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Journal article
Multicomponent Interventions to Enhance Influenza Vaccine Delivery to Adolescents
Pediatrics (Evanston), v 128(5), pp E1092-E1099
01 Nov 2011
PMID: 21987709
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE: To compare school-versus provider-based approaches to improving influenza vaccination coverage among adolescents in rural Georgia.
METHODS: We used a nonrandomized, 3-armed design: (1) a middle- and high school-based influenza vaccination intervention in 1 county; (2) a provider-based influenza vaccination intervention in a second county; and (3) a standard-of-care condition in a third county. Interventions also included distribution of an educational brochure, school presentations, and community-based outreach to enhance vaccine knowledge and awareness among adolescents and their parents.
RESULTS: During the 2008-2009 influenza season, 70 (19%) of 370 students were vaccinated in the school-based county and 110 (15%) of 736 students were vaccinated in the provider-based county, compared with 71 (8%) of 889 students in the standard-of-care county (risk ratio [RR](school): 2.4 [95% confidence interval (CI): 1.7-3.2]; RRprovider: 1.9 [95% CI: 1.4-2.5]). During 2009-2010, seasonal influenza vaccination coverage was 114 (30.4%) of 375 of students in the school-based county, 122 (16.9%) of 663 of students in the provider-based county, and 131 (15.2%) of 861 students in the standard-of-care county (RRschool: 2.3 [95% CI: 1.9-2.9]; RRprovider: 1.2 [95% CI: 0.97-1.5]).
CONCLUSIONS: Special efforts to promote influenza vaccination among rural, predominantly black students were associated with increased vaccination coverage. The school-based influenza vaccination intervention was associated with the highest levels of vaccination coverage. This study revealed the efficacy of school-based influenza education to improve vaccination rates among adolescents. Pediatrics 2011; 128: e1092-e1099
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Details
- Title
- Multicomponent Interventions to Enhance Influenza Vaccine Delivery to Adolescents
- Creators
- Lisa M. Gargano - Emory UniversityKaren Pazol - Emory UniversityJessica M. Sales - Emory UniversityJulia E. Painter - Emory UniversityChristopher Morfaw - Southeast Health DistrictLaDawna M. Jones - Emory UniversityPaul Weiss - Emory UniversityJames W. Buehler - Emory UniversityDennis L. Murray - Augusta UniversityGina M. Wingood - Emory UniversityWalter A. Orenstein - Emory UniversityRalph J. DiClemente - Emory UniversityJames M. Hughes - Emory University
- Publication Details
- Pediatrics (Evanston), v 128(5), pp E1092-E1099
- Publisher
- Amer Acad Pediatrics
- Number of pages
- 8
- Grant note
- T32AI074492 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID) Centers for Disease Control and Prevention and National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA 5 R18 IP000166 / Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA 5T32AI074492-02 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA R18IP000166 / NATIONAL CENTER FOR IMMUNICATION AND RESPIRATORY DISEASES; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA East Central Health District
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000296714000006
- Scopus ID
- 2-s2.0-80355129559
- Other Identifier
- 991021895678404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics