Middle School Vaccination Requirements and Adolescent Vaccination Coverage
Middle School Vaccination Requirements and Adolescent Vaccination Coverage
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DOI：
10.1542/peds.2011-2641
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发表时间：
2012-06-01
期刊：
影响因子：
8
通讯作者：
Dorell, Christina
中科院分区：
文献类型：
--
作者：
Bugenske, Erin;Stokley, Shannon;Dorell, Christina
目的：确定中学疫苗接种要求是否与较高的青少年疫苗覆盖率相关。方法：对美国50个州和哥伦比亚特区2008-2009学年适用的3种青少年推荐疫苗（含破伤风/白喉（Td）或破伤风/白喉/无细胞百日咳（TdaP）、脑膜炎球菌结合疫苗（MenACWY）和人乳头瘤病毒（HPV）疫苗）的入学要求或家长教育进行了审查。利用2008-2009年全国青少年免疫调查，评估了按州要求现状分列的13至17岁青少年的疫苗接种覆盖率水平和2008-2009年覆盖率的变化。结果：在2008-2009学年，32个州对Td/TdaP有要求（14个州明确要求TdaP），没有要求教育；3个州需要MenACWY疫苗，另外10个州需要教育；1个州要求接种HPV疫苗，5个州要求接受教育。与没有要求的州相比，疫苗接种要求与MenACWY的高覆盖率显著相关(71%对53%，P
OBJECTIVE: To determine if middle school vaccination requirements are associated with higher coverage for adolescent vaccines.METHODS: School entry requirements for receipt of vaccination for school entry or education of parents for 3 vaccines recommended for adolescents: tetanus/diphtheria-containing (Td) or tetanus/diphtheria/acellular pertussis (TdaP), meningococcal conjugate (MenACWY), and human papillomavirus (HPV) vaccines in place for the 2008-2009 school year were reviewed for the 50 states and the District of Columbia. Vaccination coverage levels for adolescents 13 to 17 years of age by state requirement status and change in coverage from 2008 to 2009 were assessed by using the 2008-2009 National Immunization Survey-Teen.RESULTS: For the 2008-2009 school year, 32 states had requirements for Td/TdaP (14 specifically requiring TdaP) and none required education; 3 states required MenACWY vaccine and 10 others required education; and 1 state required HPV vaccine and 5 required education. Compared with states with no requirements, vaccination requirements were associated with significantly higher coverage for MenACWY (71% vs 53%, P