Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs
Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs
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DOI：
10.1177/0009922816661330
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发表时间：
2017-05-01
影响因子：
1.6
通讯作者：
Reiter, Paul L.
中科院分区：
文献类型：
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作者：
McRee, Annie-Laurie;Maslow, Gary R.;Reiter, Paul L.
我们利用青少年（11-17 岁）家长的数据调查了有特殊医疗保健需求的青少年 (YSHCN) 的疫苗接种覆盖率，这些青少年对 2010-2012 年全州范围的调查做出了答复 (n = 2156)。使用经过验证的筛查工具，我们确定 29% 的青少年为 YSHCN。加权多变量逻辑回归评估了特殊医疗保健需求与破伤风加强疫苗、脑膜炎球菌疫苗和人乳头瘤病毒 (HPV) 疫苗接种之间的关联。只有 12% 的青少年接种了全部 3 种疫苗，个别疫苗的覆盖率更高（破伤风加强疫苗，91%；脑膜炎球菌，32%；HPV，26%）。 YSHCN 的 HPV 疫苗接种几率高于其他青少年（33% vs 23%，OR = 1.70，95% CI = 1.16-2.50），但其他结果的疫苗接种覆盖率相似 (P >= .05)。在亚组分析中，HPV 疫苗接种也根据确定的特殊医疗保健需求的数量和类型而有所不同。调查结果突显了总体疫苗接种水平较低，并且错过了所有青少年（包括 YSHCN）接种推荐疫苗的机会。
We examined vaccination coverage among youth with special health care needs (YSHCN) using data from parents of adolescents (11-17 years) who responded to a statewide survey in 2010-2012 (n = 2156). Using a validated screening tool, we identified 29% of adolescents as YSHCN. Weighted multivariable logistic regression assessed associations between special health care needs and receipt of tetanus booster, meningococcal, and human papillomavirus (HPV) vaccines. Only 12% of youth had received all 3 vaccines, with greater coverage for individual vaccines (tetanus booster, 91%; meningococcal, 32%; HPV, 26%). YSHCN had greater odds of HPV vaccination than other youth (33% vs 23%, OR = 1.70, 95% CI = 1.16-2.50) but vaccination coverage was similar (P >= .05) for other outcomes. In subgroup analyses, HPV vaccination also differed depending on the number and type of special health care needs identified. Findings highlight low levels of vaccination overall and missed opportunities to administer recommended vaccines among all youth, including YSHCN.