The Influencing Factors of Influenza Vaccination in the Elderly Participating in Lifetime Transitional Health Examination

생애전환기 건강진단 노인 수검자의 독감 백신 접종 영향 요인

  • Yim, Eun-Shil (NHIC Health Insurance Policy Research Institute) ;
  • Kim, Kyung-Ha (NHIC Health Insurance Policy Research Institute) ;
  • Chae, Hyun-Ju (College of Nursing, Sungshin Women's University)
  • 임은실 (국민건강보험공단 건강보험정책연구원) ;
  • 김경하 (국민건강보험공단 건강보험정책연구원) ;
  • 채현주 (성신여자대학교 간호대학)
  • Received : 2010.11.02
  • Accepted : 2010.12.16
  • Published : 2010.12.31

Abstract

Purpose: The purpose of this study was to investigate the influencing factors of influenza vaccination in the elderly participating in lifetime transitional health examination. Methods: This study was a secondary analysis of data collected from lifetime transitional health examination (for 66-year-old people) conducted by the National Health Insurance Corporation (NHIC) from January 1 to December 31, 2008. Questionnaires were received from NHIC to obtain information regarding gender, chronic diseases, health-related behaviors, and ADL. A total of 255,333 participants who responded all the questions in the questionnaire were included in the analysis. Collected data were analyzed by descriptive statistics, ${\chi}^2$ test, and multiple logistic regression. Results: The influenza vaccine coverage rate in 66-year-old people was 66.1%. The influenza vaccine coverage rate was higher in female elders and those with hypertension, diabetes, heart disease or past smoking, and lower in those with stroke, current smoking, drinking, no-exercise or ADL-dependency. Conclusion: Strategies for improving the influenza vaccination coverage rate in the elderly are needed. The strategies should give priority to the elderly with current smoking, drinking, and no-exercise, and home visiting programs are needed for the elderly with stroke and ADL-dependency.

Keywords

References

  1. Andrew, M. K., McNeil, S., Merry, H., & Rockwood, K. (2004). Rates of influenza vaccination in older adults and factors associated with vaccine use: A secondary analysis of the Canadian study of health and aging. BioMed Central Public Health, 4 (36).
  2. Blank, P. R., Schwenkglenks, M., & Szucs, T. D. (2008). Influenza vaccination coverage rates in five European countries during season 2006/07 and trends over six consecutive seasons. BioMed Central Public Health, 8 (272), 1-11.
  3. Christenson, B., Lundbergh, P., Hedlund, J., & Ortqvist, A. (2001). Effects of a large scale intervention with influenza and 23-valent pneumococcal vaccines in adults aged 65 years or older: A prospective study. Lancet, 357 (9261), 1008-1011. https://doi.org/10.1016/S0140-6736(00)04237-9
  4. Cornford, C. S., & Morgan, M. (1999). Elderly people's beliefs about influenza vaccination. The British Journal of General Practice, 49 (441), 281-284.
  5. Fiore, A. E., Uyeki, T. M., Broder, K., Finelli, L., Euler, G. L., Singleton, J. A., et al. (2010). Prevention and control of influenza with vaccines: Recommendation of the Advisory Committee on Immunization Practice(ACIP), 2010. Morbidity and Mortality Weekly Report. Recommendations and Reports, 59 (RR-8), 1-62.
  6. Jung, J. Y., Jung, S. Y., & Gwak, H. S. (2005). Prevalence and determinants of influenza vaccination in Koreans. Korean Journal of Clinical Pharmacy, 15 (2), 1-5.
  7. Kamal, K. M., Madhavan, S. S., & Amonkar, M. N. (2003). Determinants of adult influenza and pneumonia immunization rates. Journal of the American Pharmacists Association, 43 (3), 403-411. https://doi.org/10.1331/154434503321831120
  8. Kee, S. Y., Lee, J. S., Cheong, H. J., Chun, B. C., Song, J. Y., Choi, W. S., et al. (2007). Influenza vaccine coverage rates and perceptions on vaccination in South Korea. Journal of Infection, 55, 273-281. https://doi.org/10.1016/j.jinf.2007.04.354
  9. Kim, W. J., Chun, B. C., Jung, H. J., & Lee, J. S. (2005). A study on policy development of influenza vaccination . Seoul: Korea Centers for Disease Control and Prevention.
  10. Koneman, M., van Essen, G. A., & John Paget, W. (2006). Influenza vaccination coverage and reasons to refrain among high-risk persons in four European countries. Vaccine, 24 (5), 622-628. https://doi.org/10.1016/j.vaccine.2005.08.040
  11. Korea Centers for Disease Control and Prevention (2004). 2004-2005 Influenza vaccination manual. Seoul: Korea Centers for Disease Control and Prevention.
  12. Korea Centers for Disease Control and Prevention (2008). The forth Korean National Health and Nutrition Examination Survey (KNHANES IV-2). Seoul: Korea Centers for Disease Control and Prevention.
  13. Lee, M. S., Chun, B. C., & Kim, E. Y. (2000). Health behavior related with influenza vaccination among the elderly. Journal of Korean Public Health Association, 26 (3), 325- 329.
  14. Lee, T. W., Ko, I. S., Lee, K. J., & Kang, K. W. (2005). Health status, health perception and health promotion behaviors of low-income community dwelling elderly. Journal of Korean Academy of Nursing, 35 (2), 252-261.
  15. Lim, J. W., Eom, C. S., Kim, K. H., Kim, S. M., & Cho, B. L. (2009). Coverage of influenza vaccination among elderly in South Korea: A population based cross sectional analysis of the season 2004-2005. Journal of Korean Geriatric Medical Society, 13 (4), 215-221. https://doi.org/10.4235/jkgs.2009.13.4.215
  16. Milman, U., Ben-Moshe, S., & Hermoni, D. (2005). The role of the patient care team in elderly people decision on influenza vaccination. Patient Education and Counseling, 58 (2), 203-208. https://doi.org/10.1016/j.pec.2004.08.017
  17. Muller, D., Wutzler, P., & Szucs, T. D. (2005). Influenza vaccination coverage rates in Germany a papulation- based cross-sectional analysis of the seasons 2002/2003 and 2003/2004. Medizinische Klinik, 100 (1), 6-13. https://doi.org/10.1007/s00063-005-1113-2
  18. National Health Insurance Cooperation (2008). Supplementary medical screening program for the age of 66. Seoul: National Health Insurance Cooperation.
  19. Nichol, K. L. (2001). Cost-benefit analysis of a strategy to vaccinate healthy working adults against influenza. Archives of Internal Medicine, 161 (5), 749-759. https://doi.org/10.1001/archinte.161.5.749
  20. Nicholson, K. G., Wood, J. M., & Zambon, M. (2003). Influenza. Lancet, 362 (9397), 1733-1745. https://doi.org/10.1016/S0140-6736(03)14854-4
  21. Nowalk, M. P., Zimmerman, R. K., Shen, S., Jewell, I. K., & Raymud, M. (2004). Barriers to pneumococcal and influenza vaccination in older community-dwelling adults (2000- 2001). Journal of the American Geriatrics Society, 52 (1), 25-30. https://doi.org/10.1111/j.1532-5415.2004.52006.x
  22. OMalley, A. S., & Forrest, C. B. (2006). Immunization disparities in older Americans: determinants and future research needs. American Journal of Preventive Medicine, 31 (2), 150-158. https://doi.org/10.1016/j.amepre.2006.03.021
  23. OReilly, D., Gormley, G., Gilliland, A., Cuene-Grandidier, H., Rafferty, C., Reilly, P., et al. (2002). Influenza vaccinations in Northern Ireland: Are older patients missing out? Age and Ageing, 31 (5), 385-390. https://doi.org/10.1093/ageing/31.5.385
  24. Simonsen, L., Viboud, C., & Taylor, R. (2001). Influenza vaccination in elderly people. Lancet, 366 (9503), 2086.
  25. Song, Y. M., Oh, J. S., Han, S. H., & Choi, C. H. (2000). Effectiveness of telephone and postcard reminders for the influenza vaccination - A study in the elderly who have visited a family practice center in a tertiary care hospital -. Journal of Preventive Medicine and Public Health, 33 (1), 109-116.
  26. Szucs, T. D., & Muller, D. (2005). Influenza vaccination coverage rates in five European countries-a population-based crosssectional analysis of two consecutive influenza seasons. Vaccine, 23 (45), 5055-5063.
  27. Thompson, W. W., Shay, D. K., Weintraub, E., Brammer, L., Bridges, C. B., Cox, N. J., et al. (2004). Influenzaassociated hospitalizations in the United States. The Journal of the American Medical Association, 292 (11), 1333-1340. https://doi.org/10.1001/jama.292.11.1333
  28. Vu, T., Farish, S., Jenkins, M., & Kelly, H. (2000). A metaanalysis of effectiveness of influenza vaccine in persons aged 65 years and over living in the community. Vaccine, 20 (13-14), 1831-1836.
  29. Won, C. W., Rho, Y. G., Kim, S. Y., Cho, B. R., & Lee, Y. S. (2002). The validity and reliability of Korean Activities of Daily Living(K-ADL) Scale. Journal of the Korean Geriatrics Society, 6 (2), 98-106.
  30. World Health Organization (2005). WHO position paper: Influenza vaccines. Weekly Epidemiological Record, 33 (19), 279-287.