Seasonal influenza vaccine uptake among adults with disabilities in Korea |
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| Affiliation: | 1. Department of Infectious Diseases, National Health Insurance Service Ilsan Hospital, Goyang, South Korea;2. Department of Health and Medical Information, Myongji College, Seoul, South Korea;3. College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Seoul, South Korea;1. Faculty of Physical Education, Shenzhen University, Shenzhen, China;2. Cardiac Rehabilitation Center, Fuwai Hospital, CAMS&PUMC, Beijing, China;3. Children''s Healthcare & Mental Health Center, Shenzhen Children''s Hospital, Shenzhen, China;1. Health Policy Research Center-Mongan Institute, Massachusetts General Hospital, USA;2. Department of Medicine, Harvard Medical School, USA;3. Boston University School of Public Health, USA;4. Center for Bioethics and Humanities, Department of Medicine, USA;5. University of Colorado School of Medicine, Center for Survey Research, University of Massachusetts-Boston, USA;1. Institute for Social Research, University of Michigan, Ann Arbor, MI, USA;2. Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA;3. University of Michigan Center for Disability Health and Wellness, Ann Arbor, MI, USA;4. Department of Sociology, Indiana University School of Liberal Arts, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA;5. Department of Ophthalmology & Visual Sciences, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;6. Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;7. Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;8. Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA;1. Division of Fire Safety Engineering, Lund University, Box 118, SE-221 00, Lund, Sweden;2. Department of Health Science, Lund University, Box 157, SE-221 00, Lund, Sweden;1. Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, 2141, Australia;2. Centre of Research Excellence in Disability and Health, University of Sydney, Sydney, NSW 2141, Australia;3. Centre for Disability Research, Faculty of Health & Medicine, Lancaster University, Lancaster, LA1 4YW, UK;4. College of Nursing and Health Sciences, Flinders University, SA, 5042, Australia |
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| Abstract: | BackgroundPrevious research on vaccination among people with disabilities has focused on children or adolescents.ObjectiveTo examine variations in seasonal influenza vaccination (SIV) uptake according to disability type and age group and explore the vulnerable groups and risk factors of non-vaccination to identify areas of policy support in Korea.MethodsThis pooled cross-sectional study included adults who participated in the 2011, 2014, and 2017 National Survey of Persons with Disabilities. The dependent variable was SIV uptake. Age-stratified multivariate logistic regression was conducted to assess its relationship with disability characteristics.ResultsAmong 18,069 adults with disabilities, the overall SIV uptake rate increased with age (33.8%, 50.1%, and 85.3% in 20–49, 50–65, and ≥65 years, respectively). In the multivariate analyses (reporting the adjusted odds ratio and 95% confidence interval), severe disability was associated with lower and higher SIV uptake rates in older adults and younger age-groups (0.88, 0.76–1.01; 1.62, 1.42–1.86; and 1.54, 1.24–1.92 in those aged ≥65; 50–64; and 20–49 years), respectively. Health behaviors (regular doctor visits, general health examinations, and non-smoking) were significantly associated with higher odds of SIV uptake. After adjusting for covariates (age, medical conditions, functional ability, and behavioral factors), individuals with brain, epileptic, and psychiatric disabilities showed lower odds of SIV uptake compared to those with internal organ disabilities across all age groups.ConclusionsPolicy initiatives that can improve the health behaviors of people with disabilities (especially the elderly and people with intellectual, brain, epilepsy, and psychiatric disabilities) to promote SIV uptake are needed. |
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| Keywords: | Influenza Vaccination Disability |
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