Titre :
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Addressing Adolescent Immunization Disparities : A Retrospective Analysis of School-Based Health Center Immunization Delivery. (2010)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 100, n° 9, 2010)
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Pagination :
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1630-1634
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Langues:
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Anglais
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Mots-clés :
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Adolescent
;
Vaccination
;
Prévention santé
;
Centre vaccination
;
Centre santé
;
Accouchement
;
Homme
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Résumé :
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[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<. for hepatitis b tdap inactivated poliovirus varicella measles and hpv ages years forthe combination of mcv4for years. chc users had higher completion rates tetanus diphtheria. conclusions. sbhcs than did chcs immunization series among those aged despite serving a population with limited insurance coverage.>
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