Factors Influencing on Influenza Vaccination Coverage

인플루엔자 예방접종률에 영향을 미치는 요인

  • 박명배 (연세대학교 원주의과대학 예방의학교실, 연세대학교 대학원 보건행정학과, 연세대학교 빈곤문제국제개발연구원) ;
  • 김춘배 (연세대학교 원주의과대학 예방의학교실, 연세대학교 빈곤문제국제개발연구원) ;
  • 주현실 (대원대학교 간호과)
  • Received : 2013.02.04
  • Accepted : 2013.03.12
  • Published : 2013.04.28


The aim of this study was to investigate the factors influencing on influenza vaccination among socio-demographic characteristics and health behaviors. Data of 18,299 adults of age between 19 and 65 years who answered to the survey on National Health and Nutrition and influenza vaccination from 2007 to 2010 was used and analyzed. Overall influenza vaccination rate was 21.7%. Logistic regression analysis revealed that factors influencing on influenza vaccination were an increasing age, a residence in rural area, a high personal income, a low educational level, jobless women, experience of hospital visits, and morbidity of chronic illnesses. In conclusion, influenza vaccination rate in Korea is low and influenced by multiple socio-demographic factors and health behaviors. It is needed to seek a strategy to develop a vaccination program in consideration of factors associated with influenza vaccination.


Supported by : 한국연구재단


  1. S. Y. Kee, H. J. Cheong, B. C. Chun, and W. J. Kim, "Influenza Vaccination Coverage Rate and Factors Associated with Vaccination in People with Chronic Disease," J. of Infection and Chemotherapy, Vol.43, No.5, pp.406-411, 2011.
  2. Centers for Disease Control and Prevention, "Influenza Vaccination Levels among Persons Ag ed ${\geq}$65 Years and Among Persons Aged 18-64 Yearswith High-Risk Conditions-United States, 2003," Morbidity and Mortality Weekly Report (MMWR), Vol.54, No.41, pp.1045-1049, 2005. ( ml/mm5441a3.htm).
  3. Centers for Disease Control and Prevention, "Prevention and Control of Influenza: Re commendations of the Advisory Committee on Immunization Practices (ACIP)," Morbidity and Mortality Weekly Report(MMWR), Vol.56, No.RR06, pp.1-54, 2007.
  4. D. W. Shin, Y. Kim, J. H. Park, J. H. Cho, H J. Jho, H. K. Yang, H. S. Kim, and S. Y. Kim, "Practices and Predictors of 2009 H1N1 Vaccination in Cancer Patients: a Nationwide Survey in Korea," Influenza and Other Respiratory Viruses, Vol.6, No.6, pp.120-128, 2012.
  5. 고려대산학협력단, 인플루엔자 예방접종 실태조사 및 비용효과분석 연구, 고려대학교, 2006.
  6. 김우주, 인플루엔자백신(성인)의 유용성 평가 연구, 식품의약품안전청, 2008.
  7. 이용철, 임복희, 박영희, "국민건강영양조사 대상자들의 민간의료보험 가입 요인 및 가입여부에 따른 건강행태.의료이용 비교", 한국콘텐츠학회논문지, 제10권, 제12호, pp.190-204, 2010.
  8. R. I. Menzies and R. J. Singleton, "Vaccine Preventable Diseases and Vaccination Policy for Indigenous Populations," J. of Pediatric Clinics of North America, Vol.56, No.6, pp.1263-1283, 2009.
  9. Department of Health and Human Services-Center for Medicare & Medicaid Services-,Federal Register, Vol.76, No.86, p.2546, 2011.
  10. 보건복지부 예방접종심의 위원회, 표준예방접종지침, 보건복지부, 1997.
  11. World Health Organization, Prevention and Control of Influenza Pandemics and Annual Epidemics, 2003. ( pdf_files/WHA56/ea56r19.pdf.).
  12. D. Müller and T. D. Szucs, "Influenza Vaccination Coverage Rates in 5 European Countries: a Population-Based Cross-Sectional Analysis of the Seasons 02/03, 03/04 and 04/05," J. of Infection, Vol.35, No.5, p.308, 2007.
  13. Centers for Disease Control and Pre vention, National Early Season Flu Vacci nation Coverage United States, 2012-13 Flu Season 2012. ( -estimates-nov2012.htm).
  14. S. Y. Kee, J. S. Lee, H. J. Cheong, B. C. Chun, J. Y. Song, W. S. Choi, Y. M. Jo, Y. B. Seo, and W. J. Kim, "Influenza Vaccine Coverage Rates and Perceptions on Vaccination in South Korea," J. of Infection, Vol.55, No.3, pp.273-281, 2007.
  15. 임은실, 김경하, 채현주. "생애전환기 건강진단 노인 수검자의 독감 백신 접종 영향요인", 지역사회간호학회지, 제21권, 제4호, pp.502-511, 2010.
  16. 이무식, 천병철, 김은영, "노인에서의 인플루엔자 예방접종 관련형태", 대한보건협회학회지, 제26권, 제3호, pp.325-339, 2000.
  17. 강희선, 이한주, 김미원, "남.녀 노인의 인플루엔자 백신 접종실태와 영향요인", 지역사회간학회지, 제22권, 제1호, pp.45-55, 2011.
  18. J. G. Rodrigo, H. B. Valentin, A. L. de Andres, J. T. Isabel, E. H. Jesus, and C. G. Pilar, "Gender Influence in Influenza Vaccine Uptake in Spain: Time Trends Analysis(1995-2006)," J. of Vaccine, Vol.28, No.38, pp.6169-6175, 2010.
  19. J. Dowe, M. Donald, N. Begum, N. S. Vlack, and I. Ozolins, "Patterns and Determinants of Influenza and Pneumococcal Immunization among Adults with Chronic Disease Living in Queensland, Australia, J. of Vaccine, Vol.29, No.16, pp3031-3037, 2011.
  20. Y. V. Schoefer, T. Schaberg, H. Raspe, and T. Schaefer, "Determinants of Influenza and Pneumococcal Vaccination in Patients with Chronic Lung Diseases," J. of Infection, Vol.55, No.4, pp.347-352, 2007.
  21. M. M. Elga, H. B. Valenti, C. C. Pilar, G. M Angel, and J. G. Rodrig, "Influenza Vaccination among Persons with Chronic Respiratory Diseases: Coverage, Related Factors and Time-trend, 1993-2001," J. of The Royal Institute of Public Health, Vol.121, No.2, pp.113-121, 2007.
  22. 정주연, 국내 독감백신 투여현황과 투여 결정에 영향을 주는 요인에 관한 연구, 이화여자대학교임상보건대학원 석사학위논문, 2006.
  23. 김창엽, "한 농촌 지역사회의 성인 임의예방접종 실태조사", 감염학회지, 제26권, 제3호, pp.207-215, 1994.
  24. Y. C. Changa, N. Huangb, L. S. Chen, S. W. Hsu, and Y. J. Chou, "Factors Affecting Repeated Influenza Vaccination among Older People in Taiwan," J. of Vaccine, Vol.31, No.2, pp.410-416, 2013.
  25. 질병관리본부, 인플루엔자 관리지침, 질병관리본부, 2012.

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