Predictors of time to completion of the hepatitis B vaccination series among adolescents
Predictors of time to completion of the hepatitis B vaccination series among adolescents
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DOI：
10.1016/s1054-139x(99)00063-4
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发表时间：
1999-11-01
影响因子：
7.6
通讯作者：
Emans, SJ
中科院分区：
文献类型：
--
作者：
Middleman, AB;Robertson, LM;Emans, SJ
目的：为了确定青少年的完成率和影响完成时间的因素B型肝炎（HBV）vaccination.Methods：在接种疫苗之前，参与者从医院和学校为基础的青少年诊所完成问卷调查，评估社会人口学变量，家庭/朋友的经验与HBV和疫苗，完成疫苗接种的可能性，HBV和疫苗知识，危险行为，慢性疾病，并获得诊所。结果：26个月后开始的研究，72%的896名合格的参与者完成了疫苗接种系列。完成时间较短的独立预测因素为：估计平均家庭收入较高[比值比（OR）= 1.15，95%置信区间（CI）= 1.06-1.25），白色人种（OR = 1.27，95% CI = 1.01-1.58）、女性（OR = 1.58，95% CI = 1.31-1.92）、过去30天内未吸烟（OR = 0.74，95% CI = 0.60-0.92）。站点的护理，获得HBV，疾病和疫苗知识的风险因素，并自我报告的愿望，以完成系列与完成time.Conclusions：与完成免疫接种相关的主要因素可能不适合干预，强制免疫接种策略可能更有可能导致保护青少年。(C)青少年医学协会，1999年。
Objectives: To determine adolescents' completion rates and factors affecting completion time of hepatitis B (HBV) vaccination.Methods: Prior to vaccination, participants from a hospital-based and school-based adolescent clinic completed questionnaires assessing sociodemographic variables, family/friend experience with HBV and the vaccine, likelihood of completing the vaccinations, HBV and vaccine knowledge, risk behaviors, chronic illness, and access to clinic. Vaccination times were recorded.Results: Twenty-six months after initiation of the study, 72% of 896 eligible participants had completed the vaccination series. The independent predictors of shorter time to completion were: higher estimated mean household income [odds ratio (OR) = 1.15, 95% confidence interval (CI) = 1.06-1.25), white race (OR = 1.27, 95% CI = 1.01-1.58), female gender (OR = 1.58, 95% CI = 1.31-1.92], and not having smoked cigarettes (OR for smoking in the past 30 days = 0.74, 95% CI = 0.60-0.92). Site of care, risk factors for acquiring HBV, disease and vaccine knowledge, and self-reported desire to complete the series were not associated with completion time.Conclusions: The primary factors associated with completion of immunization may not be amenable to intervention; mandated strategies for immunization may be more likely to result in protection for adolescents. (C) Society for Adolescent Medicine, 1999.