Missed Opportunities for Adolescent Immunizations at Well-Care Visits During the COVID-19 Pandemic.
J Adolesc Health
; 73(3): 595-598, 2023 09.
Article
em En
| MEDLINE
| ID: mdl-37389529
ABSTRACT
PURPOSE:
The Coronavirus Disease 2019 pandemic disrupted healthcare, but the impact on vaccination missed opportunities (MOs, vaccine-eligible visits without vaccination) is unknown. We evaluated pandemic-related trends in MOs at adolescent well-care visits for three vaccines human papillomavirus; quadrivalent meningococcal conjugate; and tetanus, diphtheria, and acellular pertussis (Tdap).METHODS:
We analyzed electronic health record data from 24 pediatric primary care practices in 13 states from 1/1/2018 to 12/31/2021. Segmented logistic regression estimated risk differences for MOs during the pandemic relative to prepandemic trends.RESULTS:
Among 106,605 well-care visits, we observed decreases in MOs prepandemic followed by an increase in MOs during the pandemic for all three vaccines. Relative to prepandemic, MOs increased for human papillomavirus (+15.9%, 95% confidence interval [CI] 11.7%, 20.1%), meningococcal conjugate (+9.4%, 95% CI 5.2%, 13.7%), and tetanus, diphtheria, and acellular pertussis (Tdap) (+ 8.2%, 95% CI 4.3%, 12.1%).DISCUSSION:
Increases in vaccine MOs during the pandemic equaled or exceeded pre-pandemic decreases. Reducing MOs in adolescent well-care could raise vaccine coverage.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tétano
/
Coqueluche
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Vacinas contra Difteria, Tétano e Coqueluche Acelular
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Vacinas Meningocócicas
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Difteria
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Vacinas contra Papillomavirus
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COVID-19
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Neisseria meningitidis
Limite:
Adolescent
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Child
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Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article