Timeliness of 2009 H1N1 vaccine coverage in a low-income pediatric and adolescent population
Identifieur interne : 001777 ( Main/Merge ); précédent : 001776; suivant : 001778Timeliness of 2009 H1N1 vaccine coverage in a low-income pediatric and adolescent population
Auteurs : Melissa S. Stockwell [États-Unis] ; Raquel Andres Martinez [États-Unis] ; Annika Hofstetter [États-Unis] ; Karthik Natarajan [États-Unis] ; David K. Vawdrey [États-Unis]Source :
- Vaccine [ 0264-410X ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Vaccin.
English descriptors
- KwdEn :
Abstract
Despite being at highest risk for 2009 H1N1 virus morbidity and mortality, many children were not immunized with the vaccine. Identification of factors that put certain children at higher risk for under-immunization could reveal populations who may need to be specifically targeted for vaccination interventions in future pandemics. Little is known about the prevalence of, or factors associated with, 2009 M1N1 vaccine coverage in low-income, urban pediatric populations. This study evaluated 2009 H1N1 vaccination coverage in 19,643 children aged 6months to 18years receiving care at one of five community clinics associated with an academic medical center in a low-income community. Any (≥1 dose) and full coverage (1 dose for children ≥10 years old, 2 doses for those <10 years) was determined as of December 1, 2009 and the end of vaccination period (June 30, 2010). Multivariable analyses were used to assess the impact of race/ethnicity, age, insurance, gender, and language on vaccine coverage and timeliness. By December 1, only 16.6% of children had received one dose, and 5.3% had full coverage. By the end of the vaccination period, 36.2% had received at least one H1N1 dose and 23.6% had full coverage. On multivariable analysis, older age, minority race/ethnicity, and private insurance were negatively associated with vaccination by December 1 and end of vaccination period, even after accounting for attendance at a clinic visit. In future pandemics, when timely receipt of a new vaccine in large populations may be imperative, general vaccination programs as well as special targeted education and vaccine reminders for these at risk groups may be warranted.
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Stockwell</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of General Pediatrics, Columbia University</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Population and Family Health, Mailman School of Public Health, Columbia University</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>NewYork-Presbyterian Hospital</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Martinez, Raquel Andres" sort="Martinez, Raquel Andres" uniqKey="Martinez R" first="Raquel Andres" last="Martinez">Raquel Andres Martinez</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of General Pediatrics, Columbia University</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Hofstetter, Annika" sort="Hofstetter, Annika" uniqKey="Hofstetter A" first="Annika" last="Hofstetter">Annika Hofstetter</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of General Pediatrics, Columbia University</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Natarajan, Karthik" sort="Natarajan, Karthik" uniqKey="Natarajan K" first="Karthik" last="Natarajan">Karthik Natarajan</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Biomedical Informatics, Columbia University</s1><s2>New York, NY</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Vawdrey, David K" sort="Vawdrey, David K" uniqKey="Vawdrey D" first="David K." last="Vawdrey">David K. Vawdrey</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>NewYork-Presbyterian Hospital</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Biomedical Informatics, Columbia University</s1><s2>New York, NY</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author></analytic><series><title level="j" type="main">Vaccine</title><title level="j" type="abbreviated">Vaccine</title><idno type="ISSN">0264-410X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Vaccine</title><title level="j" type="abbreviated">Vaccine</title><idno type="ISSN">0264-410X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Influenza</term><term>Influenzavirus A(H1N1)</term><term>Vaccine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Vaccin</term><term>Adolescent</term><term>Grippe</term><term>Virus grippal A(H1N1)</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Vaccin</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Despite being at highest risk for 2009 H1N1 virus morbidity and mortality, many children were not immunized with the vaccine. Identification of factors that put certain children at higher risk for under-immunization could reveal populations who may need to be specifically targeted for vaccination interventions in future pandemics. Little is known about the prevalence of, or factors associated with, 2009 M1N1 vaccine coverage in low-income, urban pediatric populations. This study evaluated 2009 H1N1 vaccination coverage in 19,643 children aged 6months to 18years receiving care at one of five community clinics associated with an academic medical center in a low-income community. Any (≥1 dose) and full coverage (1 dose for children ≥10 years old, 2 doses for those <10 years) was determined as of December 1, 2009 and the end of vaccination period (June 30, 2010). Multivariable analyses were used to assess the impact of race/ethnicity, age, insurance, gender, and language on vaccine coverage and timeliness. By December 1, only 16.6% of children had received one dose, and 5.3% had full coverage. By the end of the vaccination period, 36.2% had received at least one H1N1 dose and 23.6% had full coverage. On multivariable analysis, older age, minority race/ethnicity, and private insurance were negatively associated with vaccination by December 1 and end of vaccination period, even after accounting for attendance at a clinic visit. In future pandemics, when timely receipt of a new vaccine in large populations may be imperative, general vaccination programs as well as special targeted education and vaccine reminders for these at risk groups may be warranted.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region><settlement><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Stockwell, Melissa S" sort="Stockwell, Melissa S" uniqKey="Stockwell M" first="Melissa S." last="Stockwell">Melissa S. Stockwell</name></region><name sortKey="Hofstetter, Annika" sort="Hofstetter, Annika" uniqKey="Hofstetter A" first="Annika" last="Hofstetter">Annika Hofstetter</name><name sortKey="Martinez, Raquel Andres" sort="Martinez, Raquel Andres" uniqKey="Martinez R" first="Raquel Andres" last="Martinez">Raquel Andres Martinez</name><name sortKey="Natarajan, Karthik" sort="Natarajan, Karthik" uniqKey="Natarajan K" first="Karthik" last="Natarajan">Karthik Natarajan</name><name sortKey="Stockwell, Melissa S" sort="Stockwell, Melissa S" uniqKey="Stockwell M" first="Melissa S." last="Stockwell">Melissa S. Stockwell</name><name sortKey="Stockwell, Melissa S" sort="Stockwell, Melissa S" uniqKey="Stockwell M" first="Melissa S." last="Stockwell">Melissa S. Stockwell</name><name sortKey="Vawdrey, David K" sort="Vawdrey, David K" uniqKey="Vawdrey D" first="David K." last="Vawdrey">David K. Vawdrey</name><name sortKey="Vawdrey, David K" sort="Vawdrey, David K" uniqKey="Vawdrey D" first="David K." last="Vawdrey">David K. Vawdrey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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