Details:

Alternative Title:
J Pediatr
Publisher's site:
http://dx.doi.org/10.1016/j.jpeds.2017.12.024
Personal Author:
Lu, Peng-jun ; Yankey, David ; Jeyarajah, Jenny ; O’Halloran, Alissa ; Fredua, Benjamin ; ... More +
Lu, Peng-jun ; Yankey, David ; Jeyarajah, Jenny ; O’Halloran, Alissa ; Fredua, Benjamin ; Elam-Evans, Laurie D. ; Reagan-Steiner, Sarah Less -
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.


Subject:
[+]
Adolescent Vaccination
Article
Health Insurance Status
Type Of Health Insurance
Vaccination Coverage

Source:
J Pediatr. 195:256-262.e1.
Pubmed ID:
29398056
Pubmed Central ID:
PMC6201297
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:5ec7bd39c8eea69e93505ef1e03a44ec969921cf456538ba8dfae0abfc1a51fe
File Type:

Supporting Files

• nihms-987290.nxml

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