본문 바로가기
KERD
논문KCI 등재

국내 청소년의 인플루엔자 예방접종률에 영향을 미치는 요인: 국민건강영양실태조사 4–6기 자료 분석

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

오지은|이지영|최현길
대한소아감염학회 (The Korean Society of Pediatric Infectious Diseases)|2017.04|Pediatric Infection and Vaccine|제24권 제1호|pp. 7-15|DOI https://doi.org/10.14776/piv.2017.24.1.7

1

조회

0

다운로드

8

인용

0

참고문헌

키워드

AdolescentInfluenza vaccinesImmunization

초록

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 12–18 세 청소년 중 인플루엔자 백신 예방접종 여부에 유, 무를 응답한 5,213명을 대상으로 건강설문 자료를활용하여 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 주관적건강 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.

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.

참고문헌 (26)

  1. Turner D, "Systematic review and economic decision modelling for the prevention and treatment of influenza A and B", Health Technol Assess, 7, pp.1~170 (2003)
  2. Glezen WP, "Textbook of pediatric infectious diseases", pp.2395~2412 (2009), WB Saunders Co
  3. The Korean Pediatric Society, "Immunization guideline", pp.196~215 (2015), The Korean Pediatric Society
  4. "Community health survey 2014" (2016)[URL]
  5. "National wide database" (2016)[URL]
  6. Centers for Disease Control and Prevention, "Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practices: United States, 2013-2014", MMWR Recomm Rep, 62(RR-07), pp.1~43 (2013)
  7. Zhou L, "Seasonal influenza vaccination coverage rate of target groups in selected cities and provinces in China by season (2009", 10 to 2011, PLoS One, pp.2013, 8[DOI]
  8. "Evaluation of seasonal influenza vaccination policies and coverage in the WHO European region: results from the 2008/2009 and 2009/2010 influenza seasons" (2016)[URL]
  9. 임주원, "한국 노인에서의 독감백신 접종률", Annals of geriatric medicine and research, 13(4), pp.215~221 (2009), 대한노인병학회
  10. de Lataillade C, "2005 and 2006seasonal influenza vaccination coverage rates in 10 countries in Africa, Asia Pacific, Europe, Latin America and the Middle East", J Public Health Policy, 30, pp.83~101 (2009)
  11. Endrich MM, "Influenza vaccination uptake and socioeconomic determinants in 11 European countries", Vaccine, 27, pp.4018~4024 (2009)
  12. Shono A, "Factors associated with seasonal influenza vaccine uptake among children in Japan", BMC Infect Dis, 15, pp.72~ (2015)
  13. Kee SY, "Influenza vaccine coverage rates and perceptions on vaccination in South Korea", J Infect, 55, pp.273~281 (2007)
  14. Kim CY, "A survey on immunization status of adults in a rural county", Korean J Infect Dis, 26, pp.207~215 (1994)
  15. Painter JE, "Psychosocial correlates of intention to receive an influenza vaccination among rural adolescents", Health Educ Res, 25, pp.853~864 (2010)
  16. Nichol KL, "Influenza vaccination. Knowledge, attitudes, and behavior among high-risk outpatients", Arch Intern Med, 152, pp.106~110 (1992)
  17. Schoefer Y, "Determinants of influenza and pneumococcal vaccination in patients with chronic lung diseases", J Infect, 55, pp.347~352 (2007)
  18. Mayo Montero E, "Influenza vaccination among persons with chronic respiratory diseases: coverage, related factors and time-trend, 1993-2001", Public Health, 121, pp.113~121 (2007)
  19. Zimmerman RK, "Does the Vaccines for Children program influence pediatric nurse practitioner referral of disadvantaged children to public vaccine clinics?", Matern Child Health J, 4, pp.53~58 (2000)
  20. Yang HJ, "Influenza vaccination coverage among adults in Korea : 2008-2009 to 2011-2012 seasons", Int J Environ Res Public Health, 11, pp.12162~12173 (2014)
  21. Lu PJ, "Surveillance of influenza vaccination coverage:United States, 2007-08 through 2011-12 influenza seasons", MMWR Surveill Summ, 62, pp.1~28 (2013)
  22. Rodriguez-Rieiro C, "Vaccination coverage against 2009 seasonal influenza in chronically ill children and adults: analysis of population registries in primary care in Madrid (Spain)", Vaccine, 28, pp.6203~6209 (2010)
  23. Ford CA, "Increasing adolescent vaccination: barriers and strategies in the context of policy, legal, and financial issues", J Adolesc Health, 44, pp.568~574 (2009)
  24. Rolnick SJ, "Self-report compared to electronic medical record across eight adult vaccines: do results vary by demographic factors?", Vaccine, 31, pp.3928~3935 (2013)
  25. "The trend in the public’s awareness and policy satisfaction on immunization" (2016)[URL]
  26. Lehmann CE, "Adolescent vaccination strategies : interventions to increase coverage", Paediatr Drugs, 18, pp.273~285 (2016)

이 간행물의 다른 논문 (9건)

신생아 균혈증에서 Delta Neutrophil Index의 진단적 의의고일두, 김황민, 전인수pp. 1-6단일 병원에서 2013–2015년에 유행한 인플루엔자 A형과 B형의 임상 양상 및 치료반응의 차이김도현, 박상규, 김지현, 이정하, 김희섭, 이상민, 강은경, 나소영, 조성민pp. 16-22소아 입원환자에서의 A형 및 B형 인플루엔자 임상 비교이준희, 이학성, 최재원, 이재원, 마상혁, 강진한, 정승원pp. 23-30계절 인플루엔자 진단에서 신속항원검사의 유용성김한성, 김광남, 이솔, 이준열pp. 31-36창원에서 유행한 백일해의 임상적 특징강진한, 마상혁, 이학성, 최재원, 장준원pp. 37-43
원문 보기