title: Influenza Vaccination Coverage Rate according to the Pulmonary Function of Korean Adults Aged 40 Years and Over: Analysis of the Fifth Korean National Health and Nutrition Examination Survey.
abstract: Influenza vaccination is an effective strategy to reduce morbidity and mortality, particularly for those who have decreased lung functions. This study was to identify the factors that affect vaccination coverage according to the results of pulmonary function tests depending on the age. In this cross-sectional study, data were obtained from 3,224 adults over the age of 40 who participated in the fifth National Health and Nutrition Examination Survey and underwent pulmonary function testing in 2012. To identify the factors that affect vaccination rate, logistic regression analysis was conducted after dividing the subjects into two groups based on the age of 65. Influenza vaccination coverage of the entire subjects was 45.2%, and 76.8% for those aged 65 and over. The group with abnormal pulmonary function had a higher vaccination rate than the normal group, but any pulmonary dysfunction or history of COPD did not affect the vaccination coverage in the multivariate analysis. The subjects who were 40-64 years-old had higher vaccination coverage when they were less educated or with restricted activity level, received health screenings, and had chronic diseases. Those aged 65 and over had significantly higher vaccination coverage only when they received regular health screenings. Any pulmonary dysfunction or having COPD showed no significant correlation with the vaccination coverage in the Korean adult population.
authors.affiliation: Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea .
authors.forename: Seung-Hyun
authors.identifier: 0000-0003-2723-853X
authors.initials: SH
authors.lastname: Cha
authors.affiliation: Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea .
authors.forename: Jeong-Hun
authors.identifier: 0000-0002-3468-7600
authors.initials: JH
authors.lastname: Paik
authors.affiliation: Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea .
authors.forename: Mi-Ra
authors.identifier: 0000-0002-4371-3022
authors.initials: MR
authors.lastname: Lee
authors.affiliation: Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea .
authors.forename: Huiho
authors.identifier: 0000-0003-3563-9376
authors.initials: H
authors.lastname: Yang
authors.affiliation: Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea .
authors.forename: Seung-Guk
authors.identifier: 0000-0002-2986-3729
authors.initials: SG
authors.lastname: Park
authors.affiliation: Department of Family Medicine, Ulsan University Hospital, Ulsan, Korea .
authors.forename: Young-Jee
authors.identifier: 0000-0002-8070-2453
authors.initials: YJ
authors.lastname: Jeon
authors.affiliation: Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea .
authors.forename: Sunmi
authors.identifier: 0000-0001-7407-8423
authors.initials: S
authors.lastname: Yoo
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000276:immunology*; D007251:Influenza, Human / Q000517:prevention & control*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D016017:Odds Ratio; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis; D056910:Republic of Korea; D012129:Respiratory Function Tests; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines
keywords: Influenza; Respiratory Disease, Chronic Obstructive; Respiratory Function Test; Vaccination