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KMID : 1039620170070040581
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Korean Journal of Family Practice
2017 Volume.7 No. 4 p.581 ~ p.587
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The Influencing Factors of Influenza Vaccination, Especially Drink Status in South Korean Population: The Fifth Korea National Health and Nutrition Examination Survey 2010-2012
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Lee Soo
Park Jung-Keun
Jeon Hye-Rim
Han Kyung-Do
Park Seok-Won
Kim Ji-Hyun
Yoon Jin-Hee
Cho Kyung-Hwan
Kim Yang-Hyyun
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Abstract
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Background: The excessive use of alcohol is a significant public health problem in South Korea. Influenza vaccination is the most effective and economical method of preventing the spread of the influenza virus thereby, decreasing morbidity and mortality. The Influenza vaccination rate is well known to be influenced by medical and socioeconomic factors. We evaluated the relationship between influenza vaccination rate and medical and socioeconomic factors in a representative sample of the Korean population, especially among users of alcohol.
Methods: We analyzed data of 12,252 participants from the 2010?2012 Korea National Health Survey. Using questionnaires we obtained information regarding influenza vaccination, drinking status, age, obesity, sex, smoking, education, income, exercise, occupation, diabetes and metabolic syndrome. Univariate analysis was conducted to examine the correlation between influenza vaccination ratio and medical and socioeconomic factors. Multivariate analysis was conducted after adjusting statistically significant variables.
Results: Influenza vaccination rate was 26.5% in 12,252 participants. This rate was higher in old age (P<0.001), females (P<0.001), no smoking status (P<0.001), lower drinking status (P<0.001), lower Alcohol Use Disorders Identification Test (AUDIT) score (P<0.001), no occupation status (P<0.001), diabetes mellitus (P<0.001), and metabolic syndrome (P<0.001) patients in univariate analysis. Multivariate analysis showed that the rate was lower in higher drinking status (odds ratio [OR], 0.777; 95% confidence interval [CI], 0.616?0.98) and higher AUDIT score (OR, 0.777; 95% CI, 0.616?0.98).
Conclusion: Strategies for increasing influenza vaccination rate are needed in heavy users of alcohol. Clinicians must encourage vaccination in heavy users of alcohol and educate them about sobriety.
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KEYWORD
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Influenza Vaccination, Drinking Status, AUDIT, Medical Factors, Socioeconomic Factors
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