Factors Associated with Student Participation in a School‐Based Hepatitis B Immunization Program

Susan T. Goldstein · William M. Cassidy · Wesley Hodgson · Francis J. Mahoney

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Vaccine Coverage and Hesitancy Hepatitis B Virus Studies School Health and Nursing Education

Abstract

This study examined the relationship between participation in a school-based hepatitis B immunization program and teacher attitudes toward school-based health care and student socioeconomic factors. A survey addressing teachers' attitudes was administered to all teachers participating in the program. Information regarding student participation in school lunch programs and scores on national standardized tests were collected. Of the 4,874 fifth-grade students targeted for the program, 3,483 (72%) consented to be vaccinated and 3,232 (93% of 3,483) received all three doses of vaccine. Socioeconomic factors were the most important predictors of student participation in this school-based immunization program. Participation was significantly lower among students in schools with a high proportion of students receiving free or reduced-price school lunch and with low test scores. The only teacher factor associated with student participation was whether the teacher had returned the questionnaire. Strategies to increase immunization coverage in school-based programs should target children of low socioeconomic status.

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References

1997Immunization of Adolescents: Recommendations of the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, the American Academy of Family Physicians, and the American Medical Association 1994COMPLIANCE OF HEPATITIS B VACCINATION IN PATIENTS PRESENTING TO A TEENAGE CLINIC 1997Incentives and Motivators in School‐Based Hepatitis B Vaccination Programs

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2016Knowledge, attitudes and practices (KAP) towards vaccinations in the school settings: an explorative survey 2004Determinants of universal adolescent hepatitis B vaccine uptake 2009Determinants of hepatitis B vaccine uptake among pregnant Chinese women in Hong Kong 2012Factors determining vaccine uptake in W estern A ustralian adolescents 2003Implementing a seventh grade vaccination law: school factors associated with completion of required immunizations

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