Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Influenza Vaccination Coverage in Korean Adolescents: Analysis of the Korea National Health and Nutrition Examination Survey IV to VI

국내 청소년의 인플루엔자 예방접종률에 영향을미치는 요인: 국민건강영양실태조사 4-6기 자료 분석

  • Lee, Ji Young (Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine) ;
  • Choi, Hyun Gil (Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine) ;
  • Oh, Chi Eun (Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine)
  • 이지영 (고신대학교 의과대학 소아과학교실) ;
  • 최현길 (고신대학교 의과대학 소아과학교실) ;
  • 오지은 (고신대학교 의과대학 소아과학교실)
  • Received : 2016.07.06
  • Accepted : 2016.09.27
  • Published : 2017.04.25
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Influenza vaccination coverage in adolescents is an important goal of informed vaccination policies and programs. This study aimed to estimate the influenza vaccination coverage rate and investigate the factors influencing influenza vaccination coverage in Korean adolescents. Methods: The study population consisted of 5,213 adolescents (aged 12 to 18 years) who participated in the Korea National Health and Nutrition Examination Survey from 2007 to 2014 (except for 2013). We analyzed influenza vaccination coverage in relation to the demographics, lifestyle, and medical characteristics of the participants. Results: The influenza vaccination coverage rate, during the study period, was 23.2% (range, 21.1% to 24.7%). Logistic regression analysis revealed that factors influencing influenza vaccination were elementary school age (odds ratio [OR], 1.706; 95% confidence interval [CI], 1.526 to 1.906), good self-rated health status (OR, 1.192; 95% CI, 1.057 to 1.344), a drinking status of non-drinker (OR, 1.769; 95% CI, 1.474 to 2.122), a smoking status of non-smoker (OR, 1.459; 95% CI, 1.144 to 1.860), and a past diagnosis of pneumonia (OR, 1.469; 95% CI, 1.076 to 2.006). Conclusions: Influenza vaccination coverage in Korean adolescents is relatively low. Special efforts are needed to increase vaccination coverage for adolescent groups with low vaccination rates including adolescent smokers and drinkers, middle and high school age adolescents, and adolescents with a poor self-rated health status.

목적: 예방접종 정책과 프로그램 수립에 있어 청소년의 인플루엔자 백신접종률은 중요한 정보를 제공한다. 본 연구는 국내 청소년의 인플루엔자 예방접종률을 파악하고 이에 영향을 미치는 요인을 파악하고자 하였다. 방법: 2007년부터 2012년 그리고 2014년에 시행된 제4-6기 국민건강영양조사에 참여한 만 12-18세 청소년 중 인플루엔자 백신 예방접종 여부에 유, 무를 응답한 5,213명을 대상으로 건강설문 자료를 활용하여 분석하였다. 결과: 연구 대상자의 인플루엔자 예방접종률은 23.2% (범위, 21.1%-24.7%)였다. 연구 대상자들 중, 초등학생인 경우(odds ratio [OR], 1.706; 95% confidence interval [CI], 1.526-1.906)와 주관적 건강 인식에서 건강 인식이 좋을수록(OR, 1.192; 95% CI, 1.057-1.344) 더 높은 접종률을 보였다. 음주를 하지 않고(OR, 1.769; 95% CI, 1.474-2.122) 흡연 경험이 없는 청소년(OR, 1.459; 95% CI, 1.144-1.860)에서 접종률이 높았고, 폐렴으로 의사에게 진단받은 경험이 있는 경우(OR, 1.469; 95% CI, 1.076-2.006) 접종을 많이 하는 것으로 확인되었다. 결론: 국내 청소년 중 예방접종률이 낮은 집단인 중, 고등학생과 주관적으로 건강상태가 나쁘다고 생각하는 그룹 및 음주, 흡연을 하는 청소년들을 대상으로 한 적극적인 예방접종 홍보 정책이 요구된다.

Keywords

References

  1. Turner D, Wailoo A, Nicholson K, Cooper N, Sutton A, Abrams K. Systematic review and economic decision modelling for the prevention and treatment of influenza A and B. Health Technol Assess 2003;7:1-170.
  2. Glezen WP. Influenza viruses. In: Feigin RD, Cherry JD, Demmler-Harrison GJ, Kaplan SL, editors. Textbook of pediatric infectious diseases. 6th ed. Philadelphia: WB Saunders Co, 2009:2395-412.
  3. The Korean Pediatric Society. Influenza vaccine. In: Kim KH, editor. Immunization guideline. 8th ed. Seoul: The Korean Pediatric Society, 2015:196-215.
  4. Community Health Survey. Community health survey 2014 [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2016 [cited 2016 Dec 19]. Available from: https://chs.cdc.go.kr/chs/index.do.
  5. Korea National Health and Nutrition Examination Survey. National wide database [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2016 [cited 2016 Dec 19]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  6. Centers for Disease Control and Prevention (CDC). Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practices: United States, 2013-2014. MMWR Recomm Rep 2013;62(RR-07):1-43.
  7. Zhou L, Su Q, Xu Z, Feng A, Jin H, Wang S, et al. Seasonal influenza vaccination coverage rate of target groups in selected cities and provinces in China by season (2009/10 to 2011/12). PLoS One 2013;8:e73724. https://doi.org/10.1371/journal.pone.0073724
  8. World Health Organization Regional Office for Europe. Evaluation of seasonal influenza vaccination policies and coverage in the WHO European region: results from the 2008/2009 and 2009/2010 influenza seasons [Internet]. Copenhagen: WHO Regional Office for Europe; c2016 [cited 2016 Dec 19]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0003/241644/Evaluation-of-seasonalinfluenza-vaccination-policies-and-coverage-in-the-WHOEuropean-Region.pdf.
  9. Lim J, Eom CS, Kim KH, Kim S, Cho B. Coverage of influenza vaccination among elderly in South Korea: a population based cross sectional analysis of the season 2004-2005. J Korean Geriatr Soc 2009;13:215-21. https://doi.org/10.4235/jkgs.2009.13.4.215
  10. de Lataillade C, Auvergne S, Delannoy I. 2005 and 2006 seasonal influenza vaccination coverage rates in 10 countries in Africa, Asia Pacific, Europe, Latin America and the Middle East. J Public Health Policy 2009;30:83-101. https://doi.org/10.1057/jphp.2008.40
  11. Endrich MM, Blank PR, Szucs TD. Influenza vaccination uptake and socioeconomic determinants in 11 European countries. Vaccine 2009;27:4018-24. https://doi.org/10.1016/j.vaccine.2009.04.029
  12. Shono A, Kondo M. Factors associated with seasonal influenza vaccine uptake among children in Japan. BMC Infect Dis 2015;15:72. https://doi.org/10.1186/s12879-015-0821-3
  13. Kee SY, Lee JS, Cheong HJ, Chun BC, Song JY, Choi WS, et al. Influenza vaccine coverage rates and perceptions on vaccination in South Korea. J Infect 2007;55:273-81. https://doi.org/10.1016/j.jinf.2007.04.354
  14. Kim CY, Kim YI, Shin YS. A survey on immunization status of adults in a rural county. Korean J Infect Dis 1994;26:207-15.
  15. Painter JE, Sales JM, Pazol K, Wingood GM, Windle M, Orenstein WA, et al. Psychosocial correlates of intention to receive an influenza vaccination among rural adolescents. Health Educ Res 2010;25:853-64. https://doi.org/10.1093/her/cyq037
  16. Nichol KL, Lofgren RP, Gapinski J. Influenza vaccination. Knowledge, attitudes, and behavior among high-risk outpatients. Arch Intern Med 1992;152:106-10. https://doi.org/10.1001/archinte.1992.00400130124015
  17. Schoefer Y, Schaberg T, Raspe H, Schaefer T. Determinants of influenza and pneumococcal vaccination in patients with chronic lung diseases. J Infect 2007;55:347-52. https://doi.org/10.1016/j.jinf.2007.06.002
  18. Mayo Montero E, Hernandez-Barrera V, Carrasco-Garrido P, Gil de Miguel A, Jimenez-Garcia R. Influenza vaccination among persons with chronic respiratory diseases: coverage, related factors and time-trend, 1993-2001. Public Health 2007;121:113-21. https://doi.org/10.1016/j.puhe.2006.09.009
  19. Zimmerman RK, Van Cleve SN, Medsger AR, Raymund M, Ball JA. Does the Vaccines for Children program influence pediatric nurse practitioner referral of disadvantaged children to public vaccine clinics? Matern Child Health J 2000;4:53-8. https://doi.org/10.1023/A:1009582919267
  20. Yang HJ, Cho SI. Influenza vaccination coverage among adults in Korea: 2008-2009 to 2011-2012 seasons. Int J Environ Res Public Health 2014;11:12162-73. https://doi.org/10.3390/ijerph111212162
  21. Lu PJ, Santibanez TA, Williams WW, Zhang J, Ding H, Bryan L, et al. Surveillance of influenza vaccination coverage: United States, 2007-08 through 2011-12 influenza seasons. MMWR Surveill Summ 2013;62:1-28.
  22. Rodriguez-Rieiro C, Dominguez-Berjon MF, Esteban-Vasallo MD, Sanchez-Perruca L, Astray-Mochales J, Fornies DI, et al. Vaccination coverage against 2009 seasonal influenza in chronically ill children and adults: analysis of population registries in primary care in Madrid (Spain). Vaccine 2010; 28:6203-9. https://doi.org/10.1016/j.vaccine.2010.07.013
  23. Ford CA, English A, Davenport AF, Stinnett AJ. Increasing adolescent vaccination: barriers and strategies in the context of policy, legal, and financial issues. J Adolesc Health 2009; 44:568-74. https://doi.org/10.1016/j.jadohealth.2008.11.015
  24. Rolnick SJ, Parker ED, Nordin JD, Hedblom BD, Wei F, Kerby T, et al. Self-report compared to electronic medical record across eight adult vaccines: do results vary by demographic factors? Vaccine 2013;31:3928-35. https://doi.org/10.1016/j.vaccine.2013.06.041
  25. Korea Centers for Disease Control and Prevention. The trend in the public's awareness and policy satisfaction on immunization [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; c2012 [cited 2016 Dec 19]. Available from: http://www.cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1132-MNU1138-MNU0037-MNU1380&q_type=&year=2015&cid=64140&pageNum.
  26. Lehmann CE, Brady RC, Battley RO, Huggins JL. Adolescent vaccination strategies: interventions to increase coverage. Paediatr Drugs 2016;18:273-85. https://doi.org/10.1007/s40272-016-0177-1

Cited by

  1. 한국 청소년 인플루엔자 예방접종에 영향을 미치는 개인요인과 부모요인에 관한 융합적 연구 : 제 6기 국민건강영양조사를 바탕으로 vol.8, pp.11, 2017, https://doi.org/10.15207/jkcs.2017.8.11.151
  2. 어머니 출생국가가 다문화 청소년의 인플루엔자 예방접종에 미치는 영향: 제13차(2017년) 청소년 건강행태 온라인조사 자료 분석 vol.24, pp.2, 2018, https://doi.org/10.4094/chnr.2018.24.2.148
  3. Factors Related to Influenza Vaccination Intention in University Students Based on Theory of Planned Behavior vol.46, pp.1, 2017, https://doi.org/10.21032/jhis.2021.46.1.64
  4. The Factors Associated with Influenza Vaccination of Adolescents by School Level: Based on the 13th (2017) Korea Youth Risk Behavior Online Survey vol.11, pp.4, 2021, https://doi.org/10.21215/kjfp.2021.11.4.263