- ABSTRACT.
- INTRODUCTION
- MATERIALS AND METHODS
- RESULTS
- Sociodemographic characteristics of nurses.
- Assessment of normality and reliability of study variables.
- Normality assessment.
- Reliability assessment.
- Assessment of intercorrelation matrix of study constructs.
- Nurses’ hepatitis B vaccination uptake intentions.
- Influence of individual perceptions (perceived susceptibility, severity, benefits, and barriers of HBV vaccination) on the hepatitis B vaccination uptake intentions of nurses.
- Perceived susceptibility predicting hepatitis B vaccination uptake intentions.
- Perceived severity predicting hepatitis B vaccination uptake intentions.
- Perceived benefits predicting hepatitis B vaccination uptake intentions.
- Perceived barrier predicting HBV vaccination uptake intentions.
- Examination of the influence of cues to action to hepatitis B vaccination on hepatitis B vaccination uptake intentions of nurses.
- DISCUSSION
- CONCLUSION
- ACKNOWLEDGMENTS
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
World Health Organization , 2019. Hepatitis B Fact Sheet. Available at: https://www.who.int/news-room/fact-sheets/detail/hepatitis-b. Accessed February 20, 2020.
-
2.
Abesig J, Chen Y, Wang H, Sompo FM, Wu IXY, 2020. Prevalence of viral hepatitis B in Ghana between 2015 and 2019: a systematic review and meta-analysis. PLoS One 15: e0234348.
-
3.
Alese OO, Alese MO, Ohunakin A, Oluyide PO, 2016. Seroprevalence of hepatitis B surface antigen and occupational risk factors among health care workers in Ekiti State, Nigeria. J Clin Diagn Res 10: 16–18.
-
4.
Chen IH, Hsu SM, Wu JJ, Wang YT, Lin YK, Chung MH, Huang PH, Miao NF, 2019. Determinants of nurses’ willingness to receive vaccines: application of the health belief model. J Clin Nurs 28: 3430–3440.
-
5.
Obirikorang C et al., 2019. Awareness and occupational exposures to needlestick injuries among healthcare workers: a quantitative assessment in a Ghanaian metropolis. Glob J Qual Saf Healthc 2: 70.
-
6.
World Health Organization , 2013. Global Plan of Action on Workers’ Health (2008–2017): Baseline for Implementation. Available at: https://www.who.int/publications/i/item/WHO-FWC-PHE-2013-01. Accessed September 9, 2020.
-
7.
Ansa GA, Ofori KNA, Houphouet EE, Amoabeng AA, Sifa JS, Amenuveve CK, Odame GH, 2019. Hepatitis B vaccine uptake among healthcare workers in a referral hospital, Accra. Pan Afr Med J 33: 96.
-
8.
World Health Organization Regional Office for Europe , 2017. Action Plan for the Health Sector Response to Viral Hepatitis in the WHO European Region. Available at: https://apps.who.int/iris/handle/10665/344154. Accessed November 20, 2020.
-
9.
Bonville CA, Domachowske JB, Cibula DA, Suryadevara M, 2017. Immunization attitudes and practices among family medicine providers. Hum Vaccin Immunother 13: 2646–2653.
-
10.
Albright K, Hurley LP, Lockhart S, Gurfinkel D, Beaty B, Dickinson LM, Libby A, Kempe A, 2017. Attitudes about adult vaccines and reminder/recall in a safety net population. Vaccine 35: 7292–7296.
-
11.
Hurley LP et al., 2016. Physician attitudes toward adult vaccines and other preventive practices, United States, 2012. Public Health Rep 131: 320–330.
-
12.
Williams WW et al., 2016. Surveillance of vaccination coverage among adult populations—United States, 2014. MMWR Surveill Summ 65: 1–36.
-
13.
Bridges CB, Hurley LP, Williams WW, Ramakrishnan A, Dean AK, Groom AV, 2015. Meeting the challenges of immunizing adults. Am J Prev Med 49: S455–S464.
-
14.
Cha KS, Kim KM, 2019. The factors related to mothers’ intention to vaccinate against hepatitis A: applying the theory of planned behavior. Child Health Nurs Res 25: 1–8.
-
15.
Kisic-Tepavcevic D, Kanazir M, Gazibara T, Maric G, Makismovic N, Loncarevic G, Pekmezovic T, 2017. Predictors of hepatitis B vaccination status in healthcare workers in Belgrade, Serbia, December 2015. Euro Surveill 22: 30515.
-
16.
Wilson R, Zaytseva A, Bocquier A, Nokri A, Fressard L, Chamboredon P, Carbonaro C, Bernardi S, Dubé E, Verger P, 2020. Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France. Vaccine 38: 1144–1151.
-
17.
Akibu M, Nurgi S, Tadese M, Tsega WD, 2018. Attitude and vaccination status of healthcare workers against hepatitis B infection in a teaching hospital, Ethiopia. Scientifica 2018: 6705305. doi:10.1155/2018/6705305.
-
18.
Ogundele OA, Fehintola FO, Adegoke AI, Olorunsola A, Omotosho OS, Odia B, 2017. Perceived risk, willingness for vaccination and uptake of hepatitis B vaccine among health care workers of a specialist hospital in Nigeria. Public Health Res 7: 100–105.
-
19.
Ofori-Asenso R, Agyeman AA, 2016. Hepatitis B in Ghana: a systematic review & meta-analysis of prevalence studies (1995–2015). BMC Infect Dis 16: 130.
-
20.
Creswell JW, 2014. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks, CA: SAGE Publications.
-
21.
Yamane T, 1967. Statistics: An Introductory Analysis, 2nd ed. New York, NY: Harper and Row.
-
22.
Rajamoorthy Y, Radam A, Taib NM, Rahim KA, Wagner AL, Mudatsir M, Munusamy S, Harapan H, 2018. The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach. PLoS One 13: e0208402.
-
23.
Cohen J, 1988. Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NY: Lawrence Erlbaum Associates.
-
24.
Babbie E, Mouton J, 2001. The Practice of Social Research: South African Edition. Cape Town, South Africa: Oxford University Press Southern Africa.
-
25.
Babbie E, Mouton J, 2001. The Practice of Social Research. Cape Town, South Africa: Oxford University Press, Southern Africa.
-
26.
Hayes AF, 2018. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, NY: Guilford Publications.
-
27.
Tatsilong HOP, Noubiap JJN, Nansseu JRN, Aminde LN, Bigna JJR, Ndze VN, Moyou RS, 2016. Hepatitis B infection awareness, vaccine perceptions and uptake, and serological profile of a group of health care workers in Yaoundé, Cameroon. BMC Public Health 16: 706.
-
28.
Michaels-Igbokwe C, MacDonald S, Currie GR, 2017. Individual preferences for child and adolescent vaccine attributes: a systematic review of the stated preference literature. Patient 10: 687–700.
-
29.
Guo N, Wang J, Nicholas S, Maitland E, Zhu D, 2020. Behavioral differences in the preference for hepatitis B virus vaccination: a discrete choice experiment. Vaccines (Basel) 8: 527.
-
30.
Rosenstock IM, 1974. The health belief model and preventive health behavior. Health Educ Monogr 2: 354–386.
-
31.
Karlsson LC, Lewandowsky S, Antfolk J, Salo P, Lindfelt M, Oksanen T, Kivimäki M, Soveri A, 2019. The association between vaccination confidence, vaccination behavior, and willingness to recommend vaccines among Finnish healthcare workers. PLoS One 14: e0224330.
-
32.
Dokurugu YM, Duah E, Agoni C, Kumi Oduro R, Dadzie Ephraim RK, Essien-Baidoo S, 2019. Post-vaccination epidemiological analysis of hepatitis “B” viral infection among selected communities in the central region of Ghana. Am J Biomed Sci Res 4: 150–153.
-
33.
Brewer NT, Chapman GB, Rothman AJ, Leask J, Kempe A, 2017. Increasing vaccination: putting psychological science into action. Psychol Vaccin 18: 149–207.
-
34.
Harrison N, Brand A, Forstner C, Tobudic S, Burgmann K, Burgmann H, 2016. Knowledge, risk perception and attitudes toward vaccination among Austrian health care workers: a cross-sectional study. Hum Vaccin Immunother 12: 2459–2463.
-
35.
Corace K, Prematunge C, McCarthy A, Nair RC, Roth V, Hayes T, Suh KN, Balfour L, Garber G, 2013. Predicting influenza vaccination uptake among health care workers: what are the key motivators? Am J Infect Control 41: 679–684.
-
36.
Cheung K, Ho SMS, Lam W, 2017. Factors affecting the willingness of nursing students to receive annual seasonal influenza vaccination: a large-scale cross-sectional study. Vaccine 35: 1482–1487.
-
37.
Mirzaei Alavijeh M, Vaezi M, Jalilian F, 2018. Hepatitis B vaccine acceptability among nurses: a theory based conceptualization. Middle East J Dig Dis 11: 45–51.
-
38.
Abiye S, Yitayal M, Abere G, Adimasu A, 2019. Health professionals’ acceptance and willingness to pay for hepatitis B virus vaccination in Gondar City Administration governmental health institutions, northwest Ethiopia. BMC Health Serv Res 19: 796.
-
39.
Carpenter CJ, 2010. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun 25: 661–669.
-
40.
Morowatishaifabad MA, Zare Sakhvidi MJ, Gholianavval M, Masoudi Boroujeni D, Mirzaei Alavijeh M, 2015. Predictors of hepatitis B preventive behavioral intentions in healthcare workers. Saf Health Work 6: 139–142.
-
41.
Napolitano F, Bianco A, D’Alessandro A, Papadopoli R, Angelillo IF, 2019. Healthcare workers’ knowledge, beliefs, and coverage regarding vaccinations in critical care units in Italy. Vaccine 37: 6900–6906.
-
42.
Asma S et al., 2016. Factors effecting influenza vaccination uptake among health care workers: a multi-center cross-sectional study. BMC Infect Dis 16: 192.
-
43.
Gonzales R, Glik D, Prelip M, Bourque L, Yuen J, Ang A, Jones M, 2006. Risk perceptions and behavioral intentions for hepatitis B: how do young adults fare? Health Educ Res 21: 654–661.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1829 | 1117 | 55 |
| Full Text Views | 983 | 34 | 1 |
| PDF Downloads | 208 | 35 | 0 |
Perceptions and Cues to Action as Predictors of Nurses’ Vaccination Intentions at Two Primary Health Care Facilities in Ghana
Solomon Tagbor
Solomon Tagbor
Department of Nursing, Nursing and Midwifery Training College, Kete-Krachi, Ghana;
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Lillian Akorfa Ohene
Lillian Akorfa Ohene
Department of Community Health Nursing, School of Nursing and Midwifery, University of Ghana, Accra, Ghana
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Charles Ampong Adjei
Charles Ampong Adjei
Department of Community Health Nursing, School of Nursing and Midwifery, University of Ghana, Accra, Ghana
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Josephine Kyei
Josephine Kyei
Department of Community Health Nursing, School of Nursing and Midwifery, University of Ghana, Accra, Ghana
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ABSTRACT.
Uptake of hepatitis B vaccination by health care providers remains suboptimal in Ghana, although it is considered an effective strategy against the hepatitis B virus. This study aimed to identify the predictors of nurses’ hepatitis B vaccination intentions at two municipal health care facilities in Ghana. A descriptive cross-sectional survey was adopted. A section of the health belief model-based questionnaire was administered to 181 nurses conveniently sampled from the two facilities. Data analysis was done using Statistical Product and Service Solutions software version 23.0. Frequencies and percentages were used to assess the demographic characteristics of participants. Pearson r coefficients were used to assess the intercorrelations between individual perceptions, and the cues to action on vaccination intentions. Simple and multiple regression was used to estimate the prediction of individual perceptions, and the cues to action on hepatitis B vaccination intentions of nurses. The findings showed that nurse-perceived benefits and cues to action were positive and significantly related to hepatitis B vaccination intentions of nurses (r = 0.14, P < 0.05; r = 0.17, P < 0.05). Perceived susceptibility and perceived barrier were negative and significantly related to vaccine intentions (r = −0.13, P < 0.05; r = −0.24, P < 0.01). Notably, perceived barrier predicted hepatitis B vaccination intentions (β = −0.22, t = −2.48, P = 0.01). Nurses’ vaccination behavioral intentions were positive. It was recommended that perceived barriers to hepatitis B vaccination such as vaccination ineffectiveness, time constraints, high costs, and side effects should be addressed to increase nurses’ vaccination uptake.
Author Notes
Financial support: The entire study was self-sponsored.
Disclosure: Ethical clearance for the study was sought from the Ghana Health Service and CHAG ethical review committees (approval numbers: 20/457; Christian Health Association of Ghana-Institutional Review Board Personal Identification Number (CHAG-IRB PIN): 08032020).
Authors’ addresses: Solomon Tagbor, Department of Nursing, Nursing and Midwifery Training College, Kete-Krachi, Ghana, E-mail: solomontagbor@gmail.com. Lillian Akorfa, Charles Adjei, and Josephine Kyei, Department of Community Health Nursing, School of Nursing and Midwifery, University of Ghana, Accra, Ghana, E-mails: lohene@ug.edu.gh, chadjei@ug.edu.gh, and jmkyei@ug.edu.gh.
- ABSTRACT.
- INTRODUCTION
- MATERIALS AND METHODS
- RESULTS
- Sociodemographic characteristics of nurses.
- Assessment of normality and reliability of study variables.
- Normality assessment.
- Reliability assessment.
- Assessment of intercorrelation matrix of study constructs.
- Nurses’ hepatitis B vaccination uptake intentions.
- Influence of individual perceptions (perceived susceptibility, severity, benefits, and barriers of HBV vaccination) on the hepatitis B vaccination uptake intentions of nurses.
- Perceived susceptibility predicting hepatitis B vaccination uptake intentions.
- Perceived severity predicting hepatitis B vaccination uptake intentions.
- Perceived benefits predicting hepatitis B vaccination uptake intentions.
- Perceived barrier predicting HBV vaccination uptake intentions.
- Examination of the influence of cues to action to hepatitis B vaccination on hepatitis B vaccination uptake intentions of nurses.
- DISCUSSION
- CONCLUSION
- ACKNOWLEDGMENTS
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
World Health Organization , 2019. Hepatitis B Fact Sheet. Available at: https://www.who.int/news-room/fact-sheets/detail/hepatitis-b. Accessed February 20, 2020.
-
2.
Abesig J, Chen Y, Wang H, Sompo FM, Wu IXY, 2020. Prevalence of viral hepatitis B in Ghana between 2015 and 2019: a systematic review and meta-analysis. PLoS One 15: e0234348.
-
3.
Alese OO, Alese MO, Ohunakin A, Oluyide PO, 2016. Seroprevalence of hepatitis B surface antigen and occupational risk factors among health care workers in Ekiti State, Nigeria. J Clin Diagn Res 10: 16–18.
-
4.
Chen IH, Hsu SM, Wu JJ, Wang YT, Lin YK, Chung MH, Huang PH, Miao NF, 2019. Determinants of nurses’ willingness to receive vaccines: application of the health belief model. J Clin Nurs 28: 3430–3440.
-
5.
Obirikorang C et al., 2019. Awareness and occupational exposures to needlestick injuries among healthcare workers: a quantitative assessment in a Ghanaian metropolis. Glob J Qual Saf Healthc 2: 70.
-
6.
World Health Organization , 2013. Global Plan of Action on Workers’ Health (2008–2017): Baseline for Implementation. Available at: https://www.who.int/publications/i/item/WHO-FWC-PHE-2013-01. Accessed September 9, 2020.
-
7.
Ansa GA, Ofori KNA, Houphouet EE, Amoabeng AA, Sifa JS, Amenuveve CK, Odame GH, 2019. Hepatitis B vaccine uptake among healthcare workers in a referral hospital, Accra. Pan Afr Med J 33: 96.
-
8.
World Health Organization Regional Office for Europe , 2017. Action Plan for the Health Sector Response to Viral Hepatitis in the WHO European Region. Available at: https://apps.who.int/iris/handle/10665/344154. Accessed November 20, 2020.
-
9.
Bonville CA, Domachowske JB, Cibula DA, Suryadevara M, 2017. Immunization attitudes and practices among family medicine providers. Hum Vaccin Immunother 13: 2646–2653.
-
10.
Albright K, Hurley LP, Lockhart S, Gurfinkel D, Beaty B, Dickinson LM, Libby A, Kempe A, 2017. Attitudes about adult vaccines and reminder/recall in a safety net population. Vaccine 35: 7292–7296.
-
11.
Hurley LP et al., 2016. Physician attitudes toward adult vaccines and other preventive practices, United States, 2012. Public Health Rep 131: 320–330.
-
12.
Williams WW et al., 2016. Surveillance of vaccination coverage among adult populations—United States, 2014. MMWR Surveill Summ 65: 1–36.
-
13.
Bridges CB, Hurley LP, Williams WW, Ramakrishnan A, Dean AK, Groom AV, 2015. Meeting the challenges of immunizing adults. Am J Prev Med 49: S455–S464.
-
14.
Cha KS, Kim KM, 2019. The factors related to mothers’ intention to vaccinate against hepatitis A: applying the theory of planned behavior. Child Health Nurs Res 25: 1–8.
-
15.
Kisic-Tepavcevic D, Kanazir M, Gazibara T, Maric G, Makismovic N, Loncarevic G, Pekmezovic T, 2017. Predictors of hepatitis B vaccination status in healthcare workers in Belgrade, Serbia, December 2015. Euro Surveill 22: 30515.
-
16.
Wilson R, Zaytseva A, Bocquier A, Nokri A, Fressard L, Chamboredon P, Carbonaro C, Bernardi S, Dubé E, Verger P, 2020. Vaccine hesitancy and self-vaccination behaviors among nurses in southeastern France. Vaccine 38: 1144–1151.
-
17.
Akibu M, Nurgi S, Tadese M, Tsega WD, 2018. Attitude and vaccination status of healthcare workers against hepatitis B infection in a teaching hospital, Ethiopia. Scientifica 2018: 6705305. doi:10.1155/2018/6705305.
-
18.
Ogundele OA, Fehintola FO, Adegoke AI, Olorunsola A, Omotosho OS, Odia B, 2017. Perceived risk, willingness for vaccination and uptake of hepatitis B vaccine among health care workers of a specialist hospital in Nigeria. Public Health Res 7: 100–105.
-
19.
Ofori-Asenso R, Agyeman AA, 2016. Hepatitis B in Ghana: a systematic review & meta-analysis of prevalence studies (1995–2015). BMC Infect Dis 16: 130.
-
20.
Creswell JW, 2014. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks, CA: SAGE Publications.
-
21.
Yamane T, 1967. Statistics: An Introductory Analysis, 2nd ed. New York, NY: Harper and Row.
-
22.
Rajamoorthy Y, Radam A, Taib NM, Rahim KA, Wagner AL, Mudatsir M, Munusamy S, Harapan H, 2018. The relationship between perceptions and self-paid hepatitis B vaccination: a structural equation modeling approach. PLoS One 13: e0208402.
-
23.
Cohen J, 1988. Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NY: Lawrence Erlbaum Associates.
-
24.
Babbie E, Mouton J, 2001. The Practice of Social Research: South African Edition. Cape Town, South Africa: Oxford University Press Southern Africa.
-
25.
Babbie E, Mouton J, 2001. The Practice of Social Research. Cape Town, South Africa: Oxford University Press, Southern Africa.
-
26.
Hayes AF, 2018. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, NY: Guilford Publications.
-
27.
Tatsilong HOP, Noubiap JJN, Nansseu JRN, Aminde LN, Bigna JJR, Ndze VN, Moyou RS, 2016. Hepatitis B infection awareness, vaccine perceptions and uptake, and serological profile of a group of health care workers in Yaoundé, Cameroon. BMC Public Health 16: 706.
-
28.
Michaels-Igbokwe C, MacDonald S, Currie GR, 2017. Individual preferences for child and adolescent vaccine attributes: a systematic review of the stated preference literature. Patient 10: 687–700.
-
29.
Guo N, Wang J, Nicholas S, Maitland E, Zhu D, 2020. Behavioral differences in the preference for hepatitis B virus vaccination: a discrete choice experiment. Vaccines (Basel) 8: 527.
-
30.
Rosenstock IM, 1974. The health belief model and preventive health behavior. Health Educ Monogr 2: 354–386.
-
31.
Karlsson LC, Lewandowsky S, Antfolk J, Salo P, Lindfelt M, Oksanen T, Kivimäki M, Soveri A, 2019. The association between vaccination confidence, vaccination behavior, and willingness to recommend vaccines among Finnish healthcare workers. PLoS One 14: e0224330.
-
32.
Dokurugu YM, Duah E, Agoni C, Kumi Oduro R, Dadzie Ephraim RK, Essien-Baidoo S, 2019. Post-vaccination epidemiological analysis of hepatitis “B” viral infection among selected communities in the central region of Ghana. Am J Biomed Sci Res 4: 150–153.
-
33.
Brewer NT, Chapman GB, Rothman AJ, Leask J, Kempe A, 2017. Increasing vaccination: putting psychological science into action. Psychol Vaccin 18: 149–207.
-
34.
Harrison N, Brand A, Forstner C, Tobudic S, Burgmann K, Burgmann H, 2016. Knowledge, risk perception and attitudes toward vaccination among Austrian health care workers: a cross-sectional study. Hum Vaccin Immunother 12: 2459–2463.
-
35.
Corace K, Prematunge C, McCarthy A, Nair RC, Roth V, Hayes T, Suh KN, Balfour L, Garber G, 2013. Predicting influenza vaccination uptake among health care workers: what are the key motivators? Am J Infect Control 41: 679–684.
-
36.
Cheung K, Ho SMS, Lam W, 2017. Factors affecting the willingness of nursing students to receive annual seasonal influenza vaccination: a large-scale cross-sectional study. Vaccine 35: 1482–1487.
-
37.
Mirzaei Alavijeh M, Vaezi M, Jalilian F, 2018. Hepatitis B vaccine acceptability among nurses: a theory based conceptualization. Middle East J Dig Dis 11: 45–51.
-
38.
Abiye S, Yitayal M, Abere G, Adimasu A, 2019. Health professionals’ acceptance and willingness to pay for hepatitis B virus vaccination in Gondar City Administration governmental health institutions, northwest Ethiopia. BMC Health Serv Res 19: 796.
-
39.
Carpenter CJ, 2010. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun 25: 661–669.
-
40.
Morowatishaifabad MA, Zare Sakhvidi MJ, Gholianavval M, Masoudi Boroujeni D, Mirzaei Alavijeh M, 2015. Predictors of hepatitis B preventive behavioral intentions in healthcare workers. Saf Health Work 6: 139–142.
-
41.
Napolitano F, Bianco A, D’Alessandro A, Papadopoli R, Angelillo IF, 2019. Healthcare workers’ knowledge, beliefs, and coverage regarding vaccinations in critical care units in Italy. Vaccine 37: 6900–6906.
-
42.
Asma S et al., 2016. Factors effecting influenza vaccination uptake among health care workers: a multi-center cross-sectional study. BMC Infect Dis 16: 192.
-
43.
Gonzales R, Glik D, Prelip M, Bourque L, Yuen J, Ang A, Jones M, 2006. Risk perceptions and behavioral intentions for hepatitis B: how do young adults fare? Health Educ Res 21: 654–661.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1829 | 1117 | 55 |
| Full Text Views | 983 | 34 | 1 |
| PDF Downloads | 208 | 35 | 0 |