The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach
Background: Malaysia has a comprehensive, publicly-funded immunization program for hepatitis B (HepB) among infants, but adults must pay for the vaccine. The number of HepB carriers among adults is expected to increase in the future; therefore, we examined the impact of five constructs (cues to acti...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science
2018
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| Online Access: | http://psasir.upm.edu.my/id/eprint/74261/ http://psasir.upm.edu.my/id/eprint/74261/1/The%20relationship%20between%20perceptions%20and%20self-paid%20hepatitis%20B%20vaccination.pdf |
| _version_ | 1848857465367560192 |
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| author | Rajamoorthy, Yogambigai Radam, Alias Mohd Taib, Niazlin Ab Rahim, Khalid Wagner, Abram Luther Mudatsir, Mudatsir Munusamy, Subramaniam Harapan, Harapan |
| author_facet | Rajamoorthy, Yogambigai Radam, Alias Mohd Taib, Niazlin Ab Rahim, Khalid Wagner, Abram Luther Mudatsir, Mudatsir Munusamy, Subramaniam Harapan, Harapan |
| author_sort | Rajamoorthy, Yogambigai |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Background: Malaysia has a comprehensive, publicly-funded immunization program for hepatitis B (HepB) among infants, but adults must pay for the vaccine. The number of HepB carriers among adults is expected to increase in the future; therefore, we examined the impact of five constructs (cues to action, perceived barriers, perceived benefit, perceived severity, and perceived susceptibility) on adults' willingness to pay (WTP) for HepB vaccine; secondarily, we examined the association between perceived barriers and perceived benefits. Methods: Adults were selected through a stratified, two-stage cluster community sample in Selangor, Malaysia. The reliability, convergent validity, and discriminant validity of the measurement model were assessed before implementing a partial least squares structural equation model (PLS-SEM) to evaluate the significance of the structural paths. Results: A total of 728 participants were enrolled. The five constructs all showed adequate internal reliability, convergent validity, and discriminant validity. There was a significant, positive relationship to WTP from constructs (perceived barriers [Path coefficient (β) = 0.082, P = 0.036], perceived susceptibility [β = 0.214, P<0.001], and cues to action [β = 0.166, P<0.001]), and the model all together accounted for 8.8% of the variation in WTP. There was a significant, negative relationship between perceived barriers and perceived benefit [β = -0.261, P<0.001], which accounted for 6.8% of variation in perceived benefit. Conclusions:
Policy and programs should be targeted that can modify individuals' thoughts about disease risk, their obstacles in obtaining the preventive action, and their readiness to obtain a vaccine. Such programs include educational materials about disease risk and clinic visits that can pair HepB screening and vaccination. |
| first_indexed | 2025-11-15T11:57:59Z |
| format | Article |
| id | upm-74261 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T11:57:59Z |
| publishDate | 2018 |
| publisher | Public Library of Science |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-742612020-04-02T06:35:22Z http://psasir.upm.edu.my/id/eprint/74261/ The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach Rajamoorthy, Yogambigai Radam, Alias Mohd Taib, Niazlin Ab Rahim, Khalid Wagner, Abram Luther Mudatsir, Mudatsir Munusamy, Subramaniam Harapan, Harapan Background: Malaysia has a comprehensive, publicly-funded immunization program for hepatitis B (HepB) among infants, but adults must pay for the vaccine. The number of HepB carriers among adults is expected to increase in the future; therefore, we examined the impact of five constructs (cues to action, perceived barriers, perceived benefit, perceived severity, and perceived susceptibility) on adults' willingness to pay (WTP) for HepB vaccine; secondarily, we examined the association between perceived barriers and perceived benefits. Methods: Adults were selected through a stratified, two-stage cluster community sample in Selangor, Malaysia. The reliability, convergent validity, and discriminant validity of the measurement model were assessed before implementing a partial least squares structural equation model (PLS-SEM) to evaluate the significance of the structural paths. Results: A total of 728 participants were enrolled. The five constructs all showed adequate internal reliability, convergent validity, and discriminant validity. There was a significant, positive relationship to WTP from constructs (perceived barriers [Path coefficient (β) = 0.082, P = 0.036], perceived susceptibility [β = 0.214, P<0.001], and cues to action [β = 0.166, P<0.001]), and the model all together accounted for 8.8% of the variation in WTP. There was a significant, negative relationship between perceived barriers and perceived benefit [β = -0.261, P<0.001], which accounted for 6.8% of variation in perceived benefit. Conclusions: Policy and programs should be targeted that can modify individuals' thoughts about disease risk, their obstacles in obtaining the preventive action, and their readiness to obtain a vaccine. Such programs include educational materials about disease risk and clinic visits that can pair HepB screening and vaccination. Public Library of Science 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/74261/1/The%20relationship%20between%20perceptions%20and%20self-paid%20hepatitis%20B%20vaccination.pdf Rajamoorthy, Yogambigai and Radam, Alias and Mohd Taib, Niazlin and Ab Rahim, Khalid and Wagner, Abram Luther and Mudatsir, Mudatsir and Munusamy, Subramaniam and Harapan, Harapan (2018) The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach. PLoS One, 13 (12). art. no. e0208402. pp. 1-15. ISSN EISSN: 1932-6203 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283584/pdf/pone.0208402.pdf 10.1371/journal.pone.0208402 |
| spellingShingle | Rajamoorthy, Yogambigai Radam, Alias Mohd Taib, Niazlin Ab Rahim, Khalid Wagner, Abram Luther Mudatsir, Mudatsir Munusamy, Subramaniam Harapan, Harapan The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach |
| title | The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach |
| title_full | The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach |
| title_fullStr | The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach |
| title_full_unstemmed | The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach |
| title_short | The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach |
| title_sort | relationship between perceptions and self-paid hepatitis b vaccination: a structural equation modeling approach |
| url | http://psasir.upm.edu.my/id/eprint/74261/ http://psasir.upm.edu.my/id/eprint/74261/ http://psasir.upm.edu.my/id/eprint/74261/ http://psasir.upm.edu.my/id/eprint/74261/1/The%20relationship%20between%20perceptions%20and%20self-paid%20hepatitis%20B%20vaccination.pdf |