1인가구 장년 성인(50∼64세)의 인플루엔자 백신 접종률에 영향을 미치는 요인
Influencing Factors on Influenza Vaccination among Korean 50∼64 Age Adults Living Alone
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초록
Purpose: Based on Anderson’s model of health service utilization, we investigated the factors that affect the influenza vaccination status in Korean adults aged 50–64 years, who live alone. Methods: Data of 194 Korean adults aged 50–64 years, who live alone were obtained from the Korea National Health and Nutrition Examination Survey 7th Edition (2016–2018). Descriptive statistics and a multiple logistic regression model were used for statistical analysis. Results: The influenza vaccination rate in the study population was 39.3%. Educational status and health behaviors such as smoking habits and regular medical check-up were associated with the influenza vaccination rate in Korean adults aged 50–64 years, who live alone. Multiple logistic regression analysis showed that educational level lower than middle school graduation (odds ratio [OR] 2.02), non-smoking status (OR 1.98), and lack of regular medical check-up (OR 0.62) were significantly associated with the influenza vaccination rate in Korean adults aged 50–64 years, who live alone. Conclusion: The influenza vaccination rate in Korean adults aged 50–64 years, who live alone, is relatively low; therefore, policies should be implemented to improve the influenza vaccination rate in this population. Influenza vaccination in single households was affected by health promotion activities; therefore, interventions are warranted to encourage overall health promotion activities.
Abstract
Purpose: Based on Anderson’s model of health service utilization, we investigated the factors that affect the influenza vaccination status in Korean adults aged 50–64 years, who live alone. Methods: Data of 194 Korean adults aged 50–64 years, who live alone were obtained from the Korea National Health and Nutrition Examination Survey 7th Edition (2016–2018). Descriptive statistics and a multiple logistic regression model were used for statistical analysis. Results: The influenza vaccination rate in the study population was 39.3%. Educational status and health behaviors such as smoking habits and regular medical check-up were associated with the influenza vaccination rate in Korean adults aged 50–64 years, who live alone. Multiple logistic regression analysis showed that educational level lower than middle school graduation (odds ratio [OR] 2.02), non-smoking status (OR 1.98), and lack of regular medical check-up (OR 0.62) were significantly associated with the influenza vaccination rate in Korean adults aged 50–64 years, who live alone. Conclusion: The influenza vaccination rate in Korean adults aged 50–64 years, who live alone, is relatively low; therefore, policies should be implemented to improve the influenza vaccination rate in this population. Influenza vaccination in single households was affected by health promotion activities; therefore, interventions are warranted to encourage overall health promotion activities.
참고문헌 (30)
- "Death cause statistics" (2019)[URL]
- "Population and housing census 2015" (2015)[URL]
- "Household by household composition and household members (general households)" (2019)[URL]
- ". Daejeon: Satatistics Korea" (2017)[URL]
- 신미아, "1인가구와 다인가구의 건강행태 및 정신건강 비교 : 국민건강영영조사 자료분석(2013, 2015, 2017)", 한국웰니스학회지, 14(4), pp.11~23 (2019), 한국웰니스학회[DOI]
- 정성배, "농촌지역 1인 가구 노인의 성별·연령 집단별 우울 영향 요인", 지역사회연구, 25(3), pp.153~174 (2017), 한국지역사회학회[DOI]
- 이하나, "중년 1인가구와 다인가구의 건강행태 및 질병 이환 비교", 보건사회연구, 39(3), pp.380~407 (2019), 한국보건사회연구원[DOI]
- 이명선, "1인 가구의 신체적 건강수준, 건강행태와 주관적 우울감의 관련성", 보건교육건강증진학회지, 35(2), pp.61~71 (2018), 한국보건교육건강증진학회[DOI]
- Kim KS, "Medical surgical nursing", pp.28~32 (2014), Sumunsa
- 윤강인, "50세 이상 1인가구의 건강빈곤에 관한 연구 - 가족관계 단절여부 및 성별에 따른 비교분석 -", 지역사회연구, 28(1), pp.1~21 (2020), 한국지역사회학회[DOI]
- Park M, "The characteristics of late middle-aged one-person households : a comparison with those of multi-person households", Korean Academy of Practical Human Welfare, 17, pp.115~129 (2016)
- The growth of single-person households by gender and age group and it’s policy, "Park MS", KRIHS, 1~8, pp.Policy Brief. 2 (2020)
- 김서현, "남성 독거노인의 공동체 참여 과정에 관한 연구", 가족과 문화, 29(4), pp.53~93 (2017), 한국가족학회[DOI]
- 이정민, "연령층별 사회경제적 계층에 따른 건강행위 실천과 주관적 건강수준에 미치는 영향", 한국콘텐츠학회 논문지, 12(6), pp.317~327 (2012), 한국콘텐츠학회[DOI]
- Epidemiology and management of vaccination preventable disease, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 430~462 (2017)
- 신경선, "국내 만성 질환자의 인플루엔자 백신 접종 실태와 영향 요인", 대한보건연구, 46(3), pp.59~74 (2020), 사단법인 대한보건협회[DOI]
- 이석구, "초·중·고등학생들의 2017–2018 절기 인플루엔자 예방접종률과 관련 요인", 한국모자보건학회지, 23(4), pp.280~291 (2019), 한국모자보건학회[DOI]
- Yun JW, "Cost-effectiveness of influenza vaccine strategies for the elderly in South Korea", PloS one, 14(1), pp.e0209643~ (2019)[DOI]
- Bresee J, "Progress and remaining gaps in estimating the global disease burden of influenza", Emerging Infectious Disease, 24(7), pp.1173~1177 (2018)[DOI]
- Grech V, "Influenza vaccination in the COVID-19era", Early Human Development, 148(105116), pp.e1~e4 (2020)[DOI]
- Bödeker B, "Why are older adults and individuals with underlying chronic diseases in Germany not vaccinated against flu? a population-based study", BMC Public Health, 15(618), pp.e1~e10 (2015)[DOI]
- 송태민, "앤더슨 행동모형을 이용한 노년기 외래의료서비스 이용에 대한 스트레스 취약요인의 매개효과 분석", 보건사회연구, 33(1), pp.547~576 (2013), 한국보건사회연구원[DOI]
- Shao S, "Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model", BMC Health Services Research, 18(462), pp.e1~e11 (2018)[DOI]
- Andersen RM, "Revisiting the behavioral model and access to medical care : does it matter", Journal of Health and Social Behavior, 36(1), pp.1~10 (1995)
- Shin HY, "Factors influencing on influenza vaccination and its trends of coverage in patients with diabetes in Korea : a population based cross sectional study", Vaccine, 36(1), pp.91~97 (2018)[DOI]
- Ye-Seul Kim, "Trends in Influenza Vaccination Coverage Rates among Korean Cancer Survivors: Analysis of the Korea National Health and Nutrition Examination Survey III–VI", Korean Journal of Family Medicine, 41(1), pp.45~52 (2020), 대한가정의학회[DOI]
- "2019-2020 season influenza management guideline" (2019)[URL]
- Nowalk MP, "Determinants of adult vaccination at inner-city health centers : a descriptive study", BMC Family Practice, 7(2), pp.e1~e7 (2006)[DOI]
- Ha Y., "Health behaviors and sex-rated health of Korean adults by sex and age groups", Master, pp.2020
- 박현희, "한국 중년여성의 예방적 보건의료서비스 이용에 대한 사회적 불평등", 보건정보통계학회지, 41(4), pp.369~378 (2016), 한국보건정보통계학회[DOI]