 |
|
Correlates of Vaccination for Hepatitis B Among Adolescents
Results From a Parent Survey
Michael Seid, PhD;
Diana R. Simmes, MPH;
Leslie S. Linton, JD, MPH;
Christine E. Leah, MPH;
Christine C. Edwards, MPH;
K. Michael Peddecord, DrPH
Arch Pediatr Adolesc Med. 2001;155:921-926.
Objective To identify correlates of hepatitis B vaccination status in sixth-grade
students in the year prior to implementation of a requirement mandating immunization
for seventh-grade entry.
Methods A survey of parents of sixth-graders in 5 schools in San Diego County.
Two logistic regression models were tested to predict the outcome variables:
initiation and completion of the vaccination series.
Results Factors associated with initiating the series included a recent nonacute
medical visit, white race, hearing about the vaccination law from a health
care provider, and the availability of a school-based vaccination clinic.
Factors associated with completing the series included English as the primary
language spoken at home, hearing about the law from a health care provider,
a school-based vaccination clinic, and higher socioeconomic status. Health
insurance was not significantly related to either outcome.
Conclusions There was a clear benefit for hepatitis B immunization status to have
had a recent nonacute medical visit, to have heard about the law from a health
care provider, and to have a school-based vaccination clinic. The factors
associated with starting vs completing the vaccination series were not identical.
However, both health care provider and school characteristics were related
to starting and completing the vaccination series. Thus, a multifaceted strategy
may be most appropriate for successful coverage of an adolescent population
with a vaccination series such as hepatitis B.
From the Center for Child Health Outcomes, Children's Hospital and
Health Center (Dr Seid and Mss Simmes and Leah); and the Graduate School of
Public Health, San Diego State University (Dr Peddecord and Mss Linton and
Edwards), San Diego, Calif.
Corresponding author and reprints: Michael Seid, PhD, Center for
Child Health Outcomes, Children's Hospital and Health Center, 3020 Children's
Way, MC505, San Diego, CA 92123 (e-mail: mseid{at}chsd.org).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Additional Health Care Visits Needed Among Adolescents for Human Papillomavirus Vaccine Delivery Within Medical Homes: A National Study
Rand et al.
Pediatrics 2007;120:461-466.
ABSTRACT
| FULL TEXT
Risk perceptions and behavioral intentions for Hepatitis B: how do young adults fare?
Gonzales et al.
Health Educ Res 2006;21:654-661.
ABSTRACT
| FULL TEXT
|
