| Titre : | Addressing Adolescent Immunization Disparities : A Retrospective Analysis of School-Based Health Center Immunization Delivery. (2010) |
| Auteurs : | Steven-G FEDERICO ; Lisa Abrams ; Rachel-M EVERHART ; Simon-J HAMBIDGE ; Paul MELINKOVICH ; Denver Health and Hospital Authority. Denver. CO. USA ; Department of Pediatrics. University of Colorado Denver School of Medicine. Aurora. CO. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, n° 9, 2010) |
| Pagination : | 1630-1634 |
| Langues: | Anglais |
| Mots-clés : | Adolescent ; Vaccination ; Prévention santé ; Centre vaccination ; Centre santé ; Accouchement ; Homme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 8A9R0xnl. Diffusion soumise à autorisation]. 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 forthe combination of HPV, Tdap, and MCV4for 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. |
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