Yale School of Public Health, Department of Epidemiology of Microbial Diseases, 60 College Street, New Haven, CT 06520, USA.
Yale School of Public Health, Department of Epidemiology of Microbial Diseases, 60 College Street, New Haven, CT 06520, USA.
Vaccine. 2019 Sep 20;37(40):5934-5938. doi: 10.1016/j.vaccine.2019.08.015. Epub 2019 Aug 28.
Limited research has explored reasons for low up-to-date coverage with meningococcal vaccine (UTD MenACWY) among adolescents at age 17 years. This analysis used National Immunization Survey-Teen data from 2017 to examine patterns of UTD MenACWY coverage. Correlates of higher UTD MenACWY coverage included black race and Hispanic ethnicity, residing in Northeast census region, recent health care visits, and receipt of recommendation for HPV vaccine. Median UTD MenACWY coverage was significantly higher in states with 1 and 2-dose requirements for school entry compared to no requirement; exemption policies were not associated. Approximately 13% of adolescents had a missed opportunity for UTD MenACWY. Future research should examine barriers to coverage at the patient, parent, provider and structural (clinic, social, policy) levels so that programs and interventions can be designed and implemented to increase coverage.
有限的研究探讨了青少年在 17 岁时接种脑膜炎球菌疫苗（UTD MenACWY）的最新数据较低的原因。本分析使用了 2017 年国家免疫调查-青少年的数据，以检查 UTD MenACWY 覆盖率的模式。更高的 UTD MenACWY 覆盖率的相关因素包括黑人和西班牙裔，居住在东北部普查区，最近的医疗保健访问和 HPV 疫苗的推荐。与没有要求相比，在有 1 剂和 2 剂入学要求的州，UTD MenACWY 的中位数覆盖率明显更高；豁免政策没有关联。大约 13%的青少年错过了接种 UTD MenACWY 的机会。未来的研究应在患者、家长、提供者和结构（诊所、社会、政策）层面上检查覆盖率的障碍，以便设计和实施方案和干预措施来提高覆盖率。
