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Activity Number:
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210
- Contributed Poster Presentations: Survey Research Methods Section
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Type:
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Contributed
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Date/Time:
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Tuesday, August 4, 2020 : 10:00 AM to 2:00 PM
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Sponsor:
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Survey Research Methods Section
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Abstract #312358
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Title:
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Factors associated with missed opportunities for receipt of tetanus, diphtheria, and acellular pertussis vaccine for adolescents, National Immunization Survey-Teen, U.S., 2018
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Author(s):
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Michael P. Chen* and David Yankey and Laurie D. Elam-Evans and Zhen Zhao and Tanja Y Walker and Natalie Strerrett and James A. Singleton
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Companies:
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Centers for Disease Control and Prevention and CDC and Centers for Disease Control and Prevention and CDC and Centers for Disease Control and Prevention and Centers for Disease Control and Prevention and Centers for Disease Control and Prevention
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Keywords:
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National Immunization Survey;
Vaccination;
Missed opportunities;
Risk factors;
Modeling
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Abstract:
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We define the missed opportunities for Tdap receipt as adolescents who had a well-child visit or received another vaccine (such as MenACWY or HPV) during ages 11-12 years but did not receive Tdap by age 13 years. We used the 2018 National Immunization Survey-Teen data to evaluate this missed opportunity. We estimated that if the vaccination opportunities had not been missed, Tdap coverage would have been 11.9 percentage points higher than the reported coverage nationally, and 18.1 percentage points higher among the states in the lowest 20th percentile of Tdap coverage. Using the population subset of adolescents who had a well-child or another vaccine visit during age 11-12 years, we built logistic regression models to evaluate the association of missed opportunity with sociodemographic factors nationally and among the states in the lowest 20th percentile. We found that non-Hispanic black and Hispanic race/ethnicity, lack of health insurance, and residence in a non-MSA area were associated with missed opportunities. This study will provide information on risk factors for missed Tdap opportunities that may be useful in considering interventions to improve vaccination coverage.
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Authors who are presenting talks have a * after their name.
