{
  "abstract": "Background: Immunization coverage in Indonesia declined, with most prov inces, including Riau, missing the Ministry of Health's strategic plan targets. In Lubuk Siam Village, Riau, community awareness of the importance of im munization was low. A 2023 survey showed that only 13% of toddlers were im munized. Methods: This mixed-method study utilized a sequential exploratory design. It began with the collection of qualitative data, which was then followed by quan titative data to enhance the findings. The study was conducted from May to September 2025 in Riau, Indonesia. The target population consisted of all moth ers with toddlers aged 0 to 60 months. A total of 113 mothers participated in the study. Results: Bivariate analysis showed that family support (p = 0.031), knowledge (p = 0.004), and attitude (p < 0.001) were significantly associated with immu nization status. In the final multivariable model, attitude was the strongest pre dictor of immunization status (AOR = 9.11; p < 0.001). Qualitative findings identified parental concerns about vaccine side effects, lack of paternal support, low maternal education, weak community leadership, limited health promotion activities, and family-centered decision-making as barriers to immunization. Conclusions: Maternal attitude was the most influential factor associated with immunization status. Family support, community influences, and health educa tion were identified as key factors affecting immunization uptake. Strengthen ing family engagement and health promotion programs may improve immuni zation coverage",
  "abstract_shown": true,
  "affiliations": [
    "Institut Kesehatan dan Teknologi Al Insyirah, Indonesia",
    "Institut Kesehatan dan Teknologi Al Insyirah"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Eva Mayasari"
    },
    {
      "affs": [
        1
      ],
      "name": "Riska Epina Hayu"
    },
    {
      "affs": [
        0
      ],
      "name": "Wilker Helary"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cxp1mzhzvdttm.bib",
  "cited_by": 0,
  "doi": "10.15294/jhealthedu.v11i1.35735",
  "fulltext_url": "https://journal.unnes.ac.id/journals/jhealthedu/article/view/35735",
  "id": "cxp1mzhzvdttm",
  "issns": [
    "2527-4252",
    "2528-2905"
  ],
  "landing_url": "https://doi.org/10.15294/jhealthedu.v11i1.35735",
  "language": "en",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "L"
    ],
    [
      "lcc",
      "L7-991"
    ],
    [
      "lcc",
      "R5-920"
    ],
    [
      "openalex",
      "3306|Vaccine Coverage and Hesitancy"
    ]
  ],
  "openalex": "W7223470448",
  "pdf_url": "https://journal.unnes.ac.id/journals/jhealthedu/article/download/35735/10885",
  "pmcid": null,
  "pmid": null,
  "published": "2026-07-01",
  "publisher": "Universitas Negeri Semarang",
  "ris": "https://research.draconitic.com/paper/cxp1mzhzvdttm.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:47:03Z",
      "native_id": "9ff693a69bd04b67b9581c9425a39bb9",
      "source": "doaj",
      "url": "https://doi.org/10.15294/jhealthedu.v11i1.35735"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R5-920",
      "subfield": "general"
    }
  ],
  "title": "Factors Influencing Complete Basic Immunization Coverage among Infants in Lubuk Siam Village: A PRECEDE-Based Approach",
  "title_text": "Factors Influencing Complete Basic Immunization Coverage among Infants in Lubuk Siam Village: A PRECEDE-Based Approach",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:47:03Z",
  "url": "https://research.draconitic.com/paper/cxp1mzhzvdttm",
  "venue": "JHE: Journal of Health Education",
  "versions": []
}