Korean J Fam Pract. 2017; 7(4): 581-587  https://doi.org/10.21215/kjfp.2017.7.4.581
The Influencing Factors of Influenza Vaccination, Especially Drink Status in South Korean Population: The Fifth Korea National Health and Nutrition Examination Survey 2010-2012
Soo Lee1, Jung Keun Park1, Hye-Rim Jeon1, Kyung-Do Han2, Suk Won Park1, Ji Hyun Kim1, Jin Hee Yoon1, Kyung-Hwan Cho1, Yang-Hyun Kim1,*
1Department of Family Medicine, Korea University College of Medicine; 2Department of Medical Statistics, College of Medicine, The Catholic University of Korea, Seoul, Korea
Yang-Hyun Kim
Tel: +82-2-920-6928, Fax: +82-2-928-8083
E-mail: mrchir@naver.com
Kyung-Hwan Cho and Yang-Hyun Kim contributed equally to this study.
Received: July 25, 2016; Revised: October 11, 2016; Accepted: October 18, 2016; Published online: August 20, 2017.
© Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: The excessive use of alcohol is a significant public health problem in South Korea. Influenza vaccination is the most effective and economical method of preventing the spread of the influenza virus thereby, decreasing morbidity and mortality. The Influenza vaccination rate is well known to be influenced by medical and socioeconomic factors. We evaluated the relationship between influenza vaccination rate and medical and socioeconomic factors in a representative sample of the Korean population, especially among users of alcohol.
Methods: We analyzed data of 12,252 participants from the 2010–2012 Korea National Health Survey. Using questionnaires we obtained information regarding influenza vaccination, drinking status, age, obesity, sex, smoking, education, income, exercise, occupation, diabetes and metabolic syndrome. Univariate analysis was conducted to examine the correlation between influenza vaccination ratio and medical and socioeconomic factors. Multivariate analysis was conducted after adjusting statistically significant variables.
Results: Influenza vaccination rate was 26.5% in 12,252 participants. This rate was higher in old age (P<0.001), females (P<0.001), no smoking status (P<0.001), lower drinking status (P<0.001), lower Alcohol Use Disorders Identification Test (AUDIT) score (P<0.001), no occupation status (P<0.001), diabetes mellitus (P<0.001), and metabolic syndrome (P<0.001) patients in univariate analysis. Multivariate analysis showed that the rate was lower in higher drinking status (odds ratio [OR], 0.777; 95% confidence interval [CI], 0.616–0.98) and higher AUDIT score (OR, 0.777; 95% CI, 0.616–0.98).
Conclusion: Strategies for increasing influenza vaccination rate are needed in heavy users of alcohol. Clinicians must encourage vaccination in heavy users of alcohol and educate them about sobriety.
Keywords: Influenza Vaccination; Drinking Status; AUDIT; Medical Factors; Socioeconomic Factors
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