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KMID : 1039620210110040247
Korean Journal of Family Practice
2021 Volume.11 No. 4 p.247 ~ p.255
Association between Self-Reported Health Status and Influenza Vaccination in Korean Adults: Analysis of the 2014?2015 Korea National Health and Nutrition Examination Survey
An Young-In

Choi Da-Hye
Lee Tae-Young
Park Seong-Jee
Jung Myung-Chul
Jang Hoon
Shim Geun-Hyo
Abstract
Background: Many studies have shown that self-reported health status is related to current health status and various health-related factors. However,few studies have examined the association between self-reported health status and health promotion activities. Thus, this study was conducted toassess the association between self-reported health status and influenza vaccination.

Methods: In total, 9,825 adults aged 19 years or older who responded to the influenza vaccination questionnaire as part of the 6th Korean NationalHealth and Nutrition Examination Survey (KNHANES, 2014?2015) were included. Related factors were grouped into three categories:socioeconomic, medical, and health related. Univariate analysis was performed to investigate the relationship between influenza vaccination andeach variable. Multivariate analysis was conducted by adjusting variables that were statistically significant in the univariate analysis.

Results: Multivariate analysis showed that the influenza vaccination rates were significantly lower in men, medium-highest income level earners,current smokers, and high-risk drinkers (P<0.05). In women, elementary school or lower education level, being married, and having a comorbiditywere associated with higher vaccination rates (P<0.05). Although in all the subjects, influenza vaccination rate decreased with better self-reportedhealth status, the association was not statistically significant (odds ratio [OR], 0.844; 95% confidence interval [CI], 0.711?1.002). However, subgroupanalysis with respect to sex revealed that in women, better self-reported health status was associated with a lower likelihood of having an influenzavaccination (OR, 0.759; 95% CI, 0.606?0.950).

Conclusion: Better self-reported health status may be associated with lower influenza vaccination rates. There is a need for a strategy to increase theinfluenza vaccination rate among people with good self-reported health status.
KEYWORD
Health Status, Subjective, Influenza, Vaccination
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