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Journal of the Korean Academy of Family Medicine 1994;15(4):191-198.
Published online April 1, 1994.
The Vaccination Rate of Hepatitis B Vaccine among Korean Adults.
Yeong Sik Kim, Nam Hee Park, Jong Baek Lee
성인의 B 형 간염 백신 접종율
김영식, 박남희, 이종백
울산대학교의과대학 서울중앙병원 가정의학교실
Abstract
Background
: Hepatitis B Vaccination plays an important role in national health, so it has spreaded out widely since 10 years ago. But we still face difficulties in getting information on actual condition of the vaccination due to not having enough research on the status of vaccination rate. Therefore this research mainly focused on the vaccination rate in general population and those who need vaccination.

Methods : We surveyed 4,939 people who had visited General Health Screening Center of Asan Medical Center. We compared their vaccination rate according to their sex, age, educational background and their occupations. And we compared the positive rate of HBsAg and HBsAb according to vaccination status. We surveyed vaccination rate of 3,656 people, who were the individuals excluding those who were not vaccinated for they knews they were positive in HBsAg or HBsAb.

Results : 37% of total number of persons have been vaccinated. Among them 38.5% were males and 34.7% were females. This showed higher vaccination rate among men compare to women. In terms of age, teens showed 57.1%, the highest vaccination rate. Twenties to fourties showed 34~41% and fifties to the older showed 30~34% of vaccination rate. Therefore vaccination rate decreased as the age increased. Regarding educational background vaccination rate was 45.7% for college graduates or higher educational level. High school level showed 29.2%. This revealed higher percentage of vaccination rate among people with better educational background compared to those with less education. In terms of occupation, adiministratives, professionals showed 47.1%, 43.2% of vaccination rate. Factory workers, labors showed 35.3% of vaccination rate. Farmers and fishers showed very low vaccination rate of 4.9%. People with family history of liver disease showed higher percentage of 39.3% than those without(36.7%). Positive rate of HBsAg was higher in those woh were not vaccinated 8.3% than vaccinated group 2.3%. Postive rate of HBsAb was higher in vaccinated group 84.8% than those who had no vaccintion 68.0%. 44.2% of those who need vaccination have been vaccinated. In this group, vaccination rates according to sex, age, educational background, theri occupations and family history of liver diseases and positive rate of HBsAg and HBsAb showed same patterns of the total group.

Conclusion : HBV's vaccination rate was 37%. It showed higher vaccination rate in male youngeter, the educated, professional and individuals having a family history of liver disease.
초록
연구배경 : B형간염 백신의 접종이 국민 보건의 영역에서 중요한 의의를 갖고 10년 전부터 널리 보급되어 왔는데 아직까지 접종 실태에 관해서는 조사된 바가 별로 없어 접종 현황을 파악하는데 어려움이 있어왔다. 이에 일반인 및 접종 대상자에서의 백신의 접종율을 알아보고자 조사하였다.

방법 : 서울중앙병원 종합건강진단 센터를 내원한 4,939명을 대상으로 설문조사하여 성별, 연령, 학력, 직업력등에 따른 접종율을 비교하였고, 이중 B형간염의 예방접종 대상자인 3.656명의 접종율을 조사하였다.

결과 : 전체 대상자에서의 접종율은 37.0%이었고 성별로는 남자가 38.5%, 여자가 34.7%로 남자에서 높은 접종율을 보였다. 연령별로는 10대에서 57.1%로 가장 높았고 20~40대는 34~41%, 50대 이후에는 30~34%로 점차 감소하여 연령 증가에 따라 감소하는 경향이었다. 학력을 기준으로 보년 접종율이 대학 이상의 고학력자에서 45.7%로 고졸자의 26.5%, 고졸 미만자의 29.2%보다 높게 나타났다. 직업별 접종율로는 사무행정직과 전문직에서 47.1%, 43.2%로 높게 나타났고, 생산노무직(35.3%)과 농림수산업(4.9%)에서는 낮게 나타났다. 간질환의 가족력에 따른 접종율은 간질환의 가족력이 있는 경우 39.3로 가족력이 없는 경우 36.7%보다 높게 나타났다. B형간염 표면 항원의 양성율은 B형간염 백신의 접종군(2.3%)에서보다 비접종군(8.3%)에서 높게 나타났고, 표면 항체의 양성율은 B형백신의 접종군(84.8%)에서 비접종군(68.0%)보다 높게 나타났다. B형간염의 예방 접종 대상자에서의 접종율은 44.2%이었고 성별, 연령, 학력, 직업, 가족력에 따른 접종률과 B형간염 표면 항원 및 표면 항체의 양성율은 전체 대상자와 같은 경향을 보였다.

결론 : 종합건강진단 센터를 내원한 성인의 B형간염 백신의 접종율은 37%이었고, 남자와 젊은사람, 고학력자, 전문직, 간질환의 가족력이 있을수록 높게 나타났다.


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