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Activity Number:
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169
- Making Better Models for Health Studies
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Type:
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Contributed
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Date/Time:
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Monday, July 31, 2017 : 10:30 AM to 12:20 PM
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Sponsor:
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Health Policy Statistics Section
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Abstract #322575
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Title:
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Factors Associated with Missed Opportunities for Simultaneous Administration of the Fourth Dose of PCV for Children in the United States
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Author(s):
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Zhen Zhao* and Philip J. Smith and Holly A. Hill
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Companies:
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CDC and Centers for Disease Control and Prevention and Centers for Disease Control and Prevention
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Keywords:
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simultaneous administration ;
missed opportunities ;
risk factors ;
childhood vaccination ;
pneumococcus ;
Health People 2020
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Abstract:
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Simultaneous administration of all age-appropriate doses of vaccines is the standard practice for childhood vaccinations. Vaccination coverage for the fourth dose of pneumococcal conjugate vaccine (PCV) among children 19-35 months has not reached the Healthy People 2020 target of 90%. Research has not been conducted on the factors associated with missed opportunities for simultaneous administration of the fourth dose of PCV. A missed opportunity is defined as failure to administer an age eligible fourth dose of PCV during the same provider visit. This study analyzed 2008-2015 National Immunization Survey data to assess the risk factors for missed opportunities. The results shown that 9.2% (8.9%, 9.5%) of children missed the opportunity in the U.S.; across all 14 risk factors considered the missed opportunities ranged from 4.1% to 24.0%;the timeliness of the 1st through the 3rd dose of PCV were the significant and modifiable risk factors both in binary and multivariate analyses; the adjusted risk ratios for late vs. on-time are 1.5, 1.8, and 3.0. Implementing the strategy for improving on-time vaccination of the first 3 doses of PCV could reduce missed opportunities significantly.
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Authors who are presenting talks have a * after their name.
