The Influencing Factors of Influenza Vaccination in the Elderly Participating in Lifetime Transitional Health Examination

Eun-Shil Yim; Kyung-Ha Kim; Hyun-Ju Chae

doi:10.12799/jkachn.2010.21.4.502

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Original Article
The Influencing Factors of Influenza Vaccination in the Elderly Participating in Lifetime Transitional Health Examination: Eun-Shil Yim, Kyung-Ha Kim, Hyun-Ju Chae; Journal of Korean Academy of Community Health Nursing 2014;21(4):502-511.
DOI: https://doi.org/10.12799/jkachn.2010.21.4.502
Published online: April 4, 2014

¹Senior Research Fellow, NHIC Health Insurance Policy Research Institute, Korea.

²Researcher, NHIC Health Insurance Policy Research Institute, Korea.

³Part-time Lecturer, College of Nursing, Sungshin Women's University, Korea.

• Received: November 2, 2010 • Revised: December 16, 2010 • Accepted: December 16, 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

Abstract

Purpose
The purpose of this study was to investigate the influencing factors of influenza vaccination in the elderly participating in lifetime transitional health examination.
Methods
This study was a secondary analysis of data collected from lifetime transitional health examination (for 66-year-old people) conducted by the National Health Insurance Corporation (NHIC) from January 1 to December 31, 2008. Questionnaires were received from NHIC to obtain information regarding gender, chronic diseases, health-related behaviors, and ADL. A total of 255,333 participants who responded all the questions in the questionnaire were included in the analysis. Collected data were analyzed by descriptive statistics, χ² test, and multiple logistic regression.
Results
The influenza vaccine coverage rate in 66-year-old people was 66.1%. The influenza vaccine coverage rate was higher in female elders and those with hypertension, diabetes, heart disease or past smoking, and lower in those with stroke, current smoking, drinking, no-exercise or ADL-dependency.
Conclusion
Strategies for improving the influenza vaccination coverage rate in the elderly are needed. The strategies should give priority to the elderly with current smoking, drinking, and no-exercise, and home visiting programs are needed for the elderly with stroke and ADL-dependency.
Key Words: Elderly; Influenza; Vaccination

Table 1

General and Health Related Characteristics (N=255,333)

^†Multiple response; ^‡Activities of daily living.

Table 2

Differences in Influenza Vaccination Coverage Rate by General and Health Related Characteristics (N=255,333)

^†Activities of daily living.

Table 3

Differences in Influenza Vaccination Coverage Rate by Number of Chronic Disease (N=255,333)

Table 4

Differences in Influenza Vaccination Coverage Rate by Healthy Life Style (N=255,333)

Table 5

Influencing Factors of Influenza Vaccination in Elderly (N=255,333)

^*p<.001.

^†Activities of daily living; ^‡-log likelihood=4,599.146 (p<.001), Cox and Snell R²=0.19, Nagelkerke R²=0.25.

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