title: Receipt of Recommended Adolescent Vaccines Among Youth With Special Health Care Needs.
abstract: We examined vaccination coverage among youth with special health care needs (YSHCN) using data from parents of adolescents (11-17 years) who responded to a statewide survey in 2010-2012 (n = 2156). Using a validated screening tool, we identified 29% of adolescents as YSHCN. Weighted multivariable logistic regression assessed associations between special health care needs and receipt of tetanus booster, meningococcal, and human papillomavirus (HPV) vaccines. Only 12% of youth had received all 3 vaccines, with greater coverage for individual vaccines (tetanus booster, 91%; meningococcal, 32%; HPV, 26%). YSHCN had greater odds of HPV vaccination than other youth (33% vs 23%, OR = 1.70, 95% CI = 1.16-2.50) but vaccination coverage was similar ( P ≥ .05) for other outcomes. In subgroup analyses, HPV vaccination also differed depending on the number and type of special health care needs identified. Findings highlight low levels of vaccination overall and missed opportunities to administer recommended vaccines among all youth, including YSHCN.
authors.affiliation: 1 University of Minnesota, Minneapolis, MN, USA.
authors.forename: Annie-Laurie
authors.initials: AL
authors.lastname: McRee
authors.affiliation: 2 Duke University School of Medicine, Durham, NC, USA.
authors.forename: Gary R
authors.initials: GR
authors.lastname: Maslow
authors.affiliation: 3 The Ohio State University, Columbus, OH, USA.
authors.forename: Paul L
authors.initials: PL
authors.lastname: Reiter
mesh_terms: D000293:Adolescent; D002648:Child; D019988:Children with Disabilities; D005260:Female; D006801:Humans; D007117:Immunization, Secondary; D016015:Logistic Models; D008297:Male; D022401:Meningococcal Vaccines / Q000008:administration & dosage; D053918:Papillomavirus Vaccines / Q000008:administration & dosage; D011795:Surveys and Questionnaires; D013745:Tetanus Toxoid / Q000008:administration & dosage; D014611:Vaccination / Q000009:adverse effects / Q000706:statistics & numerical data*
chemical_list: D022401:Meningococcal Vaccines; D053918:Papillomavirus Vaccines; D013745:Tetanus Toxoid
keywords: adolescent; health status disparities; immunization; special health care needs; vaccination