Using school health centers to increase uptake of HPV and other adolescent vaccines
Monday, November 4, 2013
: 10:30 AM - 10:50 AM
Background: Low uptake of HPV and other adolescent vaccines calls for novel approaches for increasing use. We tested the efficacy of a school health center (SHC) global consent intervention to promote uptake of 4 recommended vaccines. Methods: Participating North Carolina sites had existing SHCs enrolling 3,614 students. Study intervention included a cover letter and enhanced consent form allowing parents to give global consent for all vaccines or to elect individually. Parent confusion regarding vaccine costs and appropriateness of HPV vaccination for boys resulted in additional consent procedures for some students. Researchers collected data through school health records on total numbers of pre- and post-intervention doses administered for the 4 vaccines in September through January 2011 and again in 2012. Results: Among parents who initially provided consent to vaccinate (10%), most provided global consent (79%). Supplemental consent procedures dramatically reduced initial consent rates, largely due to the inability of SHC staff to re-contact families. HPV vaccine coverage increased (OR=1.47; 95% CI=1.02, 2.12; p=.04); Over two-thirds of HPV doses were no cost vaccines through the federal VFC program. Flu vaccination also increased (OR=2.29, 95% CI=1.03, 5.07; p=.04). Meningococcal and Tdap vaccine coverage did not increase (both p>.05). Conclusions: Our low-cost intervention produced modest increases for HPV and flu vaccines, although parent confusion about vaccine costs and HPV vaccination for boys posed barriers to consent. Should these issues be sufficiently addressed in future interventions, SHCs can be a promising avenue for increasing uptake of adolescent vaccines.
Administer health education strategies, interventions and programs
Evaluate the feasibility and effectiveness of implementing a low-resource intervention in school-based health centers to increase uptake of HPV and other adolescent vaccines
Keywords: Immunizations, Cervical Cancer
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am a post-doctoral research associate who has worked on several funded grants and publications relating to cancer screening and prevention efforts.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.