Health Policy Manag.  2018 Jun;28(2):107-118. 10.4332/KJHPA.2018.28.2.107.

The Estimated Proportion for Influenza Vaccination and Related Factors in Korean Diabetics

• Byeon KH
• Kim JY
• Choi BY
• Choi BY

• KMID: 2416648
• DOI: http://doi.org/10.4332/KJHPA.2018.28.2.107

Abstract

BACKGROUND
The purpose of this study was to investigate the estimated proportion for influenza vaccination and to identify factors associated with influenza vaccination in Korean diabetic patients.
METHODS
Data from the fourth, fifth, and sixth (except for 2013) Korea National Health and Nutrition Examination Survey (n=3,726) was used. A chi-square test was performed to investigate the estimated proportion for influenza vaccination, and a multiple logistic regression analysis was used to identify the factors associated with self-reported influenza vaccination.
RESULTS
In men, 28.8% of diabetes patients 30-64 years of age, and 76.1% of elderly (over 65 years of age) diabetes patients received influenza vaccination. In women, 37.7% of diabetes patients 30-64 years of age, and 78.4% of elderly diabetes patients received influenza vaccination (p < 0.0001). The determinants of influenza vaccination were marriage, hypertension (odds ratio [OR], 1.55; 95% confidence interval [CI], 1.07-2.24), residence within a mega city, unemployment (OR, 3.94; 95% CI, 1.24-12.54), and exercise via (weekly) walking for diabetic men; and hypertension (OR, 1.71; 95% CI, 1.16-2.52), chronic disease (OR, 1.81; 95% CI, 1.08-3.02), and exercise via walking (OR, 2.65; 95% CI, 1.49-4.73) for diabetic women.
CONCLUSION
Influenza vaccination remains relatively low in young diabetic patients. It is necessary to recommend vaccination to young diabetic patients, and to devise other strategies to improve vaccination.

Keyword

Human influenza; Vaccination; Diabetes mellitus

MeSH Terms

Aged
Chronic Disease
Diabetes Mellitus
Female
Humans
Hypertension
Influenza, Human*
Korea
Logistic Models
Male
Marriage
Nutrition Surveys
Unemployment
Vaccination*
Walking