Correlates of receiving recommended adolescent vaccines among youth with special health care needs: Findings from a statewide survey |
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| Institution: | 1. Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH, USA;2. Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA;3. Division of General Pediatrics and Adolescent Health, University of Minnesota Medical School, Minneapolis, MN, USA;4. Healthy Youth Development, Prevention Research Center, University of Minnesota, Minneapolis, MN, USA;1. Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan;2. Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan;1. Commissariat à l’Energie Atomique et aux Energies Alternatives, Institut de Biologie et Technologies de Saclay, Service de Pharmacologie et d’Immunoanalyse, Laboratoire d’Etudes et de Recherches en Immunoanalyse, Gif-Sur-Yvette F-91191, France;2. Institut Curie, Centre de Recherche, Paris 75005, France;3. INSERM, U932, Paris F-75005, France;4. Centre d’Investigation Clinique Biothérapie CICBT 507, Institut Curie, Paris F-75005, France;1. Division of Infectious Diseases, School of Medicine, Emory University, Atlanta, Georgia;2. Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, Georgia;3. Rollins School of Public Health, Department of Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia;4. East Central Health District, Georgia Department of Public Health, Augusta, Georgia;5. Department of Pediatrics, School of Medicine, Georgia Regents University, Augusta, Georgia;6. National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia;1. Department of Epidemiology, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48104, United States;2. Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Bldg 259 Mack Ave, Detroit, MI 48201, United States;3. School of Medicine, Wayne State University, 540 Canfield St, Detroit, MI 48201, United States;4. University of Michigan Medical School, 1150 W. Medical Center Drive, Ann Arbor, MI 48109, United States;1. Children’s Research Institute, Children’s Hospitals and Clinics of Minnesota, 2525 Chicago Avenue South, Minneapolis, MN 55404, United States;2. Center for Health Outcomes and Prevention Research, Sanford Research, 2301 E 60th Street North, Sioux Falls, SD 57104, United States;3. Department of Pediatrics, Sanford School of Medicine of the University of South Dakota, 1400 W 22nd Street, Sioux Falls, SD 57105, United States;4. Critical Care Services, Children’s Hospitals and Clinics of Minnesota, 910 Building, Suite 40-460, Minneapolis, MN 55404, United States |
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| Abstract: | BackgroundMany youth with special health care needs (YSHCN) have not received recommended adolescent vaccines, yet data are lacking on correlates of vaccination among this population. Such information can identify subgroups of YSHCN that may be at risk for under-immunization and strategies for increasing vaccination.MethodsWe analyzed weighted data from a population-based sample of parents with an 11- to 17-year-old child with a special health care need from the 2010–2012 North Carolina Child Health Assessment and Monitoring Program (n = 604). We used ordinal logistic regression to identify correlates of how many recommended vaccines (tetanus booster, meningococcal, and HPV at least one dose] vaccines) adolescents had received.ResultsOnly 12% of YSHCN (18% of females and 7% of males) had received all three vaccines. More YSHCN had received tetanus booster vaccine (91%) than meningococcal (28%) or HPV vaccines (32%). In multivariable analyses, YSHCN who were female (OR = 2.59, 95% CI: 1.57–4.24), ages 16–17 (OR = 2.06, 95% CI: 1.10–3.87), or who had a preventive check-up in the past year (OR = 2.98, 95% CI: 1.24–7.21) had received a greater number of the vaccines. YSHCN from households that contained a person with at least some college education had received fewer of the vaccines (OR = 0.57, 95% CI: 0.33–0.96). Vaccine coverage did not differ by type of special health care need.ConclusionsVaccine coverage among YSHCN is lacking and particularly low among those who are younger or male. Reducing missed opportunities for vaccination at medical visits and concomitant administration of adolescent vaccines may help increase vaccine coverage among YSHCN. |
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| Keywords: | Adolescent Vaccination Health status disparities Disabled children |
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