Abstract
Objective: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. Design: Cross-sectional design. Setting: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. Participants: Children aged 5 to 18 years (n=3047) with a usual source of care. Main Outcome Measure: Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. Results: In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. Conclusions: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1048-1055 |
| Number of pages | 8 |
| Journal | Archives of Pediatrics and Adolescent Medicine |
| Volume | 162 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 2008 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Additional visit burden for universal influenza vaccination of US school-aged children and adolescents. / Rand, Cynthia M.; Szilagyi, Peter G.; Yoo, Byung Kwang; Auinger, Peggy; Albertin, Christina; Coleman, Margaret S.
In: Archives of Pediatrics and Adolescent Medicine, Vol. 162, No. 11, 11.2008, p. 1048-1055.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Additional visit burden for universal influenza vaccination of US school-aged children and adolescents
AU - Rand, Cynthia M.
AU - Szilagyi, Peter G.
AU - Yoo, Byung Kwang
AU - Auinger, Peggy
AU - Albertin, Christina
AU - Coleman, Margaret S.
PY - 2008/11
Y1 - 2008/11
N2 - Objective: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. Design: Cross-sectional design. Setting: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. Participants: Children aged 5 to 18 years (n=3047) with a usual source of care. Main Outcome Measure: Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. Results: In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. Conclusions: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.
AB - Objective: To estimate the additional primary care visits needed for universal influenza vaccination of all US children and adolescents if all vaccinations occurred in primary care settings. Design: Cross-sectional design. Setting: Well-child care and other visits to primary care practices from the 2003-2004 Medical Expenditure Panel Survey. Participants: Children aged 5 to 18 years (n=3047) with a usual source of care. Main Outcome Measure: Percentage of children needing 0, 1, or 2 additional visits to be immunized against influenza in a 3-, 4-, or 5-month vaccination window. Results: In a 3-month window, if only well-child care visits were used for first immunization, 97% of 5- and 6-year-olds and 98% of 7- and 8-year-olds would need 1 or 2 additional visits for complete vaccination; 95% of 9- to 18-year-olds would need 1 visit. If instead all visits were used for immunization, 90% of 5- and 6-year-olds and 91% of 7- and 8-year-olds would need 1 or 2 visits; 78% of 9- to 18-year-olds would need 1 visit. Expanding the window to 4 or 5 months slightly reduces the need for additional visits. Nationally, using all opportunities for vaccination, 42 million additional visits would be needed in a generous 5-month window. Conclusions: Most children and adolescents would need additional visits for universal influenza vaccination, even if all existing visits were used as vaccination opportunities. Efficient methods for vaccinating large numbers of children and adolescents are needed if primary care practices are to provide influenza vaccine for all children.
UR - http://www.scopus.com/inward/record.url?scp=57349115386&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=57349115386&partnerID=8YFLogxK
U2 - 10.1001/archpedi.162.11.1048
DO - 10.1001/archpedi.162.11.1048
M3 - Article
C2 - 18981353
AN - SCOPUS:57349115386
VL - 162
SP - 1048
EP - 1055
JO - JAMA Pediatrics
JF - JAMA Pediatrics
SN - 2168-6203
IS - 11
ER -