(SDAS) Adolescent Vaccine Coverage among Youth with Special Health Care Needs: A Secondary Data Analysis to Identify Disparities
Grantee: Ohio State University
Principal Investigator: Paul Reiter
Project Number: R40MC28313
Project Date: 04/01/2015
Final Report
Age group(s)
- Adolescence (12-18 years)
Abstract
Since 2005, new adolescent vaccines (i.e., tetanus booster vaccine, meningococcal vaccine, and HPV vaccine) have become available and recommended for adolescents in the US. Despite recommendations, vaccine coverage is suboptimal. Indeed, data suggest that less than 20% of adolescents have received all 3 of these vaccines. To better understand and subsequently increase vaccination, it is important to identify populations with especially low vaccine coverage. Research to date has examined disparities in adolescent vaccine coverage by a number of characteristics (e.g., socioeconomic status, race and ethnicity, etc.), yet data are lacking on the uptake of recommended adolescent vaccines among youth with special health care needs (YSHCN). About 25% of youth in the US have a special health care need, and this population experiences many health disparities and also has unique characteristics that may affect receipt of adolescent vaccines. The proposed study will generate robust data on current vaccine coverage among YSHCN through secondary analyses of data from the 2010-2014 North Carolina Child Health Assessment and Monitoring Program (CHAMP)(estimated n=3,368 adolescents ages 11-17). The CHAMP contains data on both immunization and special health care needs among a diverse sample of adolescents, making it an ideal dataset for this study. Analyses will: determine current coverage for the above recommended adolescent vaccines among YSHCN and make comparisons to youth without special health care needs (Research Question [RQ] 1); identify determinants of adolescent vaccine coverage among YSHCN (RQ2); and identify potential barriers to vaccination among parents of unvaccinated YSHCN (RQ3). Thus, each RQ will address a unique aspect related to adolescent vaccine coverage among YSHCN, and together, they will provide the most comprehensive examination to date on this important topic. We will use logistic regression models for analyses and apply appropriate sampling weights to maximize the generalizability of our results. We will use multiple strategies to disseminate study findings to both scientific and non-scientific audiences, anticipating that findings will be highly useful in improving the clinical management of YSHCN across the US and in guiding the development of future public health programs to increase vaccination among this population. Importantly, the proposed study will align with Strategic Research Issues II and IV identified by the Maternal and Child Health Bureau, address multiple Healthy People 2020 objectives, and have direct implications related to the Affordable Care Act.Publications
Listed is descending order by year published.
McRee A, Reiter PL. Receipt of recommended adolescent vaccines among youth with special health care needs. Clin Pediatr (Phila). 2017;56(5):451-460.
Reiter PL, McRee A. Correlates of receiving recommended adolescent vaccines among youth with special health care needs: findings from a statewide survey. Vaccine. 2016;34(27):3125-31.
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