Purpose: To improve the quality of the vaccination program, analyze the cause and identify the influencing factors for not being registered in the National Immunization Registry Information System even once.Methods: We conducted one-on-one household visit interview surveys after, using a list supplemented with addresses from the Ministry of the Interior.We identified the basic respondent information, information on relevant children (those born in 2012), the reasons for omission from computerized vaccination registration, and the actual residence of the registered children. Results:The total number of unvaccinated children born in 2012 was 1,870.The final contact result of the household surveys was 1,254 successful contacts, 51 refused to be interviewed, and 565 were not found.The reason for missed vaccination registration was 928 cases of long-term stay overseas, 241 cases of missing registration owing to intentional refusal of vaccination, and 57 cases of illness.A comparison of complete vaccination rates between non-registrants and those of computerized registrants revealed rates of 17.9% and 96.3% for the 3 doses hepatitis B vaccine, 14.9% and 95.6% for the 4doses DTaP vaccine, 16.1% and 97.4% for the 3 doses polio vaccine, and 3.9% and 92.5% for the 3 (or 2) doses Japanese encephalitis vaccine, respectively. Conclusion:Vaccination is the most effective national health policy and one of the most remarkable accomplishments in medical history.Through great effort, Korea has started to transcribe vaccination records since 2000, and the records are now reaching a considerable level.However, there is an unregistered population of around 0.3%.Several measures can be taken to improve the registration rate in the vaccination records, such as managing non-registrants through education and interviews, and sharing vaccination data with foreign countries.The non-registrant management plan should include periodically compiling a list of children who are not registered in the National Immunization Registry Information System, conducting of household visits using survey forms, and data analysis to establish appropriate measures.
Purpose: To improve the quality of the vaccination program, analyze the cause and identify the influencing factors for not being registered in the National Immunization Registry Information System even once.
Methods: We conducted one-on-one household visit interview surveys after, using a list supplemented with addresses from the Ministry of the Interior. We identified the basic respondent information, information on relevant children (those born in 2012), the reasons for omission from computerized vaccination registration, and the actual residence of the registered children.
Results: The total number of unvaccinated children born in 2012 was 1,870. The final contact result of the household surveys was 1,254 successful contacts, 51 refused to be interviewed, and 565 were not found. The reason for missed vaccination registration was 928 cases of long-term stay overseas, 241 cases of missing registration owing to intentional refusal of vaccination, and 57 cases of illness. A comparison of complete vaccination rates between non-registrants and those of computerized registrants revealed rates of 17.9% and 96.3% for the 3 doses hepatitis B vaccine, 14.9% and 95.6% for the 4doses DTaP vaccine, 16.1% and 97.4% for the 3 doses polio vaccine, and 3.9% and 92.5% for the 3 (or 2) doses Japanese encephalitis vaccine, respectively.
Conclusion: Vaccination is the most effective national health policy and one of the most remarkable accomplishments in medical history. Through great effort, Korea has started to transcribe vaccination records since 2000, and the records are now reaching a considerable level. However, there is an unregistered population of around 0.3%. Several measures can be taken to improve the registration rate in the vaccination records, such as managing non-registrants through education and interviews, and sharing vaccination data with foreign countries. The non-registrant management plan should include periodically compiling a list of children who are not registered in the National Immunization Registry Information System, conducting of household visits using survey forms, and data analysis to establish appropriate measures.
본 연구에서는 75세 이상 후기 노인의 정서적 요인, 신체적 요인, 사회경제적 요인과 자살생각과의 관련성을 살펴보고, 나아가 후기노인의 자살 예방을 위해서 어떠한 요인이 충족되어야 하는가에 대해 파악하고자 하였다. “2017 년 노인실태조사” 자료를 사용하여 75세 이상 남성 3,023명, 여성 1,295명을 대상으로 하였다. 자살생각에 영향을 미치 는 요인을 파악하기 위해 다변량 로지스틱 회귀분석를 사용하였다. 연구결과 자녀와의 유대관계, 만성질병의 수, 학대 여부, 우울증, 배우자 유무가 유의하게 영향을 주었으며, 학대여부가 가장 위험도가 높았다. 따라서 후기 노인의 자살률을 감소시키기 위해서는 노인의 신체적, 사회경제적, 정서적 건강문제의 융합연구가 필요하 며, 특히 노인 학대를 감소를 위한 제도적 개선 및 노인상담기관의 활성화가 필요하다.
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