Serogroup B meningococcal vaccination practice patterns on college campuses

Determinants of Meningococcal Vaccination Coverage and Adherence: A Targeted Literature Review Supporting a 16-year-old Healthcare Visit

“…A multivariable analysis based on national survey data found HCP characteristics associated with a higher likelihood of recommending or ordering MenB vaccination included male sex, being a pediatrician, treating a higher number of 16–23-year-olds, having more years in the practice, and having a higher number of patients knowledgeable about the difference between MenB and MenACWY vaccines [ 25 ]. Awareness of MenB, such as outbreaks or incidence of disease, vaccine effectiveness, and safety, was also associated with a higher likelihood of providers recommending a MenB vaccine, while the non-routine Category B (now SCDM) recommendation was a deterrent [ 37 , 38 ].…”

“…Meanwhile, for MenACWY and MenB vaccination, not receiving a provider recommendation was one of the top reasons why parents did not have their child immunized [ 29 ]. While SCDM presents an important opportunity for providers to ensure patients and parents feel well equipped with the information to make MenB vaccination decisions, consistent implementation of SCDM recommendations remains a key challenge [ 26 , 37 , 38 , 44 ]. In national surveys, only 7–24% of HCPs correctly interpreted ACIP’s SCDM recommendation [ 25 , 45 ].…”

“…One national survey found that the SCDM guidance was a reason to order a MenB vaccine in 37% of HCPs; however, it was also a reason not to order the vaccine in 38% of HCPs [ 44 ]. Another survey reported that 48% of pediatricians and 42% of family physicians were deterred by this non-routine recommendation [ 38 ]. Providers were also noted not to initiate discussions on MenB vaccines when they did not intend to recommend it, reflecting their own decisions, without involving parents or patients in the discussion, suggesting a lack of awareness of the “shared” aspect of SCDM of the role of the provider [ 37 ].…”