Huang Jack J, Francesconi Maria, Cooper Madeline H, Covello Allyson, Guo Michelle, Gharib Soheyla D
a University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Blvd, Philadelphia , Pennsylvania , USA.
b Harvard University Health Services , Cambridge , Massachusetts , USA.
J Am Coll Health. 2018 May-Jun;66(4):317-323. doi: 10.1080/07448481.2018.1440582. Epub 2018 Apr 19.
To assess the impact of a campus community health worker program (HealthPALs) on student influenza vaccination.
Undergraduate students at a northeastern US university (enrollment 6650), influenza seasons 2011-2012 through 2015-2016.
Study design: Difference-in-differences analysis of student vaccination at campus dormitory influenza clinics during intervention vs. baseline.
In the first intervention year, HealthPALs conducted in-person peer outreach at several campus dormitory flu clinics. Subsequent years, HealthPALs conducted an enhanced intervention, with the addition of a personalized, dormitory-specific social media campaign appealing to students' community identity.
The initial intervention increased vaccinations by 66% (IRR = 1.66, 95%CI 1.39-1.97) at intervention clinics relative to control. The enhanced intervention increased vaccinations by 85% (IRR = 1.85, 95%CI 1.75-1.96).
Community health workers can be a highly effective, low-cost strategy for increasing influenza vaccination among college students. This model could also be used to address other campus health challenges where student engagement is key.
评估校园社区卫生工作者项目（健康伙伴计划，HealthPALs）对学生流感疫苗接种的影响。
美国东北部一所大学的本科生（入学人数6650人），2011 - 2012年至2015 - 2016年流感季。
研究设计：对干预期间与基线期校园宿舍流感诊所学生疫苗接种情况进行差异分析。
在第一个干预年，健康伙伴计划工作人员在几个校园宿舍流感诊所进行面对面的同伴宣传。在随后几年，健康伙伴计划实施了强化干预，增加了针对学生社区认同感的个性化、特定宿舍的社交媒体宣传活动。
与对照组相比，初始干预使干预诊所的疫苗接种率提高了66%（发病率比值比[IRR]=1.66，95%置信区间[CI]1.39 - 1.97）。强化干预使疫苗接种率提高了85%（IRR = 1.85，95%CI 1.75 - 1.96）。
社区卫生工作者可能是提高大学生流感疫苗接种率的一种高效、低成本策略。该模式也可用于应对其他以学生参与为关键的校园健康挑战。
