TY - JOUR
T1 - Organizational correlates of adolescent immunization
T2 - Findings of a state-wide study of primary care clinics in North Carolina
AU - Moss, Jennifer L.
AU - Gilkey, Melissa B.
AU - Griffith, Turquoise
AU - Bowling, J. Michael
AU - Dayton, Amanda M.
AU - Grimshaw, Amy H.
AU - Quinn, Beth
AU - Brewer, Noel T.
N1 - Funding Information:
This research was supported in part by an educational grant from GlaxoSmithKline and the Cancer Control Education Program at UNC Lineberger Comprehensive Cancer Center ( R25 CA57726 ).
PY - 2013/9/13
Y1 - 2013/9/13
N2 - Objective: To analyze organizational correlates of immunization coverage among adolescents served by high-volume primary care providers in North Carolina. Methods: We randomly selected 91 clinics with at least 200 active records for patients ages 11-18 in the North Carolina Immunization Registry. For the 105,121 adolescents served by these clinics, we obtained immunization status for 6 vaccines, including human papillomavirus (HPV) vaccine (females only); meningococcal conjugate; and tetanus, diphtheria, and pertussis booster (Tdap). Results: Clinics specializing in pediatrics had higher coverage for meningococcal vaccine (OR. = 1.79, 95% CI: 1.25-2.55), Tdap vaccine (OR. = 1.22, 95% CI: 1.00-1.50), and childhood vaccines. However, pediatric clinics had lower coverage for HPV vaccine initiation (OR. = 0.70, 95% CI: 0.52-0.94). Other correlates, which varied by vaccine, included policies related to vaccine documentation and the age at which clinics recommended vaccines. Conclusion: Overall, adolescents were more likely to receive vaccines, except HPV vaccine, if they attended a pediatric clinic with supportive clinical policies.
AB - Objective: To analyze organizational correlates of immunization coverage among adolescents served by high-volume primary care providers in North Carolina. Methods: We randomly selected 91 clinics with at least 200 active records for patients ages 11-18 in the North Carolina Immunization Registry. For the 105,121 adolescents served by these clinics, we obtained immunization status for 6 vaccines, including human papillomavirus (HPV) vaccine (females only); meningococcal conjugate; and tetanus, diphtheria, and pertussis booster (Tdap). Results: Clinics specializing in pediatrics had higher coverage for meningococcal vaccine (OR. = 1.79, 95% CI: 1.25-2.55), Tdap vaccine (OR. = 1.22, 95% CI: 1.00-1.50), and childhood vaccines. However, pediatric clinics had lower coverage for HPV vaccine initiation (OR. = 0.70, 95% CI: 0.52-0.94). Other correlates, which varied by vaccine, included policies related to vaccine documentation and the age at which clinics recommended vaccines. Conclusion: Overall, adolescents were more likely to receive vaccines, except HPV vaccine, if they attended a pediatric clinic with supportive clinical policies.
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U2 - 10.1016/j.vaccine.2013.06.092
DO - 10.1016/j.vaccine.2013.06.092
M3 - Article
C2 - 23845803
AN - SCOPUS:84882882172
SN - 0264-410X
VL - 31
SP - 4436
EP - 4441
JO - Vaccine
JF - Vaccine
IS - 40
ER -
