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高校如何进行干预以提高学生群体的疫苗接种覆盖率。

How colleges intervene to increase student body vaccination coverage.

作者信息

Caleb Susan, Thompson Danielle, Haimowitz Rachel, Ciotoli Carlo, Dannenbaum Martha, Fu Linda Y

机构信息

Children's National Hospital, Washington, DC, USA.

Department of Medicine, New York University, New York, NY, USA.

出版信息

J Am Coll Health. 2022 Feb-Mar;70(2):428-435. doi: 10.1080/07448481.2020.1752698. Epub 2020 May 14.

Abstract

OBJECTIVE

The interventions colleges use to help students be compliant with vaccinations is unknown. This study describes colleges' use of practices consistent with Centers for Disease Control and Prevention (CDC) recommendations to encourage student body vaccination.

PARTICIPANTS

Participants were a convenience sample of 136 student health center (SHC) administrators from colleges across the U.S.

METHODS

An online survey assessed SHCs' use of various practices, policies and services to improve student body vaccination coverage.

RESULTS

There was wide variability in use of evidence-based interventions overall and with respect to specific vaccinations. While most SHCs (92.7%) coordinated vaccination outreach events on campus, only half (50%) accessed an immunization registry to verify vaccination histories. While 88.6% requested student vaccination histories for MMR, only 39.7% requested it for human papillomavirus (HPV).

CONCLUSIONS

The discrepancies in SHC implementation of interventions to increase coverage of the recommended vaccinations for students suggest that helping colleges expand their capacity to intervene may decrease coverage rate disparities.

摘要

目的

高校用于帮助学生遵守疫苗接种规定的干预措施尚不清楚。本研究描述了高校采用符合疾病控制与预防中心(CDC)建议的做法来鼓励学生群体接种疫苗的情况。

参与者

参与者是来自美国各地高校的136名学生健康中心(SHC)管理人员的便利样本。

方法

一项在线调查评估了学生健康中心对各种做法、政策和服务的使用情况,以提高学生群体的疫苗接种覆盖率。

结果

在总体使用循证干预措施以及特定疫苗接种方面存在很大差异。虽然大多数学生健康中心(92.7%)在校园内协调了疫苗接种推广活动,但只有一半(50%)访问免疫登记处来核实疫苗接种历史。虽然88.6%的机构要求提供学生的麻疹、腮腺炎和风疹(MMR)疫苗接种历史,但只有39.7%的机构要求提供人乳头瘤病毒(HPV)疫苗接种历史。

结论

学生健康中心在实施增加学生推荐疫苗接种覆盖率干预措施方面存在差异,这表明帮助高校扩大干预能力可能会减少覆盖率差距。

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