Addressing adolescent immunization disparities: a retrospective analysis of school-based health center immunization delivery.
Am J Public Health
; 100(9): 1630-4, 2010 Sep.
Article
em En
| MEDLINE
| ID: mdl-20634466
ABSTRACT
OBJECTIVES:
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.METHODS:
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.RESULTS:
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.CONCLUSIONS:
SBHCs had higher completion rates than did CHCs for immunization series among those aged 12-18 years, despite serving a population with limited insurance coverage.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Serviços de Saúde Escolar
/
Programas de Imunização
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article