Addressing adolescent immunization disparities: a retrospective analysis of school-based health center immunization delivery.

American Journal of Public Health
Steven FedericoSimon J Hambidge

Abstract

We compared completion rates for adolescent immunization series administered at school-based health centers (SBHCs) to completion rates for series administered at community health centers (CHCs) within a single integrated delivery system. We performed a retrospective analysis of data from an immunization registry for patients aged 12-18 years. Patients were assigned to either an SBHC or a CHC during the study interval based on utilization. We used bivariate analysis to compare immunization series completion rates between the 2 groups and multivariate analysis to compare risk factors for underimmunization. We performed subanalyses by ages 12-15 years versus ages 16-18 years for human papillomavirus (HPV) and for the combination of HPV; tetanus, diptheria, and pertussis (Tdap); and tetravalent meningococcus virus. SBHC users had significantly higher completion rates (P<.001) for hepatitis B, Tdap, inactivated poliovirus, varicella, measles/mumps/rubella, and HPV for ages 16-18 years, and for the combination of HPV, Tdap, and MCV4 for ages 16-18 years. CHC users had higher completion rates for tetanus and diphtheria. SBHCs had higher completion rates than did CHCs for immunization series among those aged 12-18 years, despite servi...Continue Reading

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Citations

Oct 19, 2012·The Nurse Practitioner·Dian Baker, Victoria Niederhauser
Jan 11, 2014·Expert Review of Vaccines·Parth D ShahNoel T Brewer
Jun 9, 2012·Current Problems in Pediatric and Adolescent Health Care·Victoria KeetonClaire D Brindis
Jul 9, 2011·Advances in Pediatrics·Steven G FedericoPaul Melinkovich
Sep 1, 2015·Pediatric Clinics of North America·Svapna S Sabnis, James H Conway
Jul 21, 2015·American Journal of Preventive Medicine·Robin C VanderpoolChristine F Weyman
Mar 10, 2012·Vaccine·Mary E O'ConnorSimon J Hambidge
Jun 21, 2016·American Journal of Preventive Medicine·John A KnopfUNKNOWN Community Preventive Services Task Force
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Oct 4, 2016·American Journal of Preventive Medicine·Melina M BersaminPaul J Gruenewald
Oct 10, 2018·The Journal of School Health·Abbey GreggJungyoon Kim
Feb 9, 2019·Human Vaccines & Immunotherapeutics·Kristin OliverJane R Zucker
Jan 15, 2018·International Journal of Adolescent Medicine and Health·Adesola Olumide, Eme Owoaje
Dec 19, 2019·The Journal of School Health·Raul Perez ZarateJulie Gazmararian
Dec 25, 2016·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Sion K HarrisElizabeth M Ozer
Apr 18, 2016·Delaware Journal of Public Health·Carolee PolekUNKNOWN PMHCNS-BC

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