247189 Implementing and assessing community-based immunization education in Southeast Asian, and Pacific Islander older adult communities

Tuesday, November 1, 2011: 2:48 PM

Ailee Moon, PhD , School of Public Affairs, Department of Social Welfare, University of California, Los Angeles (UCLA), Los Angeles, CA
David Yim, MSW , Older Adults Program, Special Service for Groups, Inc., Los Angeles, CA
Introduction/Objectives: The Health Access for Pacific Asian Seniors (HAPAS) Collaborative developed culturally and linguistically appropriate immunization curriculum and conducted educational seminars in Laotian, Vietnamese, Guamanian/Chamorro, and Samoan older communities. This presentation describes the seminars, reports the findings from pre-and post-seminar evaluation surveys, and discusses the implications of the findings for future community-level immunization efforts.

Methods: Data were collected anonymously from a total of 762 Chamorro, Laotian, Samoan, and Vietnamese older adults (50+) who participated in immunization education seminars conducted in various community sites in 2003 and 2004. Pre- and post-seminar questionnaires were administered on ten immunization knowledge questions, including the influenza, Hepatitis A and B, Tetanus, Diphtheria, and Pneumococcal vaccine. Participants' demographic and socioeconomic, and health care practice information were also obtained.

Results/Conclusion: Of the 10 maximum immunization knowledge score, the average pre-seminar immunization knowledge score varied significantly from 3.6 for Samoans to 6.1 for the Guamanian/Chamorro. Respondents who did not know that people aged 50 and older need immunization ranged from 10% for the Chamorro to 63% for the Laotian. The seminars resulted in a net gain of 2.3 score for the total, while it varied considerably from 1.9 score for Laotians to 4.0 for Samoans. A regression analysis on the pre-seminar knowledge identified several significant predictors of immunization knowledge, including education, years in the US, having received information from doctors, awareness of free/low-cost immunization places, health insurance status. HAPAS' educational seminars led to statistically significant knowledge gains, but whether these gains have resulted in behavioral changes is unknown.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Implementation of health education strategies, interventions and programs

Learning Objectives:
Learning Objectives: 1) Describe the community-based health education seminar approach to improving knowledge about adult immunization in two Southeast Asian (Laotian and Vietnamese), and two Pacific Islander (Chamorro and Samoan) older adult communities; 2) discuss and compare the pre-and post-seminar evaluation findings to assess the participantsí pre-seminar knowledge of immunization and the effectiveness of the seminar in terms of knowledge gains in different types of immunization among the four groups, and 3) discuss the implications for future effort in promoting culturally-and linguistically appropriate community-level immunization knowledge and behavioral changes.

Keywords: Asian and Pacific Islander, Immunizations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the project evaluator and researcher. I also developed the instruments.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.