Analysis of a bi-state, multi-district, school-based hepatitis B immunization program.
A descriptive correlational research design assessed factors influencing participation and completion rates, and to determine vaccine administration costs, in a school-based Hepatitis B vaccination program. Of 18,046 students in public and private schools in the metropolitan Kansas City, Mo., area, 12,986 (73.4%) participated with approximately 75% of these students completing the vaccine series. Larger schools reported decreased participation and completion rates. Both rates were highest in schools providing educational interventions. Schools with a large population of commercially insured students reported low participation rates (65%), but high completion rates (85%). Schools with a high number of Medicaid-eligible students had high participation rates (97%), but low completion rates (67%). The vaccine cost $5.06 per dose to administer.
Wilson
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University of Missouri-Kansas City, 221 Health Science Bldg., 2220 Holmes St., Kansas City, MO 64108-2676, USA. Wilsontr@umkc.edu
Harman
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D000293:Adolescent; D000704:Analysis of Variance; D002648:Child; D005568:Forms and Records Control; D017048:Health Care Costs; D006509:Hepatitis B / Q000517:prevention & control*; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration*; D007615:Kansas; D008484:Medicaid; D017057:Medically Uninsured; D008923:Missouri; D015397:Program Evaluation; D012189:Retrospective Studies; D012572:School Health Services / Q000458:organization & administration*; D020458:Third-Party Consent; D014481:United States