The Association between Smoking Status and Influenza Vaccination Coverage Rate in Korean Adults: Analysis of the 2010–2012 Korea National Health and Nutrition Examination Survey
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Globally, smoking is one of the biggest challenges in public health and is a known cause of several important diseases. Influenza is preventable via annual vaccination, which is the most effective and cost-beneficialmethod of prevention. However, subjects who smoke have some unhealthy behaviours such as alcohol, low physi-cal activity, and low vaccination rate. In this study, we analyzed the relationship between smoking status and fac-tors potentially related to the influenza vaccination coverage rate in the South Korean adult population.Methods: The study included 13,565 participants aged >19 years, from 2010 to 2012 from the Korea National Health and Nutrition Examination Survey data. Univariate analyses were conducted to examine the association between influenza coverage rate and related factors. Multivariate analysis was obtained after adjusting for variables that were statistically significant.Results: The overall vaccination rate was 27.3% (n=3,703). Older individuals (P<0.0001), women (P<0.0001), non-smokers (P<0.0001), light alcohol drinkers (P<0.0001), the unemployed (P<0.0001), and subjects with diabetes mel-litus (P<0.0001), hypercholesterolemia (P<0.0001), and metabolic syndrome (P<0.0001) had higher influenza vac-cination coverage than the others. In multivariate analyses, current smokers and heavy smokers showed lower vac-cination rates (odds ratio, 0.734; 95% confidence interval, 0.63–0.854).Conclusion: In the current study, smokers and individuals with inadequate health-promoting behaviors had lower vaccination rates than the others did.
Abstract
Background: Globally, smoking is one of the biggest challenges in public health and is a known cause of several important diseases. Influenza is preventable via annual vaccination, which is the most effective and cost-beneficialmethod of prevention. However, subjects who smoke have some unhealthy behaviours such as alcohol, low physi-cal activity, and low vaccination rate. In this study, we analyzed the relationship between smoking status and fac-tors potentially related to the influenza vaccination coverage rate in the South Korean adult population.Methods: The study included 13,565 participants aged >19 years, from 2010 to 2012 from the Korea National Health and Nutrition Examination Survey data. Univariate analyses were conducted to examine the association between influenza coverage rate and related factors. Multivariate analysis was obtained after adjusting for variables that were statistically significant.Results: The overall vaccination rate was 27.3% (n=3,703). Older individuals (P<0.0001), women (P<0.0001), non-smokers (P<0.0001), light alcohol drinkers (P<0.0001), the unemployed (P<0.0001), and subjects with diabetes mel-litus (P<0.0001), hypercholesterolemia (P<0.0001), and metabolic syndrome (P<0.0001) had higher influenza vac-cination coverage than the others. In multivariate analyses, current smokers and heavy smokers showed lower vac-cination rates (odds ratio, 0.734; 95% confidence interval, 0.63–0.854).Conclusion: In the current study, smokers and individuals with inadequate health-promoting behaviors had lower vaccination rates than the others did.
참고문헌 (28)
- [URL]
- Arcavi L, "Cigarette smoking and infection", Arch Intern Med, 164, pp.2206~2216 (2004)[DOI]
- (2015)[URL]
- Kang HG, "Biochemicallyverified smoking rate trends and factors associated with inaccurate self-reporting of smoking habits in Korean women", Asian Pac J Cancer Prev, 14, pp.6807~6812 (2013)[DOI]
- Jung-Choi KH, "Hidden female smokers in Asia: a comparison of self-reported with cotinine-verified smoking prevalence rates in representative national data from an Asian population", Tob Control, 21, pp.536~542 (2012)[DOI]
- Phonrat B, "Safety and immune responses following administration of H1N1 live attenuated influenza vaccine in Thais", Vaccine, 31, pp.1503~1509 (2013)[DOI]
- Talbot HK, "Effectiveness of seasonal vaccine in preventing confirmed influenza-associated hospitalizations in community dwelling older adults", J Infect Dis, 203, pp.500~508 (2011)[DOI]
- Lang PO, "Effectiveness of influenza vaccine in aging and older adults: comprehensive analysis of the evidence", Clin Interv Aging, 7, pp.55~64 (2012)
- Sander B, "Is a mass immunization program for pandemic (H1N1) 2009 good value for money?: evidence from the Canadian Experience", Vaccine, 28, pp.6210~6220 (2010)[DOI]
- "Seasonal influenza: flu basics" (2014)[URL]
- Korea Centers for Disease Control and Prevention, "2012-2013 Influenza guidelines", Korea Centers for Disease Control and Prevention, ~ (2013)
- (2015)[URL]
- Kee SY, "Influenza vaccine coverage rates and perceptions on vaccination in South Korea", J Infect, 55, pp.273~281 (2007)[DOI]
- Mangtani P, "Inequalities in influenza vaccine uptake among people aged over 74 years in Britain", Prev Med, 41, pp.545~553 (2005)[DOI]
- Bryant WK, "Determinants of influenza vaccination in hard-to-reach urban populations", Prev Med, 43, pp.60~70 (2006)[DOI]
- Schwartz KL, "Racial similarities in response to standardized offer of influenza vaccination: a MetroNet study", J Gen Intern Med, 21, pp.346~351 (2006)[DOI]
- [URL]
- Grundy SM, "Diagnosis and management of the metabolic syndrome: an American Heart Association", National Heart, Lung, and Blood Institute Scientific Statement, 2005, pp.112, 2735~2752
- Blank PR, "Influenza vaccination coverage rates in five European countries during season 2006", 07 and trends over six consecutive seasons, 2008, pp.8, 272~
- Brien S, "The determinants of 2009 pandemic A", H1N1 influenza vaccination: a systematic review, 2012, pp.30, 1255~1264
- [URL]
- Hye Min Cho, "Association between Living Arrangements and Influenza Vaccination Rates among Elderly South Korean People: The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-2)", Korean Journal of Family Medicine, 36(4), pp.186~190 (2015), 대한가정의학회
- 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)[DOI]
- 박명배, "인플루엔자 예방접종률에 영향을 미치는 요인", 한국콘텐츠학회 논문지, 13(4), pp.300~311 (2013), 한국콘텐츠학회[DOI]
- Jimenez-Garcia R, "Gender influence in influenza vaccine uptake in Spain: time trends analysis (1995-2006)", Vaccine, 28, pp.6169~6175 (2010)[DOI]
- Lee KC, "Socioeconomic status and other related factors of seasonal influenza vaccination in the South Korean adult population based on a nationwide cross-sectional study", PLoS One, 10, pp.e0117305~ (2015)[DOI]
- Ryu SY, "Influenza vaccination among adults 65 years or older: a 2009-2010 community health survey in the Honam region of Korea", Int J Environ Res Public Health, 8, pp.4197~4206 (2011)[DOI]
- Andrew MK, "Rates of influenza vaccination in older adults and factors associated with vaccine use: a secondary analysis of the Canadian Study of Health and Aging", BMC Public Health, 4, pp.36~ (2004)[DOI]