Pediatr Infect Vaccine.  2017 Apr;24(1):7-15. 10.14776/piv.2017.24.1.7.

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

• Lee JY
• Choi HG
• Oh CE

• KMID: 2390876
• DOI: http://doi.org/10.14776/piv.2017.24.1.7

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.

Keyword

Influenza vaccines; Immunization; Adolescent

MeSH Terms

Adolescent*
Demography
Diagnosis
Drinking
Humans
Immunization
Influenza Vaccines
Influenza, Human*
Korea*
Life Style
Logistic Models
Nutrition Surveys*
Pneumonia
Smoke
Smoking
Vaccination*
Influenza Vaccines
Smoke

Reference

1. Turner D, Wailoo A, Nicholson K, Cooper N, Sutton A, Abrams K. Systematic review and economic decision modelling for the prevention and treatment of influenza A and B. Health Technol Assess. 2003; 7:1–170.

2. Glezen WP. Influenza viruses. In : Feigin RD, Cherry JD, Demmler-Harrison GJ, Kaplan SL, editors. Textbook of pediatric infectious diseases. 6th ed. Philadelphia: WB Saunders Co;2009. p. 2395–2412.

3. The Korean Pediatric Society. Influenza vaccine. In : Kim KH, editor. Immunization guideline. 8th ed. Seoul: The Korean Pediatric Society;2015. p. 196–215.

4. Community Health Survey. Community health survey 2014 [Internet]. Cheongju: Korea Centers for Disease Control and Prevention;2016. cited 2016 Dec 19. Available from: https://chs.cdc.go.kr/chs/index.do.

5. Korea National Health and Nutrition Examination Survey. National wide database [Internet]. Cheongju: Korea Centers for Disease Control and Prevention;2016. cited 2016 Dec 19. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.

6. Centers for Disease Control and Prevention (CDC). Prevention and control of seasonal influenza with vaccines. Recommendations of the Advisory Committee on Immunization Practices: United States, 2013–2014. MMWR Recomm Rep. 2013; 62(RR-07):1–43.

7. Zhou L, Su Q, Xu Z, Feng A, Jin H, Wang S, et al. Seasonal influenza vaccination coverage rate of target groups in selected cities and provinces in China by season (2009/10 to 2011/12). PLoS One. 2013; 8:e73724.

8. World Health Organization Regional Office for Europe. Evaluation of seasonal influenza vaccination policies and coverage in the WHO European region: results from the 2008/2009 and 2009/2010 influenza seasons [Internet]. Copenhagen: WHO Regional Office for Europe;c2016. cited 2016 Dec 19. Available from: http://www.euro.who.int/__data/assets/pdf_file/0003/241644/Evaluation-of-seasonalinfluenza-vaccination-policies-and-coverage-in-the-WHOEuropean-Region.pdf.

9. Lim J, Eom CS, Kim KH, Kim S, Cho B. Coverage of influenza vaccination among elderly in South Korea: a population based cross sectional analysis of the season 2004–2005. J Korean Geriatr Soc. 2009; 13:215–221.

10. de Lataillade C, Auvergne S, Delannoy I. 2005 and 2006 seasonal influenza vaccination coverage rates in 10 countries in Africa, Asia Pacific, Europe, Latin America and the Middle East. J Public Health Policy. 2009; 30:83–101.

11. Endrich MM, Blank PR, Szucs TD. Influenza vaccination uptake and socioeconomic determinants in 11 European countries. Vaccine. 2009; 27:4018–4024.

12. Shono A, Kondo M. Factors associated with seasonal influenza vaccine uptake among children in Japan. BMC Infect Dis. 2015; 15:72.

13. Kee SY, Lee JS, Cheong HJ, Chun BC, Song JY, Choi WS, et al. Influenza vaccine coverage rates and perceptions on vaccination in South Korea. J Infect. 2007; 55:273–281.

14. Kim CY, Kim YI, Shin YS. A survey on immunization status of adults in a rural county. Korean J Infect Dis. 1994; 26:207–215.

15. Painter JE, Sales JM, Pazol K, Wingood GM, Windle M, Orenstein WA, et al. Psychosocial correlates of intention to receive an influenza vaccination among rural adolescents. Health Educ Res. 2010; 25:853–864.

16. Nichol KL, Lofgren RP, Gapinski J. Influenza vaccination. Knowledge, attitudes, and behavior among high-risk outpatients. Arch Intern Med. 1992; 152:106–110.

17. Schoefer Y, Schaberg T, Raspe H, Schaefer T. Determinants of influenza and pneumococcal vaccination in patients with chronic lung diseases. J Infect. 2007; 55:347–352.

18. Mayo Montero E, Hernandez-Barrera V, Carrasco-Garrido P, Gil de, Jimenez-Garcia R. Influenza vaccination among persons with chronic respiratory diseases: coverage, related factors and time-trend, 1993–2001. Public Health. 2007; 121:113–121.

19. Zimmerman RK, Van Cleve SN, Medsger AR, Raymund M, Ball JA. Does the Vaccines for Children program influence pediatric nurse practitioner referral of disadvantaged children to public vaccine clinics. Matern Child Health J. 2000; 4:53–58.

20. Yang HJ, Cho SI. Influenza vaccination coverage among adults in Korea: 2008–2009 to 2011–2012 seasons. Int J Environ Res Public Health. 2014; 11:12162–12173.

21. Lu PJ, Santibanez TA, Williams WW, Zhang J, Ding H, Bryan L, et al. Surveillance of influenza vaccination coverage: United States, 2007–08 through 2011–12 influenza seasons. MMWR Surveill Summ. 2013; 62:1–28.

22. Rodriguez-Rieiro C, Dominguez-Berjon MF, Esteban-Vasallo MD, Sanchez-Perruca L, Astray-Mochales J, Fornies DI, et al. Vaccination coverage against 2009 seasonal influenza in chronically ill children and adults: analysis of population registries in primary care in Madrid (Spain). Vaccine. 2010; 28:6203–6209.

23. Ford CA, English A, Davenport AF, Stinnett AJ. Increasing adolescent vaccination: barriers and strategies in the context of policy, legal, and financial issues. J Adolesc Health. 2009; 44:568–574.

24. Rolnick SJ, Parker ED, Nordin JD, Hedblom BD, Wei F, Kerby T, et al. Self-report compared to electronic medical record across eight adult vaccines: do results vary by demographic factors? Vaccine. 2013; 31:3928–3935.

25. Korea Centers for Disease Control and Prevention. The trend in the public's awareness and policy satisfaction on immunization [Internet]. Cheongju: Korea Centers for Disease Control and Prevention;c2012. cited 2016 Dec 19. Available from: http://www.cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1132-MNU1138-MNU0037-MNU1380&q_type=&year=2015&cid=64140&pageNum.

26. Lehmann CE, Brady RC, Battley RO, Huggins JL. Adolescent vaccination strategies: interventions to increase coverage. Paediatr Drugs. 2016; 18:273–285.