School-Located Influenza Vaccination: Do Vaccine Clinics at School Raise Vaccination Rates?

Autor: Szilagyi PG; Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 10833., Schaffer S; Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642., Rand CM; Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642., Goldstein NP; Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642., Hightower AD; Department of Clinical and Social Psychology, University of Rochester and Children's Institute, Rochester, NY, 14642., Younge M; Department of Public Health, Monroe County, NY, 14620., Albertin CS; Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, 14642., DiBitetto K; Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642., Yoo BK; Department of Public Health Sciences, University of California at Davis, Davis, CA, 95616., Humiston SG; Department of Pediatrics, Children's Mercy, Kansas City, MO, 14534.
Jazyk: angličtina
Zdroj: The Journal of school health [J Sch Health] 2019 Dec; Vol. 89 (12), pp. 1004-1012. Date of Electronic Publication: 2019 Oct 14.
DOI: 10.1111/josh.12840
Abstrakt: Background: 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.
Methods: 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.
Results: 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.
Conclusions: Parent reminder/education combined with SLIV clinics raise vaccination rates, but parent reminder/education alone does not.
(© 2019, American School Health Association.)
Databáze: MEDLINE
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