amd the education needs which might improve the efficiency of the intervention program. To achieve this goal, educational assessment was carried out in this paper.
Eight communities consisiting of 2 villiages, 2 towns, 2 cities, and 2 urban areas within a metropolis were selected. In the study, we randomly selected 640 mothers of newborn infants from the above communities. Data regarding the knowledge, attitude and practice of those mothers were collected and analyzed.
Only 63.75% of those newborn infants' mothers answered correctly on hepatitis B knowledge test. Their knowledge were mainly from "television". Their attitudes toward the program were positive. "Husband and parents" were considered to be the most important opinion sources by respondents. Ninety-four percent of mothers had never been attended to any activities of hepatitis B education before.
The injection rate obtained from our survey tends to be higher than the injection rate recorded by nurses in the Health Bureaus. Furthermore, analysis of variance was used to examine the differences among the mothers' knowledge, attitude and practice with respect to selected independent variables.
SDGs
Description
主持人：晏涵文
協同主持人：李蘭、江永盛
協同主持人：李蘭、江永盛
Type
report