Influenza vaccination coverage rate and factors associated with vaccination in people with chronic disease

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Abstract

Background: Influenza is a serious illness that causes significant morbidity and mortality, especially in high risk patients. The purpose of this study was to investigate influenza vaccination coverage rate and perceptions of people with chronic disease on vaccination in Korea. Materials and Methods: Patients with diabetes, chronic kidney disease undergoing hemodialysis, and asthma were surveyed. Individual interviews were performed to patients with diabetes visiting the endocrinology department in a university hospital and patients undergoing maintenance hemodialysis in 4 local clinics and 2 university hospitals. Questionnaires were mailed to patients who were registered to have asthma in a university hospital and were asked to mail back. Demographic data, history of vaccination in season 2005-2006, and perceptions on vaccination were asked. Results: Five hundred and five diabetes patients, 260 hemodialysis patients and 123 asthma patients were analyzed. Influenza vaccination coverage rate was 37.4% in diabetes patients and statistically significant factors associated with vaccination were as follows: lower education level, provider recommendation, previous vaccination, belief in efficacy of vaccination. Forteen and two tenth of patients were recommended to receive influenza vaccine, and the most frequent recommenders were doctors (43.6%). Influenza vaccination coverage rate was 81.9% in patients undergoing hemodialysis and statistically significant factors associated with vaccination were as follows: provider recommendation, previous vaccination, belief in efficacy of vaccination. Sixty six and five tenth of patients were recommended to get influenza vaccination, and the most frequent recommenders were doctors (45.3%) closely followed by nurses (43.6%). Seventy and seven tenth of patients with asthma received influenza vaccination. Previous vaccination was the only statistically significant factor associated with vaccination. Sixty six and nine tenth were recommended to get a vaccination and the most frequent recommenders were doctors (39.8%). Conclusions: Influenza vaccination coverage was considerably different among different chronic illnesses. The rate was relatively high in patients with chronic kidney disease undergoing hemodialysis and asthma while it was low in patients with diabetes. The rate of vaccine recommendation was low in all patients and active recommendations by health-care workers should be made.

Original languageEnglish
Pages (from-to)406-411
Number of pages6
JournalInfection and Chemotherapy
Volume43
Issue number5
DOIs
Publication statusPublished - 2011 Oct 1

Fingerprint

Human Influenza
Vaccination
Chronic Disease
Renal Dialysis
Asthma
Chronic Renal Insufficiency
Influenza Vaccines
Endocrinology
Postal Service
Korea

Keywords

  • Chronic disease
  • Influenza
  • Vaccination

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

Cite this

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title = "Influenza vaccination coverage rate and factors associated with vaccination in people with chronic disease",
abstract = "Background: Influenza is a serious illness that causes significant morbidity and mortality, especially in high risk patients. The purpose of this study was to investigate influenza vaccination coverage rate and perceptions of people with chronic disease on vaccination in Korea. Materials and Methods: Patients with diabetes, chronic kidney disease undergoing hemodialysis, and asthma were surveyed. Individual interviews were performed to patients with diabetes visiting the endocrinology department in a university hospital and patients undergoing maintenance hemodialysis in 4 local clinics and 2 university hospitals. Questionnaires were mailed to patients who were registered to have asthma in a university hospital and were asked to mail back. Demographic data, history of vaccination in season 2005-2006, and perceptions on vaccination were asked. Results: Five hundred and five diabetes patients, 260 hemodialysis patients and 123 asthma patients were analyzed. Influenza vaccination coverage rate was 37.4{\%} in diabetes patients and statistically significant factors associated with vaccination were as follows: lower education level, provider recommendation, previous vaccination, belief in efficacy of vaccination. Forteen and two tenth of patients were recommended to receive influenza vaccine, and the most frequent recommenders were doctors (43.6{\%}). Influenza vaccination coverage rate was 81.9{\%} in patients undergoing hemodialysis and statistically significant factors associated with vaccination were as follows: provider recommendation, previous vaccination, belief in efficacy of vaccination. Sixty six and five tenth of patients were recommended to get influenza vaccination, and the most frequent recommenders were doctors (45.3{\%}) closely followed by nurses (43.6{\%}). Seventy and seven tenth of patients with asthma received influenza vaccination. Previous vaccination was the only statistically significant factor associated with vaccination. Sixty six and nine tenth were recommended to get a vaccination and the most frequent recommenders were doctors (39.8{\%}). Conclusions: Influenza vaccination coverage was considerably different among different chronic illnesses. The rate was relatively high in patients with chronic kidney disease undergoing hemodialysis and asthma while it was low in patients with diabetes. The rate of vaccine recommendation was low in all patients and active recommendations by health-care workers should be made.",
keywords = "Chronic disease, Influenza, Vaccination",
author = "Kee, {Sae Yoon} and Hee-Jin Cheong and Byung-Chul Chun and Kim, {Woo Joo}",
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TY - JOUR

T1 - Influenza vaccination coverage rate and factors associated with vaccination in people with chronic disease

AU - Kee, Sae Yoon

AU - Cheong, Hee-Jin

AU - Chun, Byung-Chul

AU - Kim, Woo Joo

PY - 2011/10/1

Y1 - 2011/10/1

N2 - Background: Influenza is a serious illness that causes significant morbidity and mortality, especially in high risk patients. The purpose of this study was to investigate influenza vaccination coverage rate and perceptions of people with chronic disease on vaccination in Korea. Materials and Methods: Patients with diabetes, chronic kidney disease undergoing hemodialysis, and asthma were surveyed. Individual interviews were performed to patients with diabetes visiting the endocrinology department in a university hospital and patients undergoing maintenance hemodialysis in 4 local clinics and 2 university hospitals. Questionnaires were mailed to patients who were registered to have asthma in a university hospital and were asked to mail back. Demographic data, history of vaccination in season 2005-2006, and perceptions on vaccination were asked. Results: Five hundred and five diabetes patients, 260 hemodialysis patients and 123 asthma patients were analyzed. Influenza vaccination coverage rate was 37.4% in diabetes patients and statistically significant factors associated with vaccination were as follows: lower education level, provider recommendation, previous vaccination, belief in efficacy of vaccination. Forteen and two tenth of patients were recommended to receive influenza vaccine, and the most frequent recommenders were doctors (43.6%). Influenza vaccination coverage rate was 81.9% in patients undergoing hemodialysis and statistically significant factors associated with vaccination were as follows: provider recommendation, previous vaccination, belief in efficacy of vaccination. Sixty six and five tenth of patients were recommended to get influenza vaccination, and the most frequent recommenders were doctors (45.3%) closely followed by nurses (43.6%). Seventy and seven tenth of patients with asthma received influenza vaccination. Previous vaccination was the only statistically significant factor associated with vaccination. Sixty six and nine tenth were recommended to get a vaccination and the most frequent recommenders were doctors (39.8%). Conclusions: Influenza vaccination coverage was considerably different among different chronic illnesses. The rate was relatively high in patients with chronic kidney disease undergoing hemodialysis and asthma while it was low in patients with diabetes. The rate of vaccine recommendation was low in all patients and active recommendations by health-care workers should be made.

AB - Background: Influenza is a serious illness that causes significant morbidity and mortality, especially in high risk patients. The purpose of this study was to investigate influenza vaccination coverage rate and perceptions of people with chronic disease on vaccination in Korea. Materials and Methods: Patients with diabetes, chronic kidney disease undergoing hemodialysis, and asthma were surveyed. Individual interviews were performed to patients with diabetes visiting the endocrinology department in a university hospital and patients undergoing maintenance hemodialysis in 4 local clinics and 2 university hospitals. Questionnaires were mailed to patients who were registered to have asthma in a university hospital and were asked to mail back. Demographic data, history of vaccination in season 2005-2006, and perceptions on vaccination were asked. Results: Five hundred and five diabetes patients, 260 hemodialysis patients and 123 asthma patients were analyzed. Influenza vaccination coverage rate was 37.4% in diabetes patients and statistically significant factors associated with vaccination were as follows: lower education level, provider recommendation, previous vaccination, belief in efficacy of vaccination. Forteen and two tenth of patients were recommended to receive influenza vaccine, and the most frequent recommenders were doctors (43.6%). Influenza vaccination coverage rate was 81.9% in patients undergoing hemodialysis and statistically significant factors associated with vaccination were as follows: provider recommendation, previous vaccination, belief in efficacy of vaccination. Sixty six and five tenth of patients were recommended to get influenza vaccination, and the most frequent recommenders were doctors (45.3%) closely followed by nurses (43.6%). Seventy and seven tenth of patients with asthma received influenza vaccination. Previous vaccination was the only statistically significant factor associated with vaccination. Sixty six and nine tenth were recommended to get a vaccination and the most frequent recommenders were doctors (39.8%). Conclusions: Influenza vaccination coverage was considerably different among different chronic illnesses. The rate was relatively high in patients with chronic kidney disease undergoing hemodialysis and asthma while it was low in patients with diabetes. The rate of vaccine recommendation was low in all patients and active recommendations by health-care workers should be made.

KW - Chronic disease

KW - Influenza

KW - Vaccination

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