Factors influencing on influenza vaccination and its trends of coverage in patients with diabetes in Korea: A population-based cross-sectional study

Shin, Hyun-Young; Chung, Jae Ho; Hwang, Heejin; Kim, Tae Ho

doi:10.1016/j.vaccine.2017.11.035

Cited by 21 publications

(29 citation statements)

References 26 publications

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“…However, in diabetic patients under 65 years, the influenza vaccination rate was 35.4%, which was considerably lower than desired when considering the target of the WHO in the influenza vaccination was 75%. This difference of influenza vaccination rate was also identified in a previous study (78.7% in diabetics over 65 years; 34.3% in diabetics under 65 years) [25]. In other words, there is a significant gap in influenza vaccination rate between diabetic patients under 65 years and over 65 years.…”

Section: Discussionsupporting

confidence: 82%

“…Although multivariate analysis in our study confirmed that awareness and treatment rates of diabetes was significantly associated with influenza vaccination in diabetic patients under 65 years, univariate analysis results were similar to those of previous studies. Influenza vaccination rate was higher in women aged both under 65 years and older than 65 years, as shown in previous studies [25,35]. In general, females have a tendency to prefer healthy lifestyle.…”

Section: Discussionsupporting

confidence: 79%

“…This is a different result from several previous studies. In a nation-wide cross-sectional study, Shin et al [25] have reported that socioeconomic factors (older age, higher family income, and medical aid insurance) and health-related factors (lack of risky alcohol consumption, obesity, and recent health screening) can affect influenza vaccination in diabetic patients under 65 years. One United States study has reported that there are significant differences in influenza vaccination according to race of patients with diabetes [29].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Importance of Awareness and Treatment for Diabetes in Influenza Vaccination Coverage of Diabetic Patients under 65 Years: A Population-Based Study

Han

et al. 2021

Diabetes Metab J

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Background: Influenza is a global public health problem causing considerable morbidity and mortality. Although vaccination is the most effective way to prevent infection, vaccination coverage is insufficient in people with chronic disease under 65 years, especially diabetes. The purpose of this study was to evaluate influenza vaccination coverage and identify factors associated with influenza vaccination in Korean diabetic adults under 65 years. Methods: Data were obtained from 24,821 subjects in the Korea National Health and Nutrition Examination Survey (2014 to 2017). Socioeconomic, health-related, and diabetic factors were investigated for their relations with influenza vaccination in diabetic patients under 65 years using univariate and multivariate analyses. Results: Among 24,821 subjects, 1,185 were diabetic patients under 65 years and their influenza vaccination rate was 36.5%. Socioeconomic (older age, female gender, non-smoker, light alcohol drinker, lower educational level, and employed status), healthrelated factors (lower fasting glucose and glycosylated hemoglobin level, good self-perceived health status, more comorbidities, recent health screening, more outpatient visits, and diet therapy), and diabetic factors (more awareness and getting treated) were associated with influenza vaccination. In multivariate analysis, more awareness and getting treated for diabetes were associated with influenza vaccination in diabetic patients under 65 years (odds ratio, 1.496 and 1.413; 95% confidence interval, 1.022 to 2.188 and 1.018 to 2.054, respectively). Conclusion: Influenza vaccination rate was low in diabetic patients under 65 years, especially in those with unawareness and not getting treated for diabetes. Active screening and treatment for diabetes may be helpful to improve the influenza vaccination rate in these patients.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Importance of Awareness and Treatment for Diabetes in Influenza Vaccination Coverage of Diabetic Patients under 65 Years: A Population-Based Study

Han

et al. 2021

Diabetes Metab J

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“…It confirms that more than half (61%) of T2DM patients are vaccinated. This figure is very close to the coverage rate of vaccination among Korean diabetic patients which amounted to 57.7% [ 13 ] and higher than that in Spain (40%) [ 14 ] and France (33.7%) [ 15 ]. The current governmental and public interest about respiratory infectious diseases and corona virus in Saudi Arabia [ 8 , 16 ] besides the free and easy access to influenza vaccine are possible reasons for the increased seasonal influenza coverage compared to other world areas that reported low coverage rate for seasonal influenza vaccine.…”

Section: Discussionsupporting

confidence: 71%

Influenza Vaccination in Type 2 Diabetes Patients: Coverage Status and Its Determinants in Southwestern Saudi Arabia

Alnaheelah¹,

Awadalla

Al-Musa

et al. 2018

IJERPH

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Despite the significant role of seasonal influenza vaccination in preventing and minimizing the serious complications of influenza infection in type 2 diabetes mellitus (T2DM) patients, unsatisfactory compliance still exists for vaccination. Study objectives were to explore the vaccination status and determinants in T2DM patients in southwestern Saudi Arabia. A cross-sectional study on a representative sample of T2DM patients in Abha city, southwestern Saudi Arabia, was conducted. Data for sociodemographic characteristics, clinical criteria, vaccination status, vaccination motivators and barriers and seasonal influenza knowledge were collected. Out of 353 T2DM patients included in the study, seasonal influenza vaccination coverage was 61% in year 2017. A significant factors associated with non-vaccination were; poor influenza and its vaccine knowledge (OR = 4.31, 95% CI: 2.73–6.80), illiteracy (OR = 1.93, 95% CI: 1.11–3.37), and more than 10 years disease duration (OR = 2.07, 95% CI: 1.11–3.87). Presence of family history of DM and ischemic heart comorbidity minimized the possibility of non-vaccination (OR = 0.54 and 0.28 respectively). Healthcare givers’ advice was the most reported vaccination motivator (84.7%) while; fear of vaccine side effects was the most stated barrier (73%). In conclusion, influenza vaccination rate among T2DM in the present study is less than the recommended level. Continuous primary health care center-based educational programs should be implemented to aware and encourage influenza vaccination among T2DM patients.

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“…Although sex as an influencing factor in influenza vaccination among adults has been inconsistently evident [1,20,21], unlike in our study, several studies have shown higher vaccination rates in females than in males [22,23]. In general, because females tend to have a healthier lifestyle and be more interested in health information, are more likely to follow preventive health care recommendations, and use health care services more often than males do, acceptance for the influ- enza vaccination is likely to be higher among females [24,25]. However, in our study, the proportion of males among the total subjects and the asthma groups was higher than that of females, so this uneven distribution in sex may have influenced our results.…”

Section: Discussioncontrasting

confidence: 80%

Influencing Factors for Influenza Vaccination among South Korean Adolescents with Asthma Based on a Nationwide Cross-Sectional Study

Kyung

Choi

Lee

et al. 2020

Int Arch Allergy Immunol

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Background: Influenza viral infection is a major public health problem with significant morbidity and mortality. Asthma is a risk factor for developing serious complications related to influenza infection. Objective: We explored factors associated with influenza vaccination coverage among adolescents with asthma. Methods: Data were obtained from 62,276 participants in the 13th Korean Youth Risk Behavior Web-Based Survey (KYRBS) conducted in 2017. KYRBS data were obtained from a stratified, multistage, clustered sample. We used multiple logistic regression analyses to identify variables potentially related to influenza vaccination in adolescents with asthma. Results: The proportion of asthma was 8.8%, and the influenza vaccination rate overall was 37.9%. It was 41.8% in the asthma group and 37.5% in the nonasthma group (p < 0.001). After regression, male sex (odds ratio (OR) = 1.45; 95% CI 1.35-1.55), a high socioeconomic status (OR = 1.12; 95% CI 1.05-1.19), residence at an orphanage (OR = 1.93; 95% CI 1.38-2.29), regular breakfast consumption (OR = 1.09; 95% CI 1.02-1.17), and subjective good health (OR = 2.39; 95% CI 1.69-3.39) were associated with increased influenza vaccination, whereas current smoking (OR = 0.87; 95% CI 0.67-0.96) and a depressive mood (OR = 0.77; 95% CI 0.64-0.95) were inversely associated in adolescents with asthma. Conclusion: It is important to improve influenza vaccination in adolescents with asthma, especially females, those with a low socioeconomic status, independent residents, breakfast skippers, current smokers, and those who consider themselves unhealthy and have depressive moods.

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Factors influencing on influenza vaccination and its trends of coverage in patients with diabetes in Korea: A population-based cross-sectional study

Cited by 21 publications

References 26 publications

Importance of Awareness and Treatment for Diabetes in Influenza Vaccination Coverage of Diabetic Patients under 65 Years: A Population-Based Study

Importance of Awareness and Treatment for Diabetes in Influenza Vaccination Coverage of Diabetic Patients under 65 Years: A Population-Based Study

Influenza Vaccination in Type 2 Diabetes Patients: Coverage Status and Its Determinants in Southwestern Saudi Arabia

Influencing Factors for Influenza Vaccination among South Korean Adolescents with Asthma Based on a Nationwide Cross-Sectional Study

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