Welcome to CDC stacks | Association of health insurance status and vaccination coverage among adolescents 13-17 years - 60045 | CDC Public Access
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
Association of health insurance status and vaccination coverage among adolescents 13-17 years
Filetype[PDF-378.40 KB]


Details:
  • Pubmed ID:
    29398056
  • Pubmed Central ID:
    PMC6201297
  • Description:
    Objective:

    To assess selected vaccination coverage among adolescents by health insurance status and other access-to-care characteristics.

    Study Design:

    The 2015 National Immunization Survey-Teen data were used to assess vaccination coverage disparities among adolescents by health insurance status and other access-to-care variables. Multivariable logistic regression analysis and a predictive marginal modeling were conducted to evaluate associations between health insurance status and vaccination coverage.

    Results:

    Overall, vaccination coverage was significantly lower among uninsured compared with insured adolescents for all vaccines assessed except HPV vaccination (≥3 doses) among males. Among adolescents 13-17 years, Tdap vaccination coverage (≥1 dose) was 77.4% versus 86.8% among uninsured compared with insured adolescents, respectively. MenACWY vaccination coverage (≥1 dose) was 72.9% versus 81.7%. HPV vaccination coverage (≥1 dose) was 38.8% versus 50.2% among males and 42.9% versus 63.8% among females. HPV vaccination coverage (≥3 doses) was 24.9% versus 42.8% among females. In addition, vaccination coverage differed by the following: type of insurance among insured adolescents, having a well-child visit at 11-12 years of age, and number of healthcare provider contacts in the past year. Uninsured were less likely than insured adolescents to be vaccinated for HPV (females: ≥1 dose and ≥3 doses; and males: ≥1 doses) after adjusting for confounders.

    Conclusions:

    Overall, vaccination coverage was lower among uninsured adolescents. HPV vaccination coverage was lower than coverage for Tdap and MenACWY vaccines in both insured and uninsured adolescents. Wider implementation of effective evidence-based strategies is needed to help improve vaccination coverage among adolescents, particularly for those who are uninsured.

  • Document Type:
  • Collection(s):
  • Main Document Checksum:
No Related Documents.
You May Also Like: