Korean journal of health promotion

Korean Society for Health Promotion and Disease Prevention (대한임상건강증진학회)
권호 표지
DOI QR코드

DOI QR Code

Hepatitis A Virus Vaccination Status and Related Factors among College Students

일부 대학생에서 A형 간염 예방접종 실태 및 관련 요인

  • Baek, Jae Seong (Department of Public Health, Graduate School of Health Science, Chosun University) ;
  • Han, Mi Ah (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • Park, Jong (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • Yun, Na-Ra (Department of Internal Medicine, Chosun University Hospital, Chosun University College of Medicine)
  • 백재성 (조선대학교 보건대학원 보건학과) ;
  • 한미아 (조선대학교 의과대학 예방의학교실) ;
  • 박종 (조선대학교 의과대학 예방의학교실) ;
  • 윤나라 (조선대학교 의과대학 조선대학교병원 내과)
  • Received : 2014.04.04
  • Accepted : 2014.08.18
  • Published : 2014.09.30
⟨ Previous Next ⟩

Abstract

Background: Hepatitis A is an acute infectious disease of the liver caused by the hepatitis A virus (HAV). The purpose of this study was to investigate the HAV vaccination status and related factors among college students. Methods: The study subjects were 503 students conveniently sampled from C university located in one district of Jeollanamdo. General characteristics and HAV vaccination related factors were collected by a self-reported questionnaire in October 2013. Chi-square tests and multiple logistic regression analyses were used to evaluate related factors with HAV vaccination. Results: Of the 503 subjects without a history of HAV infection, 65 subjects (12.9%) reported that they were vaccinated. In multiple analyses, subjects who have had health screening (adjusted odds ratio, aOR=2.44 and 95% confidence interval, 95% CI=1.26-4.73) and those who were aware of HAV infection (aOR=6.00, 95% CI=1.81-19.91) or who perceived the benefits of HAV vaccine (aOR=2.05, 95% CI=1.07-3.93) were more likely to be vaccinated than those not involved in these factors. With regard to intention for HAV vaccine, 314 subjects (71.9%) reported that they have the intention to be vaccinated against HAV. In multiple analyses, higher grade level, high monthly allowance, awareness of HAV vaccine, perceived susceptibility of HAV, perceived seriousness of HAV and perceived benefits of HAV vaccine were significantly associated with the intention for HAV vaccination. Conclusions: The vaccination rate for HAV was found to be low in our sample of college students. To reduce health risks related with HAV, prevention efforts should consider these results.

연구배경: 위생수준 향상으로 A형 간염의 이환 후 항체 형성률이 낮아짐에 따라 A형 간염의 예방접종이 권고되고 있으나, A형 간염 예방접종 현황 및 관련요인에 대한 연구는 미비한 실정이다. 이에 본 연구에서는 A형 간염 예방접종 권고대상인 20대 대학생들을 대상으로 A형 간염 예방 접종 현황과 관련요인을 파악하고자 하였다. 방법: 전라남도 한 개 대학에서 편의추출을 통해 대상자를 선정하였으며, 자기기입식 설문 조사를 통해 대상자 일반적 특성, A형 간염 예방접종 여부 및 의향을 수집하였다. 카이제곱과 다중로지스틱 회귀 분석을 통해 접종에 영향을 미치는 요인을 파악하였다. 결과: 총 503명 중 A형 예방접종 접종은 12.9%가 받았다고 응하였으며, 건강검진을 받은 경우(adjusted odds ratio, aOR=2.44; 95% confidence interval, 95% CI=1.26-4.73), A형 간염을 알고 있는 경우(aOR=6.00, 95% CI=1.81-19.91), A형 간염 예방접종이 효과가 있다고 생각하는 경우(aOR=2.05, 95% CI=1.07-3.93) 접종 받을 가능성이 높았다. A형 간염 예방접종을 받지 않았거나 모른다고 응답한 대상자 437명 중 A형 간염 예방접종 의향이 있는 경우는 71.9%로, 학년이 높은 경우, 용돈을 많이 받는 경우, 개인 보험이 있는 경우, A형 간염 예방접종을 알고 있는 경우, A형 간염에 걸릴 수 있다고 생각하거나, 심각한 질병이라고 생각하는 경우, 예방접종이 효과가 있다고 생각하는 경우 예방접종 의향이 유의하게 높았다. 결론: 본 연구에 참여한 대학생들의 A형 간염 예방접종백신 접종률은 12.9%로 상당히 낮았다. 향후 A형 간염 예방접종률 향상을 위한 관리 시 본 연구결과를 활용할 필요가 있을 것으로 판단된다.

Keywords

References

  1. Kang HM, Jeong SH, Kim JW, Lee D, Choi CK, Park YS, et al. Recent etiology and clinical features of acute viral hepatitis in a single center of Korea. Korean J Hepatol 2007;13(4):495-502. https://doi.org/10.3350/kjhep.2007.13.4.495
  2. Korea Centers for Disease Control. Hepatitis A virus. Cheangju: Korea Centers for Disease Control; 2012. [Accessed November 15, 2013]. http://www.cdc.go.kr/CDC/health/ CdcKrHealth0101.jsp?menuIds=HOME001-MNU1132-MN U1147-MNU0746-MNU0750&fid =763&cid=18008.
  3. Lee EJ, Kwon SY, Seo TH, Yun HS, Cho HS, Kim BK, et al. Clinical features of acute hepatitis A in recent two years. Korean J Gastroenterol 2008;52(5):298-303.
  4. Song YB, Lee JH, Choi MS, Koh KC, Paik SW, Yoo BC, et al. The age-specific seroprevalence of hepatitis A virus antibody in Korea. Korean J Hepatol 2007;13(1):27-33.
  5. Kim EY, Na BJ, Lee MS, Kim KY, Ki M. Hepatitis A vaccination rates and related factors in a 2005 population-based study in Nonsan, Korea. Epidemiol Health 2009;31:e2009003. https://doi.org/10.4178/epih/e2009003
  6. Korea Centers for Disease Control. Changing patterns of hepatitis A virus infection in Korea. Public Health Weekly Report, KCDC 2008;1(11):169-72.
  7. Kim TY, Sohn JH, Ahn SB, Son BK, Lee HL, Eun CS, et al. Comparison of recent IgG anti-HAV prevalence between two hospitals in Seoul and Gyeonggi area. Korean J Hepatol 2007;13(3):363-9. https://doi.org/10.3350/kjhep.2007.13.3.363
  8. Lee JM, Park HK, Choi KY, Kim HG, Jung JO, Seo SO, et al. A seroepidemiological study of anti-HAV IgG in Korean combat policeman and comparison with previous report in 1999. Korean J Hepatol 2007;13(3s):S158.
  9. Oh HY, Park JY. Immunization, knowledge, and preventive health behaviors to hepatitis A in university students. Korean J Health Educ Promot 2011;28(5):83-95.
  10. Kim JH. Recent epidemiological status and vaccination of hepatitis A in Korea. J Korean Med Assoc 2008;51(2):110-8. https://doi.org/10.5124/jkma.2008.51.2.110
  11. Lee EJ, Park JS. Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students. J Korean Oncol Nurs 2011;11(1):65-73. https://doi.org/10.5388/jkon.2011.11.1.65
  12. Kee SY, Cheong HJ, Chun BC, Kim WJ. Influenza vaccination coverage rate and factors associated with vaccination in people with chronic disease. Infect Chemother 2011;43(5):406-11. https://doi.org/10.3947/ic.2011.43.5.406
  13. Choi JS, Kim CG, Park S. The knowledge, awareness and preventive behaviors of pneumococcal vaccination for the elderly. J Korean Acad Community Health Nurs 2012;23(3):266-75. https://doi.org/10.12799/jkachn.2012.23.3.266
  14. Ryu SY, Kim SH, Park HS, Park J. Influenza vaccination among adults 65 years or older: A 20092010 Community Health Survey in the Honam region of Korea. Int J Environ Res Public Health 2011;8:4197-206. https://doi.org/10.3390/ijerph8114197
  15. Kang HS, Lee H, Kim MW. The correlates of influenza vaccination among Korean elderly men and women. J Korean Acad Community Health Nurs 2011;22(1):45-55. https://doi.org/10.12799/jkachn.2011.22.1.45
  16. Bang KS, Sung S, Koo B, Kim M, Kim Y, Kim J, et al. Female university students' HPV-related knowledge and influencing factors on HPV vaccination. J Korean Oncol Nurs 2011;11(3):186-92. https://doi.org/10.5388/jkon.2011.11.3.186

Cited by

  1. 대학생의 A형 간염에 대한 지식, 건강신념 및 예방접종 행태 vol.41, pp.3, 2014, https://doi.org/10.5393/jamch.2016.41.3.119
  2. Seroprevalence and disease burden of acute hepatitis A in adult population in South Korea vol.12, pp.10, 2014, https://doi.org/10.1371/journal.pone.0186257
  3. The Factors related to Mothers' Intention to Vaccinate against Hepatitis A: Applying the Theory of Planned Behavior vol.25, pp.1, 2019, https://doi.org/10.4094/chnr.2019.25.1.1