Adolescent Hepatitis B Vaccination

Lancman, Haydee; Pastore, Doris R.; Steed, N.; A, Maresca

doi:10.1001/archpedi.154.11.1085

Cited by 16 publications

(4 citation statements)

References 17 publications

(19 reference statements)

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“…34,50–52 A study in Denver, Colorado, comparing SBHC users with community clinic users, aged between 14 to 17 years, found that SBHC users were more likely to have received an influenza vaccine (45% vs 18%), a tetanus booster (33% vs 21%), and a hepatitis B vaccine (46% vs 20%). 34 The use of recall notification systems to remind students of necessary vaccines is highly prevalent among SBHCs, which may contribute to high immunization rates.…”

Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

“…34 The use of recall notification systems to remind students of necessary vaccines is highly prevalent among SBHCs, which may contribute to high immunization rates. 50,52 In an analysis of hepatitis B vaccination completion rates among adolescents (aged 13–19 years) at 3 sites in New York City, rates were significantly higher among teenagers from an SBHC where loudspeaker announcements were made to advertise the vaccine (76% vs a hospital-based adolescent health center, 24%). 52 Also, nearly all SBHCs participate in the Vaccines for Children program, which allows them to provide vaccines to publicly insured or uninsured youth—a group at high risk for low immunization rates.…”

Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

“…50,52 In an analysis of hepatitis B vaccination completion rates among adolescents (aged 13–19 years) at 3 sites in New York City, rates were significantly higher among teenagers from an SBHC where loudspeaker announcements were made to advertise the vaccine (76% vs a hospital-based adolescent health center, 24%). 52 Also, nearly all SBHCs participate in the Vaccines for Children program, which allows them to provide vaccines to publicly insured or uninsured youth—a group at high risk for low immunization rates. 50 Indeed, a more recent study of immunization registry data in Denver found higher immunization completion rates among patients aged 12 to 18 years from SBHCs than from CHCs, even though the SBHC population had limited insurance coverage.…”

Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

School-Based Health Centers in an Era of Health Care Reform: Building on History

Keeton¹,

Soleimanpour²,

Brindis³

2012

Current Problems in Pediatric and Adolescent Health Care

175

232

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School-based health centers (SBHCs) provide a variety of health care services to youth in a convenient and accessible environment. Over the past 40 years, the growth of SBHCs evolved from various public health needs to the development of a specific collaborative model of care that is sensitive to the unique needs of children and youth, as well as to vulnerable populations facing significant barriers to access. The SBHC model of health care comprises of on-school site health care delivery by an interdisciplinary team of health professionals, which can include primary care and mental health clinicians. Research has demonstrated the SBHCs’ impacts on delivering preventive care, such as immunizations; managing chronic illnesses, such as asthma, obesity, and mental health conditions; providing reproductive health services for adolescents; and even improving youths’ academic performance. Although evaluation of the SBHC model of care has been complicated, results have thus far demonstrated increased access to care, improved health and education outcomes, and high levels of satisfaction. Despite their proven success, SBHCs have consistently faced challenges in securing adequate funding for operations and developing effective financial systems for billing and reimbursement. Implementation of health care reform (The Patient Protection and Affordable Care Act [P.L. 111-148]) will profoundly affect the health care access and outcomes of children and youth, particularly vulnerable populations. The inclusion of funding for SBHCs in this legislation is momentous, as there continues to be increased demand and limited funding for affordable services. To better understand how this model of care has and could further help promote the health of our nation’s youth, a review is presented of the history and growth of SBHCs and the literature demonstrating their impacts. It may not be feasible for SBHCs to be established in every school campus in the country. However, the lessons learned from the synergy of the health and school settings have major implications for the delivery of care for all providers concerned with improving the health and well-being of children and adolescents.

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Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

Section: Sbhcs and Health And Social Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

School-Based Health Centers in an Era of Health Care Reform: Building on History

Keeton¹,

Soleimanpour²,

Brindis³

2012

Current Problems in Pediatric and Adolescent Health Care

175

232

View full text Add to dashboard Cite

show abstract

“…3,4,5 Antibody response to vaccination in healthy adolescents has generally been reported to be excellent, 6,7,8 but observational data from the “Reaching for Excellence in Adolescent Care and Health” (REACH) longitudinal cohort of HIV-infected and HIV-uninfected at-risk youth demonstrated only a 70% vaccine response rate in an HIV-uninfected older adolescent population. 9 There were several limitations to the REACH hepatitis B study design including small sample size, retrospective reporting of immunization status, and site-to-site variability in vaccine product used.…”

Section: Introductionmentioning

confidence: 99%

Randomized Trial to Determine Safety and Immunogenicity of Two Strategies for Hepatitis B Vaccination in Healthy Urban Adolescents in the United States

Cunningham¹,

Rudy²,

Xu³

et al. 2010

Pediatric Infectious Disease Journal

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Background Multiple studies have shown excellent response rates after hepatitis B immunization in youth; however, one previous study conducted in urban youth demonstrated poor responses. Methods Urban youth, ages 12-17 years, at participating Adolescent Medicine Trials Network for HIV/AIDS Interventions Clinical/Research (ATN) sites were randomized to receive either two doses of Recombivax HB (10mcg hepatitis B surface antigen) or Twinrix (20mcg hepatitis B surface antigen and 720 EL.U hepatitis A antigen) at 0 and 24 weeks. Safety data were collected and antibody measures performed at 0, 28 and 76 weeks. Results 123 subjects were enrolled and 102 had week 28 serum samples available for antibody measure. A positive response (serum antibody ≥ 10mIU/mL) to hepatitis B antigen was documented in 41/47 (87.2%; 95% confidence interval (CI) 74.3%-95.2%) Recombivax HB recipients and in 52/55 (94.6%; 95% CI 84.9%-98.9%) Twinrix recipients (p=.295). In an adjusted analysis, those identified as Hispanic ethnicity (N=86) were more likely to have a positive response (odds ratio 7.38, 95% confidence interval 1.56-34.95; p=0.0018); whereas those who identified as not heterosexual (N=9) were less likely to respond (odds ratio=0.12, 95%CI, 0.02-0.74). The majority of youth in the Twinrix arm were hepatitis A antibody positive at baseline (26/51; 51%); however, 24/25 hepatitis A antibody negative youth responded to the hepatitis A component. Both vaccines were safe. Conclusions Response rate to two doses of Recombivax HB in urban youth is lower than previous studies suggest. The factors associated with diminished response are not known.

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