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Epidemiol Health. 2009;31(1):e2009003. English. Original Article.
Kim EY , Na BJ , Lee MS , Kim KY , Ki M .
Department of Preventive Medicine, School of Medicine, Konyang University, Daejeon, Korea.
Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
Department of Preventive Medicine, Eulji University School of Medicine, Daejeon, Korea.

OBJECTIVES: The incidence of clinical hepatitis A has increased in young Korean adults since the mid-1990s. Although hepatitis A vaccinations have been administered in private clinics over the past 10 yr, no data exist on the vaccination rate and relating factors. METHODS: In 2005, a population-based survey of 12-35-month-old children was carried out in Nonsan, Korea. An interview survey was completed for 71.3% of the children. All data came from a vaccination card or confirmation from a provider. RESULTS: The hepatitis A vaccination rate was 42.3% for > or =1 dose and 24.7% for 2-dose. The results of the multivariate regression analysis for the hepatitis A vaccination showed that the second (OR=1.6) and third and successive children (OR=3.3) were less often immunized than the first child. Low economic status (OR=1.6), rural area (OR=1.5) and employed mother (OR=1.5) were also correlated with a lower vaccination rate. The hepatitis A vaccination rate was significantly lower in children who had no other vaccinations: measlesmumps-rubella (OR=2.8 for > or =1 dose and 7.3 for 2-dose), varicella (OR=20.2 and 22.0, respectively) and Haemophilus influenza type b (OR=14.3 and 13.3, respectively). CONCLUSION: To prevent outbreaks of clinical hepatitis A by enough herd immunity, a vaccination should be included in the National Immunization Program and a vaccination policy developed and implemented that can overcome the barriers to immunization such as late birth order and a mother's employment.

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