Articlegreen2004

A Middle School Immunization Law Rapidly and Substantially Increases Immunization Coverage Among Adolescents

Francisco M. Averhoff · Leslie S. Linton · K. Michael Peddecord · Christine C. Edwards · Wendy Wang · Daniel B. Fishbein

91 citations0/0 files storedAmerican Journal of Public Health

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Vaccine Coverage and Hesitancy School Health and Nursing Education Child and Adolescent Health

Abstract

OBJECTIVES: This study assessed the effectiveness of a middle school vaccination requirement for raising second-dose measles, mumps, and rubella vaccine and hepatitis B vaccine coverage among adolescents. METHODS: Random-digit-dialed telephone surveys were conducted before (1998) and after (1999) the implementation of a vaccination requirement for entry into the seventh grade in San Diego, Calif. RESULTS: Vaccination coverage was higher among children subject to the vaccination requirement (seventh-grade students; 60%) than among fifth- and sixth-grade students 1 year before the requirement (13%, P <.001), and 8th- through 12th-grade students not subject to the requirement (27%, P <.0001). CONCLUSIONS: Middle school-entry vaccination requirements can rapidly and substantially raise vaccination coverage among students subject to the law.

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2000Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults11The names and affiliations of the Task Force members are listed on page v of this supplement and at http://www.thecommunityguide.org22Some of this material was published previously in: Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rates: an evidence-based review of the literature. Epidemiol Rev 1999;20:96–142.2013Vaccines for the 21st Century: A Tool for Decisionmaking 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

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2006Adolescent immunizations: A position paper of the Society for Adolescent Medicine 2016Systematic Review and Meta-Analysis of Interventions to Improve Access and Coverage of Adolescent Immunizations 2005The impact of a school entry law on adolescent immunization rates 2012Middle School Vaccination Requirements and Adolescent Vaccination Coverage 2016Systematic review of the effect of immunization mandates on uptake of routine childhood immunizations 2008Effect of a School-Entry Vaccination Requirement on Racial and Ethnic Disparities in Hepatitis B Immunization Coverage Levels Among Public School Students 2019Impact of school vaccination mandates on pediatric vaccination coverage: a systematic review

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