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Int. J. Environ. Res. Public Health 2015, 12(8), 10133-10149; doi:10.3390/ijerph120810133

A Population-Based, Nationwide Cross-Sectional Study on Influenza Vaccination Status among Cancer Survivors in Korea

Department of Internal Medicine, Jeongup Asan Hospital, Jeongup 56153, Korea
Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju 61452, Korea
Department of Internal Medicine, Chosun University Hospital, Gwangju 61453, Korea
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 23 June 2015 / Revised: 4 August 2015 / Accepted: 18 August 2015 / Published: 21 August 2015
View Full-Text   |   Download PDF [694 KB, uploaded 26 August 2015]


Cancer survivors are at increased risk of developing influenza-related complications. The purpose of this study was to investigate the vaccination coverage among cancer survivors in Korea using the Korea National Health and Nutrition Examination Survey (KNHANES). Adult cancer survivors were selected from fourth (2007–2009) and fifth (2010–2012) KNHANES (n = 1156) datasets. General characteristics, cancer-related data, and influenza vaccination status were collected using self-report questionnaires. Chi-square tests and multiple logistic regression analyses were performed to investigate the association between influenza vaccination coverage and associated factors. Overall, 51% of survivors were vaccinated. Vaccine prevalence exceeded 75% in those more than 65 years but was only 26% in survivors aged 19–44. Increasing age, low frequency of alcohol consumption, having poor self-rated health, and having a shorter duration since cancer diagnosis were significant predictors of vaccination status among cancer survivors under 65 years of age. Influenza vaccine coverage remains much lower than recommended among cancer survivors, particularly in the younger age groups. Further study is needed to determine the factors that contribute to the lack of vaccination in cancer survivors, despite their increased risk for influenza. View Full-Text
Keywords: influenza; human; influenza vaccines; neoplasms; survivors influenza; human; influenza vaccines; neoplasms; survivors
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Oh, M.G.; Han, M.A.; Yun, N.-R.; Park, J.; Ryu, S.Y.; Kim, D.-M.; Choi, S.-W. A Population-Based, Nationwide Cross-Sectional Study on Influenza Vaccination Status among Cancer Survivors in Korea. Int. J. Environ. Res. Public Health 2015, 12, 10133-10149.

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