Adolescent Medicine and Sports Medicine Section, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Prev Med. 2011 Oct;53 Suppl 1:S22-8. doi: 10.1016/j.ypmed.2011.08.016.
Although recommendations for annual preventive care for adolescents have been in place for decades, the need to bring adolescents to the medical setting for newly recommended vaccines has placed this issue in the public health spotlight. Aggressive efforts have been ongoing to increase adolescent adherence to new vaccine recommendations--a measured outcome variable, and the hope has been that enhanced adherence to comprehensive health care visits will follow. Evidence indicates that the implementation of more comprehensive preventive health care elements among adolescents may be improving; however, a passive approach to bringing more adolescents to preventive health visits using vaccine as an incentive may not be effective for all youth. This paper reviews the history of recommendations for new vaccines as well as comprehensive health care visit recommendations for adolescents, how these recommendations may synergistically improve preventive care for adolescents, and how we may need to continue to think creatively to further access all youth for preventive health care using vaccination implementation as a model for reaching out beyond the providers' office walls.
尽管几十年来一直有针对青少年的年度预防保健建议，但需要将青少年带到医疗机构接种新推荐的疫苗，这使得该问题成为公共卫生关注的焦点。为了提高青少年对新疫苗建议的依从性，一直在进行积极的努力——这是一个可衡量的结果变量，并且希望综合保健访问的依从性也会随之提高。有证据表明，青少年中更全面的预防保健措施的实施情况可能正在改善；然而，仅将疫苗作为一种激励措施，被动地将更多青少年带到预防保健就诊场所，可能对所有青少年都没有效果。本文回顾了新疫苗以及青少年综合保健就诊建议的历史，这些建议如何协同改善青少年的预防保健，以及我们可能需要继续创造性地思考，以利用疫苗接种的实施作为超越医疗机构范围的外联模式，进一步为所有青少年提供预防保健。
