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Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs.
- Source :
-
Clinical pediatrics [Clin Pediatr (Phila)] 2017 May; Vol. 56 (5), pp. 451-460. Date of Electronic Publication: 2016 Jul 28. - Publication Year :
- 2017
-
Abstract
- We examined vaccination coverage among youth with special health care needs (YSHCN) using data from parents of adolescents (11-17 years) who responded to a statewide survey in 2010-2012 (n = 2156). Using a validated screening tool, we identified 29% of adolescents as YSHCN. Weighted multivariable logistic regression assessed associations between special health care needs and receipt of tetanus booster, meningococcal, and human papillomavirus (HPV) vaccines. Only 12% of youth had received all 3 vaccines, with greater coverage for individual vaccines (tetanus booster, 91%; meningococcal, 32%; HPV, 26%). YSHCN had greater odds of HPV vaccination than other youth (33% vs 23%, OR = 1.70, 95% CI = 1.16-2.50) but vaccination coverage was similar ( P ≥ .05) for other outcomes. In subgroup analyses, HPV vaccination also differed depending on the number and type of special health care needs identified. Findings highlight low levels of vaccination overall and missed opportunities to administer recommended vaccines among all youth, including YSHCN.
- Subjects :
- Adolescent
Child
Disabled Children
Female
Humans
Immunization, Secondary
Logistic Models
Male
Meningococcal Vaccines administration & dosage
Papillomavirus Vaccines administration & dosage
Surveys and Questionnaires
Tetanus Toxoid administration & dosage
Vaccination adverse effects
Vaccination statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1938-2707
- Volume :
- 56
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 27470263
- Full Text :
- https://doi.org/10.1177/0009922816661330