Barriers to adolescent immunization: A survey of family physicians and pediatricians
Barriers to adolescent immunization: A survey of family physicians and pediatricians
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DOI：
10.3122/jabfm.18.1.13
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发表时间：
2005-01-01
期刊：
影响因子：
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通讯作者：
Howell, K
中科院分区：
文献类型：
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作者：
Oster, NV;Mcphillips-Tangum, CA;Howell, K
背景：尽管儿童早期疫苗接种率有所提高，但许多青少年没有及时接种推荐的疫苗。我们评估了家庭医生和儿科医生对青少年疫苗接种的态度和做法，以确定供应商级的障碍，可能有助于低免疫rate.Methods：一个94项的自我报告问卷邮寄给400名医生与管理式医疗机构签约。医生询问人口特征，疫苗的建议，青少年免疫接种的做法，障碍，青少年免疫接种，并使用提醒/召回systems.Results：响应率为59%。大多数受访者报告常规推荐破伤风和白喉类毒素疫苗（98%），B型肝炎（90%），麻疹，腮腺炎和风疹（84%），而60%的人常规推荐水痘疫苗。医生报告说，他们更有可能评估免疫状况、进行指定的免疫接种并安排年轻青少年再次接种疫苗（11至13岁）比年龄较大的青少年（14 - 18岁和19 - 21岁）。结论：大多数受访者报告在预防性健康访问期间建议接种适当的疫苗;然而，年龄较大的青少年最不可能成为免疫评估和接种所有推荐疫苗的目标。
Background: Although early childhood vaccination rates have increased, many adolescents are not up to date on recommended vaccinations. We assessed attitudes and practices of family physicians and pediatricians regarding adolescent vaccination to identify provider-level barriers that may contribute to low immunization rates.Methods: A 94-item self-report questionnaire was mailed to 400 physicians contracted with a managed care organization. Physicians were queried about demographic characteristics, source of vaccine recommendations, adolescent immunization practices, barriers to immunizing adolescents, and use of reminder/recall systems.Results: Response rate was 59%. Most respondents reported routinely recommending vaccines for tetanus and diphtheria toxoids (98%), Hepatitis B (90%), and measles, mumps, and rubella (84%), whereas 60% routinely recommended varicella vaccine. Physicians reported that they were more likely to assess immunization status, administer indicated immunizations, and schedule return immunization visits to younger adolescents (11 to 13 years old) than to older adolescents (14 to 18 and 19 to 21 years old).Conclusion: Most respondents reported recommending the appropriate vaccinations during preventive health visits; however, older adolescents were least likely to be targeted for immunization assessment and administration of all recommended vaccines.