Asunto(s)
Bacteriemia/microbiología , Cuerpos Extraños/diagnóstico , Absceso Hepático/diagnóstico por imagen , Páncreas , Infecciones Estreptocócicas/diagnóstico , Streptococcus constellatus/aislamiento & purificación , Dolor Abdominal/etiología , Adulto , Animales , Huesos , Diagnóstico Diferencial , Fiebre/etiología , Cuerpos Extraños/complicaciones , Humanos , Hígado/diagnóstico por imagen , Absceso Hepático/etiología , Masculino , Salmón , Infecciones Estreptocócicas/complicaciones , Infecciones Estreptocócicas/microbiología , Tomografía Computarizada por Rayos X , VietnamRESUMEN
OBJECTIVE: To assess the impact of a campus community health worker program (HealthPALs) on student influenza vaccination. PARTICIPANTS: Undergraduate students at a northeastern US university (enrollment 6650), influenza seasons 2011-2012 through 2015-2016. METHODS: Study design: Difference-in-differences analysis of student vaccination at campus dormitory influenza clinics during intervention vs. baseline. INTERVENTION: In the first intervention year, HealthPALs conducted in-person peer outreach at several campus dormitory flu clinics. Subsequent years, HealthPALs conducted an enhanced intervention, with the addition of a personalized, dormitory-specific social media campaign appealing to students' community identity. RESULTS: The initial intervention increased vaccinations by 66% (IRR = 1.66, 95%CI 1.39-1.97) at intervention clinics relative to control. The enhanced intervention increased vaccinations by 85% (IRR = 1.85, 95%CI 1.75-1.96). CONCLUSION: Community health workers can be a highly effective, low-cost strategy for increasing influenza vaccination among college students. This model could also be used to address other campus health challenges where student engagement is key.