Community health workers on a college campus: Effects on influenza vaccination
Community health workers on a college campus: Effects on influenza vaccination
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DOI：
10.1080/07448481.2018.1440582
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发表时间：
2018-01-01
影响因子：
2.4
通讯作者：
Gharib, Soheyla D.
中科院分区：
文献类型：
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作者：
Huang, Jack J.;Francesconi, Maria;Gharib, Soheyla D.
目的：评估校园社区卫生工作者计划(HealthPALS)对学生流感疫苗接种的影响。参与者：美国东北部一所大学的本科生(招生人数为6650人)，2011-2012年流感季节至2015-2016年。方法：研究设计：对干预期间和基线期间在校园宿舍流感诊所接种疫苗的学生进行差异分析。干预：在第一个干预年，HealthPAL在几个校园宿舍流感诊所进行了面对面的同伴外联。随后几年，HealthPAL进行了加强干预，增加了个性化的、针对宿舍的社交媒体活动，以吸引学生的社区认同。结果：与对照相比，干预初期的预防接种增加了66%(IRR=1.66，95%CI为1.39~1.97)。加强干预后，大学生流感疫苗接种率提高了85%(IRR=1.85，95%CI为1.75~1.96)。结论：社区卫生工作者是提高大学生流感疫苗接种率的一种高效、低成本的策略。这种模式还可以用来解决其他校园健康挑战，在这些挑战中，学生的参与是关键。
Objective: To assess the impact of a campus community health worker program (HealthPALs) on student influenza vaccination. Participants: Undergraduate students at a northeastern US university (enrollment 6650), influenza seasons 2011-2012 through 2015-2016. Methods: Study design: Difference-in-differences analysis of student vaccination at campus dormitory influenza clinics during intervention vs. baseline. Intervention: In the first intervention year, HealthPALs conducted in-person peer outreach at several campus dormitory flu clinics. Subsequent years, HealthPALs conducted an enhanced intervention, with the addition of a personalized, dormitory-specific social media campaign appealing to students' community identity. Results: The initial intervention increased vaccinations by 66% (IRR = 1.66, 95%CI 1.39-1.97) at intervention clinics relative to control. The enhanced intervention increased vaccinations by 85% (IRR = 1.85, 95%CI 1.75-1.96).Conclusion: Community health workers can be a highly effective, low-cost strategy for increasing influenza vaccination among college students. This model could also be used to address other campus health challenges where student engagement is key.