수막구균 수막염의 인식, 감염병에 대한 일반 지식 및 예방접종 현황: 국내외 대학 재학생 비교 연구
Awareness, Knowledge, and Vaccination Status of Meningococcal Meningitis Vaccination: A Comparative Study on International and Korean University Students
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연구 배경: 수막구균성 수막염은 호흡기 또는 사람과의 접촉을 통해 전파되며 심각하면 사망에 이를 수도 있다. 미국에서는 수막구균 예방접종을 의무화하고 있지만 국내는 필수가 아니다. 그렇기 때문에 본 연구를 통해 수막구균과 같은 감염병에 대한 일반적 지식과 예방접종의 필요성에 대한인지도를 미국 캐나다 대학 재학생과 국내 대학 재학생과비교 평가하여 수막구균 예방접종의 필요성을 강조하고자하였다. 방법: 국내〮외 대학생을 대상으로 기숙사 생활시 발생할수 있는 감염 질환(수막구균성 수막염 포함)관련 지식, 백신접종 의향 등에 대해 자기 기입 방식으로 조사하였다. 결과: 해외 대학 재학생들은 감염병에 대한 인식이 국내보다 높았다. 특히 예방접종을 적극 권장하고 있으며 실제접종률 또한 국내 대학 재학생보다 높았다. 고찰: 국내 대학 재학생의 경우 수막구균 예방접종에 대한 인지도와 접종률 모두 낮았다. 질병에 대한 인식이 낮을경우 백신접종의 필요성에 대한 인식 또한 낮아진다. 그렇기 때문에 신입생들을 대상으로 감염 질환에 대한 교육을진행하면 감염병과 백신의 필요성에 대한 인지도를 높일 수있을 것이다
Abstract
Background: Meningococcal meningitis is a disease that can cause severe and possibly fatal side effects. To prevent the spread of meningococcal meningitis, which is a highly transmissible disease, 16 states in the USA mandate entering college students to receive meningococcal vaccination. Nevertheless, South Korea does not. This study aims to point out the importance of meningococcal vaccination by comparing the level of general knowledge and recognition of the requirement for vaccination among university students in the USA/Canada and Korea. Methods: The study was conducted using a self-filled questionnaire survey targeting international and Korean students at one of Korea's universities. The survey focused on topics such as knowledge of infectious diseases that can occur at the dormitory residence, infectious agents and routes of meningococcal meningitis infection and infection route, and students' intention to receive meningococcal vaccination. Results: International university students had a higher awareness of the importance of infectious disease prevention than Korean students (P<0.05) and also had higher meningococcal-related knowledge (P<0.05). International universities strongly recommend meningococcal vaccination compared to Korean universities (P<0.05), and the actual vaccination rate was higher than that of domestic university students (P<0.05). Conclusions: This study found that the awareness of meningococcal vaccination among Korean university students was lower than that of international university students, and the vaccination rate was also lower. Because students often do not get vaccinated due to low awareness of the meningococcal disease, health education programs can increase their knowledge about infectious diseases and awareness of vaccines. Thus, increasing the vaccination rate.
참고문헌 (26)
- "Neisseria Meningitidis" (2022)[URL]
- Pelton SI, "The global evolution of meningococcal epidemiology following the introduction of meningococcal vaccines", J Adolesc Health, 59(2 Suppl), pp.S3~S11 (2016)
- Wang B, "Costs of invasive meningococcal disease : a global systematic review", Pharmacoeconomics, 36(10), pp.1201~1222 (2018)
- "Clinical practice guidelines for the management of bacterial meningitis in adults in Korea", Infect Chemother, 44(3), pp.140~163 (2012)
- Sigurdardóttir B, "Acute bacterial meningitis in adults. A 20-year overview", Arch Intern Med, 157(4), pp.425~430 (1997)
- "2020 Management Guidelines for Meningococcal Infectious Diseases Administration" (2020)[URL]
- McIntyre PB, "Effect of vaccines on bacterial meningitis worldwide", Lancet, 380(9854), pp.1703~1711 (2012)
- Guedes S, "Invasive meningococcal disease in older adults in North America and Europe : is this the time for action? A review of the literature", BMC Public Health, 22(1), pp.380~ (2022)
- "2018 Management Guidelines for Meningococcal Infectious Diseases Administration" (2018)[URL]
- "Neisseria meningitidis Vaccines. In:Madame curie bioscience database" (2000)[URL]
- Isitt C, "Success of 4CMenB in preventing meningococcal disease : evidence from real-world experience", Arch Dis Child, 105(8), pp.784~790 (2020)[DOI]
- "Causes and How It Spreads" (2022)[URL]
- Sang-OhLee, "Meningococcal Disease in the Republic of Korea Army: Incidence and Serogroups Determined by PCR", Journal of Korean Medical Science, 18(2), pp.163~166 (2003), 대한의학회
- Korea Disease Control and Prevention Agency (KCDA), "2018guidelines for adult immunization", pp.26~ (2018), KCDA
- Pollard AJ, "Global epidemiology of meningococcal disease and vaccine efficacy", Pediatr Infect Dis J, 23(12 Suppl), pp.S274~S279 (2004)
- Mbaeyi SA, "Meningococcal disease among college-aged young adults : 2014-2016", Pediatrics, 143(1), pp.e20182130~ (2019)
- Bruce MG, "Risk factors for meningococcal disease in college students", JAMA, 286(6), pp.688~693 (2001)
- Rosenstein N, "Efficacy of meningococcal vaccine and barriers to vaccination", JAMA, 279(6), pp.435~439 (1998)
- LaForce FM, "The meningitis vaccine project", Vaccine, 25(Suppl 1), pp.A97~A100 (2007)
- Bousema JC, "Need for optimisation of immunisation strategies targeting invasive meningococcal disease in the Netherlands", Int J Health Policy Manag, 4(11), pp.757~761 (2015)
- 이승연, "남녀 대학생의 인유두종 바이러스 백신접종 및 의도 관련 요인", Korean Journal of Health Promotion, 15(3), pp.141~149 (2015), 대한임상건강증진학회[DOI]
- Viner RM, "Outcomes of invasive meningococcal serogroup B disease in children and adolescents(MOSAIC) : a case-control study", Lancet Neurol, 11(9), pp.774~783 (2012)
- "Statutory Infectious Disease Occurrence Status" (2021)[URL]
- 허중연, "Meningococcal Disease in Korea: an Epidemiologic Study of the Underestimated Infectious Disease", Infection and Chemotherapy, 48(1), pp.51~53 (2016), 대한감염학회
- Azzari C, "Underestimation of invasive meningococcal disease in Italy", Emerg Infect Dis, 22(3), pp.469~475 (2016)
- Goodman AL, "Awareness of meningococcal disease among travelers from the United Kingdom to the meningitis belt in Africa", Am J Trop Med Hyg, 91(2), pp.281~286 (2014)