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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

Diabetes & Metabolism Journal 2021년 45권 1호 p.55 ~ 66
고유미, 고승현, Han Kyoung-Do, 박용문, 최준영, 김신영, 송소향, 김치홍, 김성경,
소속 상세정보
고유미 ( Ko Yu-Mi ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine
고승현 ( Ko Seung-Hyun ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine
 ( Han Kyoung-Do ) - Soongsil University Department of Statistics and Actuarial Science
박용문 ( Park Yong-Moon ) - National Institutes of Health National Institute of Environmental Health Sciences Epidemiology Branch
최준영 ( Choi Joon-Young ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine
김신영 ( Kim Shin-Young ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine
송소향 ( Song So-Hyang ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine
김치홍 ( Kim Chi-Hong ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine
김성경 ( Kim Sung-Kyoung ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Internal Medicine

Abstract


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), health-related 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.

키워드

Awareness; Diabetes mellitus; Influenza, human; Therapeutics; Vaccination

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