评估家长对儿童维生素A补充的理解和观点:使用健康信念模型进行定量研究
Tulika Singh1, Sanjay Kumar2, Setu Sinha3
1Associate Professor, Department of Community Medicine, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Indian journal of public health
|March 7, 2026
概括
父母对易感性,益处,障碍和自我有效性的看法预测了对维生素A补充剂 (VAS) 的坚持. 提高意识和信心可以增加儿童的VAS吸收.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 健康 行为 健康行为
背景情况:
- 维生素A缺乏 (VAD) 是发展中国家可预防的儿童失明和发病的主要原因.
- 维生素A补充剂 (VAS) 是一种有效的干预措施,但父母的坚持往往不理想.
- 父母的看法对VAS程序的采用有很大的影响.
研究的目的:
- 确定家长对9-59个月的儿童维生素A补充剂 (VAS) 的坚持的关键预测因素.
- 利用健康信念模型 (HBM) 框架来了解影响VAS坚持的因素.
- 通过更好的VAS合规,为改善儿童健康结果提供有针对性的干预信息.
主要方法:
- 一项涉及免疫中心256名家长的横截面研究.
- 通过验证的问卷来收集数据,评估知识和HBM构造.
- 后勤回归分析以确定VAS坚持的重要预测因素.
主要成果:
- 高感知易感性 (AOR=33.48) 和益处 (AOR=8.82) 是坚持的强有力的预测因素.
- 较少的感知障碍 (AOR=96.05) 和更高的自我有效性 (AOR=8.47) 显著提高了VAS吸收.
- 在这个队列中,感知到VAD的严重程度并不是一个显著的预测因素.
结论:
- 父母对易感性,益处和障碍的信念对于VAS坚持至关重要.
- 提高家长的自我效能和解决感知障碍是改善VAS采用的关键策略.
- 公共卫生倡议应侧重于加强对抗维生素A缺乏症的认识和家长信心.
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