Structural Equation Model of Factors Influencing the Behavior of Parents and Community Members in Bringing Children to Receive Vaccination in Pattani Province
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Abstract
This study aimed to test factors involving the structural equation model affecting the behavior of parents and community members in taking children aged 0–12 to get vaccinated. The sample consisted of 1,914 parents and community members in Pattani Province. The data were collected using questionnaires, the reliability of the Cronbach alpha coefficient is 0.79–1.00. Structural equation modeling (SEM) was performed using the LISREL software.
The results showed that the structural equation model had a good fit with the data (χ2 = 946.33, df = 87, p < 0.00, χ2/df = 10.88, CFI = 0.99, NNFI = 0.99, RMSEA = 0.07, SRMR = 0.03). Health communication had a direct effect on health literacy, attitudes toward vaccinations, and reference groups, with path coefficients of 0.96, 0.90, and 0.89, respectively. Attitudes toward receiving vaccinations, reference groups, and support factors had a direct effect on intention to vaccinate children aged 0–12 years, with significant path coefficients of 0.40, 0.12, and 0.42, respectively. The intention to vaccinate children had a direct effect on vaccination behavior in those children, with significant path coefficients of 1.00, whereas health literacy had no direct effect on the intention to vaccinate those children. The government sector can use the research results to collaborate with the public to promote vaccination behavior of children. Therefore, if the government provides appropriate health communication, fosters correct attitudes toward vaccination, and effectively reaches reference groups, it can encourage people to bring their children to receive vaccinations, which will enhance the effectiveness of vaccination programs in the southern border provinces of Thailand.
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