학회지보기

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

김경자 (인하대학교 간호학과), 이인숙 (한남대학교 간호학과)

언어 :

권호 : v.27, no.3, 284-293,

발행일자 : 2020년 12월

PDF 원문보기

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.

참고문헌 (30)

  • Statistics Korea. Death cause statistics [Internet]. Daejeon: Statistics Korea; 2019 [cited 2020 September 4]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=385219&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=

  • Korea National Statistical Office. Population and housing census 2015 [Internet]. Daejeon: Statistics Korea; 2015 [cited 2020. September 14]. Available from: http://kosis.kr/statisticsList/StatisticsList_01List.jsp?vwcd=MT_ZTITLE&parmTabId+M_01#SubDont

  • Korea National Statistical Office. Household by household composition and household members (general households) [Internet]. Daejeon: Statistics Korea; 2019 [cited 2020 September 21]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1JC1515&vw_cd=MT_ZTITLE&list_id=A12_2015_1_10_10&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1&path.

  • Korea National Statistical Office. Total household and single household [Internet]. Daejeon: Satatistics Korea; 2017 [cited 2020 September 22]. Available from: http://kosis.kr/visual/populationKorea/PopulationByNumber/PopulationByNumberMain.do?mb=N&menuId=M_1_1&themaId=A02

  • Shin MA. Comparative study on health behavior and mental health between one person and multi-person households: analysis of data from the national health and nutrition examination surveys (2013, 2015, 2017). Journal of the Korean Society for Wellness. 2019;14(4):11-23. https://doi.org/10.21097/ksw.2019.11.14.4.11

    http://dx.doi.org/10.21097/ksw.2019.11.14.4.11

  • Jeong SB, Bea JY. Rural area one-person household elderly depression factors by gender and age group. Journal of Regional Studies. 2017;25(3):153-174.

    http://dx.doi.org/10.22921/JRS.2017.25.3.008

  • Lee HN, Cho YT. Comparison of health behaviors, disease prevalence between middle aged one-person households and multi-member households in South Korea. Health and Social Welfare Review. 2019;39(3):380-407. https://dx.doi.org/10.15709/hswr.2019.39.3.380

    http://dx.doi.org/10.15709/hswr.2019.39.3.380

  • Lee MS, Song H, Kim B. Association between physical health status, health behaviors and subjective depression among single-person household. Korean Journal of Health Education and Promotion. 2018;35(2):61-71. https://dx.doi.org/10.14367/kjhep.2018.35.2.61

    http://dx.doi.org/10.14367/kjhep.2018.35.2.61

  • Kim KS, Choi KO, Hyun KS, Yun EJ, Kim SY, Kim OS, et al. Medical surgical nursing. 7th ed. Seoul: Sumunsa; 2014. p. 28-32.

  • Yun, KI. A study on the health of households living alone over 50-focusing on the comparative analysis according to family relationship cutoff and sex. Journal of Regional Studies. 2020;28(1):1-21.

    http://dx.doi.org/10.31324/JRS.2020.03.28.1.1

  • 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. 2016;17:115-129.

  • Park MS, Cho YJ. The growth of single-person households by gender and age group and it's policy. KRIHS Policy Brief. 2020;2:1-8.

  • Kim S. Cho H. A study on community participation process of elderly men living alone. Family and Culture. 2017; 29(4):53-93. https://doi.org/10.21478/family.29.4.201712.003

    http://dx.doi.org/10.21478/family.29.4.201712.003

  • Lee J, Kim W, Sohn H, Chun J, Lee M, Park H. Influences on health behaviors execution and self rated health as socioeconomic class by the age bracket. Journal of the Korea Contents Association. 2012;12(6):317-327. https://doi.org/10.5392/JKCA.2012.12.06.317

    http://dx.doi.org/10.5392/JKCA.2012.12.06.317

  • Korea Centers for Disease Control and Prevention. Epidemiology and management of vaccination preventable disease. 5th ed. Cheongju: Korea Centers for Disease Control and Prevention; 2017. p. 430-462.

  • Shin GS, Choi SE. Influenza vaccination status and influencing factors in chronic patients in Korea. Korean Public Health Research. 2020;46(3):59-74.

    http://dx.doi.org/10.22900/KPHR.2020.46.3.005

  • Lee SG, Jeon SY. Factors associated with the 2017-2018 seasonal influenza vaccination coverage among elementary, middle, and high school students. Journal of Korean Society of Maternal and Child Health. 2019;23(4):280-291. https://doi.org/10.21896/jksmch.2019.23.4.280

    http://dx.doi.org/10.21896/jksmch.2019.23.4.280

  • Yun JW, Choi MJ, Shin GS, Lim JO, Noh JY, Kim YK, et al. Cost-effectiveness of influenza vaccine strategies for the elderly in South Korea. PloS one. 2019;14(1):e0209643. https://doi.org/10.1371/journal.pone.0209643

    http://dx.doi.org/10.1371/journal.pone.0209643

  • Bresee J, Fitzner J, Campbell H, Cohen C, Cozza V, Jara J, et al. Progress and remaining gaps in estimating the global disease burden of influenza. Emerging Infectious Disease. 2018;24(7):1173-1177. https://doi.org/10.3201/eid2407.171270

    http://dx.doi.org/10.3201/eid2407.171270

  • Grech V, Borg M. Influenza vaccination in the COVID-19 era. Early Human Development. 2020;148(105116):e1-e4. https://doi.org/10.1016/j.earlhumdev.2020.105116

    http://dx.doi.org/10.1016/j.earlhumdev.2020.105116

  • Bodeker B, Remschmidt C, Schmich P, Wichmann O. Why are older adults and individuals with underlying chronic diseases in Germany not vaccinated against flu? a population-based study. BMC Public Health. 2015;15(618): e1-e10. https://doi.org/10.1186/s12889-015-1970-4

    http://dx.doi.org/10.1186/s12889-015-1970-4

  • Song TM. An Anderson model approach to the mediation effect of stress-vulnerability factors on the use of outpatient care by the elderly. Health and Social Welfare Review. 2013;33(1):547-576.

    http://dx.doi.org/10.15709/HSWR.2013.33.1.547

  • Shao S, Wang M, Jin G, Zhao Y, Lu X, Du J. Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model. BMC Health Services Research. 2018;18(462):e1-e11. https://doi.org/10.1186/s12913-018-3271-y

    http://dx.doi.org/10.1186/s12913-018-3271-y

  • Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior. 1995;36(1):1-10.

    http://dx.doi.org/10.2307/2137284

  • Shin HY, Chung JH, Hwang HJ, Kim TH. Factors influencing on influenza vaccination and its trends of coverage in patients with diabetes in Korea: a population based cross sectional study. Vaccine. 2018;36(1):91-97. https://doi.org/10.1016/j.vaccine.2017.11.035

    http://dx.doi.org/10.1016/j.vaccine.2017.11.035

  • Kim YS, Lee JW, Kang HT, Kim Y, You HS. 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. 2020;41(1):45-52. https://doi:10.4082/kjfm.18.0165

    http://dx.doi.org/10.4082/kjfm.18.0165

  • Korea Disease Control and Prevention Agency 2019. 2019-2020 season influenza management guideline [Internet]. Cheongju: Korea Disease Control and Prevention Agency; 2019 [cited 2020 September 20]. Available from: http://www.cds.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=36077&tag=nPage=7

  • Nowalk MP, Zimmerman RK, Tabbarah M, Raymund M, Jewell IK. Determinants of adult vaccination at inner-city health centers: a descriptive study. BMC Family Practice. 2006;7(2):e1-e7. https://doi.org/10.1186/1471-2296-7-2

    http://dx.doi.org/10.1186/1471-2296-7-2

  • Ha Y. Health behaviors and sex-rated health of Korean adults by sex and age groups [master's thesis]. Seoul: Chung-Ang University; 2020. 64 p.

  • Park HH, Chun IA, Ryu SY, Park J, Han MA, Chio SW, et al. Social disparities in utilization of preventive health services among Korean women aged 40-64. Journal of Health Informatics and Statistics. 2016;41(4):369-378. https://doi.org/10.21896/jksmch.2019.23.3.175

    http://dx.doi.org/10.21896/jksmch.2019.23.3.175