tetano
Editor, Senior Moderator
J Sch Health. 2019 Oct 14. doi: 10.1111/josh.12840. [Epub ahead of print] [h=1]School-Located Influenza Vaccination: Do Vaccine Clinics at School Raise Vaccination Rates?[/h]
Szilagyi PG[SUP]1[/SUP], Schaffer S[SUP]2[/SUP], Rand CM[SUP]2[/SUP], Goldstein NP[SUP]2[/SUP], Hightower AD[SUP]3[/SUP], Younge M[SUP]4[/SUP], Albertin CS[SUP]5[/SUP], DiBitetto K[SUP]2[/SUP], Yoo BK[SUP]6[/SUP], Humiston SG[SUP]7[/SUP].
[h=3]Author information[/h] 1 Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 10833. 2 Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642. 3 Department of Clinical and Social Psychology, University of Rochester and Children's Institute, Rochester, NY, 14642. 4 Department of Public Health, Monroe County, NY, 14620. 5 Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 14642. 6 Department of Public Health Sciences, University of California at Davis, Davis, CA, 95616. 7 Department of Pediatrics, Children's Mercy, Kansas City, MO, 14534.
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Only half of US schoolchildren receive influenza vaccine. School-located influenza vaccination (SLIV) might raise vaccination rates but conducting flu vaccine clinics at schools is challenging to implement. We compared 2 school-based programs designed to raise influenza vaccination rates: parent reminder/educational messages sent to parents from schools which is a low-intensity intervention vs the combination of reminder/educational messages plus SLIV clinics which is a high-intensity intervention.
[h=4]METHODS:[/h] We assigned 36 schools (6 school districts, 2 per group) to 3 groups: (1) control, ie, no SLIV and no parent reminder/education, (2) parent reminder/education emailed by schools, and (3) parent reminder/education plus SLIV clinics. Some schools had SLIV clinics in prior years. Health department nurses conducted SLIV clinics.
[h=4]RESULTS:[/h] Among 24,832 children at 36 schools, vaccination rates were control (51.3%), parent reminder/education-only (41.2%), and reminder/education + SLIV (58.7%). On multivariate analyses which controlled for vaccination in prior seasons, children in reminder/education + SLIV schools had higher vaccination rates (OR 1.27, 95% CI 1.10-1.47), but children in reminder/education-only schools had lower rates (OR 0.87, 95% CI 0.75-1.00) than children in control schools.
[h=4]CONCLUSIONS:[/h] Parent reminder/education combined with SLIV clinics raise vaccination rates, but parent reminder/education alone does not.
? 2019, American School Health Association.
[h=4]KEYWORDS:[/h] influenza; influenza vaccine; school-based vaccination; vaccination rates; vaccinations
PMID: 31612491 DOI: 10.1111/josh.12840
Szilagyi PG[SUP]1[/SUP], Schaffer S[SUP]2[/SUP], Rand CM[SUP]2[/SUP], Goldstein NP[SUP]2[/SUP], Hightower AD[SUP]3[/SUP], Younge M[SUP]4[/SUP], Albertin CS[SUP]5[/SUP], DiBitetto K[SUP]2[/SUP], Yoo BK[SUP]6[/SUP], Humiston SG[SUP]7[/SUP].
[h=3]Author information[/h] 1 Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 10833. 2 Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642. 3 Department of Clinical and Social Psychology, University of Rochester and Children's Institute, Rochester, NY, 14642. 4 Department of Public Health, Monroe County, NY, 14620. 5 Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 14642. 6 Department of Public Health Sciences, University of California at Davis, Davis, CA, 95616. 7 Department of Pediatrics, Children's Mercy, Kansas City, MO, 14534.
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Only half of US schoolchildren receive influenza vaccine. School-located influenza vaccination (SLIV) might raise vaccination rates but conducting flu vaccine clinics at schools is challenging to implement. We compared 2 school-based programs designed to raise influenza vaccination rates: parent reminder/educational messages sent to parents from schools which is a low-intensity intervention vs the combination of reminder/educational messages plus SLIV clinics which is a high-intensity intervention.
[h=4]METHODS:[/h] We assigned 36 schools (6 school districts, 2 per group) to 3 groups: (1) control, ie, no SLIV and no parent reminder/education, (2) parent reminder/education emailed by schools, and (3) parent reminder/education plus SLIV clinics. Some schools had SLIV clinics in prior years. Health department nurses conducted SLIV clinics.
[h=4]RESULTS:[/h] Among 24,832 children at 36 schools, vaccination rates were control (51.3%), parent reminder/education-only (41.2%), and reminder/education + SLIV (58.7%). On multivariate analyses which controlled for vaccination in prior seasons, children in reminder/education + SLIV schools had higher vaccination rates (OR 1.27, 95% CI 1.10-1.47), but children in reminder/education-only schools had lower rates (OR 0.87, 95% CI 0.75-1.00) than children in control schools.
[h=4]CONCLUSIONS:[/h] Parent reminder/education combined with SLIV clinics raise vaccination rates, but parent reminder/education alone does not.
? 2019, American School Health Association.
[h=4]KEYWORDS:[/h] influenza; influenza vaccine; school-based vaccination; vaccination rates; vaccinations
PMID: 31612491 DOI: 10.1111/josh.12840