J Korean Matern Child Health .  2025 Jan;29(1):8-20. 10.21896/jkmch.2025.29.1.8.

Factors Affecting Parents’ Influenza Vaccination Intentions for Their Adolescent Children

• Byun JJ
• Im YJ

• KMID: 2565266
• DOI: http://doi.org/10.21896/jkmch.2025.29.1.8

Abstract

Purpose
Adolescence involves parental health management, with parents or guardians often making decisions regarding vaccination. This study assessed how parents’ knowledge, attitudes, and health beliefs about influenza vaccination influenced their intentions to vaccinate their adolescent children.
Methods
This descriptive survey was approved by the Institutional Review Board of Kyung Hee University for use between December 1 and 31, 2022. Parents of adolescents aged 13–19 years were surveyed face-to-face and online using a modified tool to evaluate their vaccination intentions, knowledge, attitudes, and health beliefs regarding their children’s influenza vaccination. The analysis included 149 responses and involved methods such as calculating means, standard deviations, t-tests, analyses of variance, Scheffe tests, correlations, and hierarchical regressions.
Results
On a 7-point scale, the mean score for parental intention to vaccinate their adolescents was 4.99±1.24. Hierarchical regression analysis revealed that positive attitudes towards influenza vaccination, television and radio information, and perceived benefits influenced children’s vaccination intentions, with positive parental attitudes being the most significant factor. The independent variables accounted for 66.7% of the variance in vaccination intentions.
Conclusion
To improve parental intentions to vaccinate adolescent children against influenza, promoting vaccination benefits and safety through the media is crucial to enhance favorable attitudes. Initiatives that strengthen positive parental attitudes towards influenza vaccination and increase awareness of its benefits can effectively boost vaccination intentions.

Keyword

Influenza A virus; Vaccination; Parenting; Health; Adolescence

Reference

Ajzen I. The theory of planned behavior: frequently asked question. Hum Behav Emerg Technol. 2020. 2:314–24.

Allen JD., Othus MK., Shelton RC., Li Y., Norman N., Tom L, et al. Parental decision making about the HPV vaccine. Cancer Epidemiol Biomarkers Prev. 2010. 19:2187–98.

Centers for Disease Control and Prevention. Trends in public perception and policy satisfaction on vaccination. Atlanta (GA): Centers for Disease Control and Prevention;2012.

Cha KS., Ryu SY., Kim KM., Wie SH., Shin WS. Healthcare worker's knowledge and attitude about influenza vaccination at the university hospital. Korean J healthc assoc Infect Control Prev. 2005. 10:87–95. https//doi.org/10.14192/kjicp.2005.10.2.87.

Cho HK., Jeong JS., Moon SM., Kim MN. Current immunization status and factors affecting the influenza vaccination in kidney transplant patients. J Korean Biol Nurs Sci. 2016. 18:118–25. https://doi.org/10.7586/jkbns.2016.18.2.118.

Cho HS. A study of factors related to vaccination in high-risk groups for influenza. Korean Soc Health Promot. 2002. 19:127–38.

Choi JS., Choi JS., Park SM. Relationship of nurses' knowledge, attitude and practice in an influenza A (H1N1) base-zone hospital. Clin Nurs Res. 2019. 15:85–94. https://doi.org/10.22650/JKCNR.2009.15.3.85.

Choi JS., Yang NY. Relationship between knowledge, attitudes and preventive behavior practices of H1N1 influenza a (H1N1) perceived by some college students. J Adult Nurs Soc. 2010. 22:250–9.

Favin M., Steinglass R., Banerjee K., Sawhney M. Why children are not vaccinated: a review of the grey literature. Int Health. 2012. 4:229–38. https://doi.org/10.1016/j.inhe.2012.07.004.

Fiore AE., Uyeki TM., Broder K., Finelli L., Euler GL., Singleton JA, et al. Prevention and control of influenza with vaccines: recommen-dations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recomm Rep. 2010. 59(RR-8):1–62. Erratum in: MMWR Recomm Rep. 2010 Aug 13;59(31): 993. Erratum in: MMWR Recomm Rep. 2010 Sep 10;59(35): 1147.

Hwang HJ. Factors influencing the intention of child care teachers to vaccinate influenza [master's thesis]. Suwon (Korea): Ajou University;2019.

Jeong SR., Kim YM., Kim KH., Nam HM., Lee WK. Factors affecting herpes zoster vaccination in adults. J Soc Health Med Sci. 2018. 12:63–73. https://doi.org/10.12811/kshsm.2018.12.2.063.

Jung HJ., Son JW., Choi SJ., Jung ES., Woo HJ., Chun BC, et al. Factors related to influenza vaccination compliance among workers at a university hospital. Infect Chemother. 2004. 36:213–8.

Kelminson K., Saville A., Seewald L., Stokley S., Dickinson LM., Daley MF, et al. Parental views of school-located delivery of adolescent vaccines. J Adolesc Health. 2012. 51:190–6.

Kim MJ. The convergence study of nursing student's knowledge, attitude and preventive behaviors against MERS in South Korea. J. Korea Converg Soc. 2017. 8:149–57. http://dx.doi.org/10.15207/JKCS.2017.8.4.149.

Kim RY. Factors related to influenza vaccination of airline cabin crew applying the planned behavior theory, [master's thesis]. Seoul (Korea): Yonsei University;2021.

Kim YC., Choi YH. Current status and prospects of epidemiology in Korea. Korean J Med. 2019. 94:237–45.

Korea Disease Control and Prevention Agency. Epidemiology and management of infectious diseases subject to (influenza). Cheongju (Korea): Korea Disease Control and Prevention Agency;2017. p. 1–166. https://kdca.go.kr/filepath/boardSyview.es/?bid=0019&list_no=138076&seq=146%22kdca.go.kr/filepath/boardSyview.es?bid=0019&list_no=138076&seq=146.

Lee BK., Son YG., Lee SR., Yoon MY., Kim MH., Kim CR. An efficacy of social cognitive theory to predict health behavior a meta-analysis on the health belief model studies in Korea. Public Relat Stud. 2014. 18:163–206. https://doi.org/10.15814/jpr.2014.18.2.163.

Lee EJ. Personal and parental factors influencing influenza vaccination in adolescents: based on the 6th korea national health and nutrition examination survey. J Korean Soc Converg. 2017. 8:151–8. https://doi.org/10.15207/JKCS.2017.8.11.151.

Lee MH., Kang HS., Lee GY. Knowledge, attitude, and motivation of human papillomavirus vaccination among Korean women. J Korean Data Anal Socy. 2010. 12:1365–77.

Lee SG., Jeon SY. Factors associated with DTaP, Hib and PCV 4th dose booster vaccination coverage rate. J Korean Soc Matern Child Health. 2015. 19:265–78. https://doi.org/10.21896/jksmch.2015.19.2.265.

Moon JS. A study on the development of health confidence measure-ment tools for adults. Seoul (Korea). Yonsei University. a doctoral dissertation;. 1990.

National Health Insurance Service. A health insurance researcher Wonju (Korea) National Health Insurance Service 2020 National Health Insurance Service. There are manypatients in their 20s or younger (69.5% of the total), and 71.9% in winter [internet]. Wonju (Korea): National Health Insurance Service;2020. [cited 2020 Nov 9]. Available from: https://www.nhis.or.kr/nhis/together/wbhaea01600m01.do?mode=view&articleNo=10802324.

National Statistical Office. National statistical portal statistics portal statistics table, Number of deaths by cause [Internet]. Daejeon (Korea): Statistics Korea;2022. [cited 2023 Jun 5]. Available from: https://kosis.kr/statHml/statHtml.do?orgId=101&tbIID=DT_1B34E07&markTy/.

Park MB., Kim CB. Factors influencing on influenza vaccination coverage. J Korea Content Assoc. 2013. 13:300–11. https://doi.org/10.5392/JKCA.2013.13.04.300.

Park SM., Jang IS. Factors influencing practice and intention of hpv vaccination among adolescent daughter's mothers: focusing on HPV knowledge and sex-related communication. J Korean Soc Sch Health. 2017. 30:93–102. http://dx.doi.org/10.15434/kssh.2017.30.2.93.

Sales JM., Painter JE., Pazol K., Gargano LM., Orenstein W., Hughes JM, et al. Rural parents' vaccination-related attitudes and intention to vaccinate middle and high school children against influenza following educational influenza vaccination intervention. Hum Vaccin. 2011. 7:1146–52.

Simonsen L., Viboud C., Taylor R. Influenza vaccination in elderly people. Lancet. 2005. 366:2086–112.

Smith PJ., Humiston SG., Marcuse EK., Zhao Z., Dorell CG., Howes C, et al. Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the Health Belief Model. Public Health Rep. 2011. 126(Suppl 2(Suppl 2)):135–46.

Son JA., Yang YR., Park JH. Factors influencing compliance for influenza infection control by nurses. J Korean Acad Fundam Nurs. 2016. 23:161–71. https://doi.org/10.7739/jkafn.2016.23.2.161.

Toy WC., Janosky JE., Laird SB. Influenza immunization of medical residents: knowledge, attitudes, and behaviors. Am J Infect Control. 2005. 33:473–5.

Yang ZJ. Predicting young adults' intentions to get the H1N1 vaccine: an integrated model. J Health Commun. 2015. 20:69–79.

Yoon SH., Lee HY., Kim HU., Gong KA., Kim KH. Adolescents' and parental knowledge, health beliefs toward hepatitis a vaccination. Korean J Pediatr Infect Dis. 2013. 20:147–60. https://doi.org/10.14776/kjpid.2013.20.3.147.