School-Located Influenza Vaccination: Do Vaccine Clinics at School Raise Vaccination Rates?

Peter G. Szilagyi, Stanley Schaffer, Cynthia M. Rand, Nicolas P.N. Goldstein, A. Dirk Hightower, Mary Younge, Christina S. Albertin, Kristine DiBitetto, Byung Kwang Yoo, Sharon G. Humiston

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


BACKGROUND: Only half of US schoolchildren receive influenza vaccine. School-located influenza vaccination (SLIV) might raise vaccination rates but conducting flu vaccine clinics at schools is challenging to implement. We compared 2 school-based programs designed to raise influenza vaccination rates: parent reminder/educational messages sent to parents from schools which is a low-intensity intervention vs the combination of reminder/educational messages plus SLIV clinics which is a high-intensity intervention. METHODS: We assigned 36 schools (6 school districts, 2 per group) to 3 groups: (1) control, ie, no SLIV and no parent reminder/education, (2) parent reminder/education emailed by schools, and (3) parent reminder/education plus SLIV clinics. Some schools had SLIV clinics in prior years. Health department nurses conducted SLIV clinics. RESULTS: Among 24,832 children at 36 schools, vaccination rates were control (51.3%), parent reminder/education-only (41.2%), and reminder/education + SLIV (58.7%). On multivariate analyses which controlled for vaccination in prior seasons, children in reminder/education + SLIV schools had higher vaccination rates (OR 1.27, 95% CI 1.10-1.47), but children in reminder/education-only schools had lower rates (OR 0.87, 95% CI 0.75-1.00) than children in control schools. CONCLUSIONS: Parent reminder/education combined with SLIV clinics raise vaccination rates, but parent reminder/education alone does not.

Original languageEnglish (US)
Pages (from-to)1004-1012
Number of pages9
JournalJournal of School Health
Issue number12
StatePublished - Dec 1 2019


  • influenza
  • influenza vaccine
  • school-based vaccination
  • vaccination rates
  • vaccinations

ASJC Scopus subject areas

  • Education
  • Philosophy
  • Public Health, Environmental and Occupational Health


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