scholarly journals Experts’ opinion for improving global adolescent vaccination rates: a call to action

2020 ◽  
Vol 179 (4) ◽  
pp. 547-553
Author(s):  
Chiara Azzari ◽  
Javier Diez-Domingo ◽  
Evelyn Eisenstein ◽  
Saul N. Faust ◽  
Andreas Konstantopoulos ◽  
...  
2018 ◽  
pp. 146-165
Author(s):  
Henry H. Bernstein ◽  
Joseph A. Bocchini

With the expansion of the adolescent immunization schedule during the past decade, immunization rates notably vary by vaccine and by state. Addressing barriers to improving adolescent vaccination rates is a priority. Every visit can be viewed as an opportunity to update and complete an adolescent’s immunizations. It is essential to continue to focus and refine the appropriate techniques in approaching the adolescent patient and parent in the office setting. Health care providers must continuously strive to educate their patients and develop skills that can help parents and adolescents overcome vaccine hesitancy. Research on strategies to achieve higher vaccination rates is ongoing, and it is important to increase the knowledge and implementation of these strategies. This clinical report focuses on increasing adherence to the universally recommended vaccines in the annual adolescent immunization schedule of the American Academy of Pediatrics, the American Academy of Family Physicians, the Centers for Disease Control and Prevention, and the American Congress of Obstetricians and Gynecologists. This will be accomplished by (1) examining strategies that heighten confidence in immunizations and address patient and parental concerns to promote adolescent immunization and (2) exploring how best to approach the adolescent and family to improve immunization rates.


2015 ◽  
Vol 56 (2) ◽  
pp. S105
Author(s):  
Margaret Riley ◽  
Stephanie Eldred ◽  
Hussein Hamid ◽  
John Snider ◽  
Steven Weinberg ◽  
...  

Vaccine ◽  
2019 ◽  
Vol 37 (9) ◽  
pp. 1160-1167 ◽  
Author(s):  
Manika Suryadevara ◽  
Cynthia A. Bonville ◽  
Donald A. Cibula ◽  
Joseph B. Domachowske ◽  
Amar C. Suryadevara

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S23-S23
Author(s):  
Andrea Bradley-Ewing ◽  
Kathy Goggin ◽  
Georgann Meredith ◽  
Brian R Lee ◽  
Susan Li ◽  
...  

Abstract Background Effective prevention of HPV is possible, but < 50% of adolescents in the Midwest complete the recommended vaccine series. Strategies to increase HPV vaccination rates have demonstrated efficacy, however widespread implementation of these interventions has not been realized. Behavioral nudges have demonstrated efficacy in increasing uptake of desired heath behaviors among providers (e.g. hand hygiene, judicious antibiotic prescribing). This trial assessed the impact of an assessment and feedback, communication training, and behavioral nudge (i.e. poster-sized vaccine commitment statements) intervention (T3) on adolescent vaccination rates and parental satisfaction at four Midwestern pediatric practices. Methods Practices were randomly assigned to receive either 1) assessment and feedback or 2) T3 intervention. Providers (n=16) completed surveys regarding vaccine polices and parents of vaccine eligible adolescents (n=230) reported their child’s vaccine history and satisfaction with the consultation. Practice- level vaccination rates for Tdap, Meningococcal, and HPV were calculated through billing data queries from an integrated pediatric health network. Vaccination rates and provider/ parental responses were compared by intervention arm. Results All practices evidenced increased adolescent vaccine rates, ranging from 0.8% to 3.4% for Meningococcal and 1.3% to 12.1% for Tdap. Three of the four practices had increased HPV vaccination rates (1% to 10%), however there was no statistically significant difference by study arm. Most parents (M age 41.34; SD 8.05; 85% female, 68% White) indicated their child had previously initiated the HPV vaccine series (61%) and 72% indicated receipt of an HPV vaccine during the study visit. Concerns among HPV vaccine hesitant parents (n=60) included concerns about vaccine safety and necessity. Most (97%) of parents were satisfied with their consultation. Conclusion Practices in both intervention groups evidenced an increase in adolescent vaccination rates. While some parents had concerns about HPV vaccine safety and necessity, parents welcomed discussions about HPV vaccine and were satisfied with their provider’s communication regardless of their vaccine decisions. Disclosures Brian R. Lee, MPH, PhD, Merck (Grant/Research Support)


2018 ◽  
Vol 24 (11) ◽  
pp. 16
Author(s):  
Terri D’Arrigo

2019 ◽  
Vol 11 (1) ◽  
pp. 95-125 ◽  
Author(s):  
Christopher S. Carpenter ◽  
Emily C. Lawler

We study the direct and spillover effects of state requirements that middle school youths obtain a tetanus, diphtheria, and pertussis (Tdap) booster prior to middle school entry. These mandates significantly increased Tdap vaccine take-up and reduced pertussis (whooping cough) incidence by about 32 percent. We also document cross-vaccine spillovers: the mandates significantly increased adolescent vaccination rates for meningococcal disease and human papillomavirus (HPV)—which is responsible for 98 percent of cervical cancers—by 8–34 percent, with particularly large effects for children from low SES households. We find important roles for both parents and providers in generating these spillovers. (JEL H75, I12, I18, I21, I28, J13)


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