Impact of Provider Recommendation on Tdap Vaccination of Adolescents Aged 13-17 Years
Impact of Provider Recommendation on Tdap Vaccination of Adolescents Aged 13-17 Years
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DOI：
10.1016/j.amepre.2017.03.022
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发表时间：
2017-09-01
影响因子：
5.5
通讯作者：
Reagan-Steiner, Sarah
中科院分区：
文献类型：
--
作者：
Lu, Peng-jun;Yankey, David;Reagan-Steiner, Sarah
简介：破伤风、白喉和无细胞百日咳疫苗（Tdap）已被推荐给美国的青少年。S.从2006年开始。提供者建议的Tdap疫苗接种信息有限。本研究的目的是评估最近的Tdap疫苗接种提供者的建议状态之间的青少年13-17 years.Methods：2013年全国免疫调查-青少年数据（N = 18，948）进行了分析，在2016年，以评估国家和国家特定的Tdap疫苗接种覆盖率的差异，青少年提供者的建议状态，以及其他人口和获得护理变量。多变量Logistic回归分析和预测边际建模评估Tdap疫苗接种和供应商的建议状态和其他因素之间的关联青少年年龄13-17 years.Results：总体而言，只有56.9%的青少年年龄13-17岁的Tdap供应商的建议。与没有提供者推荐的青少年（80.5%）相比，有提供者推荐的青少年（88.6%）的覆盖率显著较高（p <0.05）。多变量logistic回归分析显示，与Tdap疫苗接种可能性较高独立相关的特征包括接受提供者推荐、西班牙裔、在过去12个月内有2 - 3名医生联系、有1 - 2名疫苗接种提供者以及从一种以上的设施接受疫苗接种（p
Introduction: Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination has been recommended for adolescents in the U. S. since 2006. Information on Tdap vaccination by provider recommendation is limited. The purpose of this study is to assess recent Tdap vaccination by provider recommendation status among adolescents aged 13-17 years.Methods: The 2013 National Immunization Survey-Teen data (N = 18,948) were analyzed in 2016 to assess national and state-specific Tdap vaccination coverage disparities among adolescents by provider recommendation status, and other demographic and access to care variables. Multivariable logistic regression analysis and predictive marginal modeling evaluated associations between Tdap vaccination and provider recommendation status and other factors among adolescents aged 13-17 years.Results: Overall, only 56.9% of adolescents aged 13-17 years received a provider recommendation for Tdap. Coverage was significantly higher among adolescents with a provider recommendation (88.6%) compared with those without a provider recommendation (80.5%) (po0.05). Multivariable logistic regression showed that characteristics independently associated with a higher likelihood of Tdap vaccination included receiving a provider recommendation, Hispanic ethnicity, having two to three physician contacts in the past 12 months, having one or two vaccination providers, and receiving vaccinations from more than one type of facility (p