Since The Start Of The Vaccines For Children Program, Uptake Has Increased, And Most Disparities Have Decreased

Walsh, Brendan M.; Doherty, Edel; O’Neill, Ciarán

doi:10.1377/hlthaff.2015.1019

Cited by 48 publications

(41 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…72,73 In addition, the federally funded Vaccines for Children Program provides free vaccine coverage to medically uninsured and Medicaid-eligible children in the United States, but does not provide coverage to some underinsured youth or to those over 18 years of age. 74 Lack of insurance coverage is a risk factor for vaccine noninitiation in the general population. [75][76][77] Given the multiple regulations and exemptions affecting insurance coverage for vaccines in the United States, it is possible that survivors perceive lack of insurance coverage for HPV vaccine as a significant barrier, whether or not this is actually the case.…”

Section: Discussionmentioning

confidence: 99%

Human Papillomavirus Vaccination Rates in Young Cancer Survivors

Klosky

Hudson

Chen

et al. 2017

JCO

View full text Add to dashboard Cite

Purpose Cancer survivors are at high risk for human papillomavirus (HPV)-related morbidities; we estimated the prevalence of HPV vaccine initiation in cancer survivors versus the US population and examined predictors of noninitiation. Methods Participants included 982 cancer survivors (9 to 26 years of age; 1 to 5 years postcompletion of therapy); we assessed HPV vaccine initiation, sociodemographic and clinical characteristics, and vaccine-specific health beliefs; age-, sex-, and year-matched US population comparisons were from the National Immunization Survey-Teen and the National Health Interview Survey (2012-2015). Results The mean age at the time of the study was 16.3 ± 4.7 years; the mean time off therapy was 2.7 ± 1.2 years; participants were 55% male and 66% non-Hispanic white; 59% had leukemia/lymphoma. Vaccine initiation rates were significantly lower in cancer survivors versus the general population (23.8%; 95% CI, 20.6% to 27.0% v 40.5%; 95% CI, 40.2% to 40.7%; P < .001); survivors were more likely to be HPV vaccine-naïve than general population peers (odds ratio [OR], 1.72; 95% CI, 1.41 to 2.09; P < .001). Initiation in adolescent survivors (ages 13 to 17 years) was 22.0% (95% CI, 17.3% to 26.7%), significantly lower than population peers (42.5%; 95% CI, 42.2% to 42.8%; P < .001). Initiation in young adult survivors and peers (ages 18 to 26 years) was comparably low (25.3%; 95% CI, 20.9% to 29.7% v 24.2%; 95% CI, 23.6% to 24.9%). Predictors of noninitiation included lack of provider recommendation (OR, 10.8; 95% CI, 6.5 to 18.0; P < .001), survivors' perceived lack of insurance coverage for HPV vaccine (OR, 6.6; 95% CI, 3.9 to 11.0; P < .001), male sex (OR, 2.9; 95% CI, 1.7 to 4.8; P < .001), endorsement of vaccine-related barriers (OR, 2.7; 95% CI, 1.6 to 4.6; P < .001), and younger age (9 to 12 years; OR, 3.7; 95% CI, 1.8-7.6; P < .001; comparison, 13 to 17 years). Conclusion HPV vaccine initiation rates in cancer survivors are low. Lack of provider recommendation and barriers to vaccine receipt should be targeted in vaccine promotion efforts.

show abstract

Section: Discussionmentioning

confidence: 99%

Human Papillomavirus Vaccination Rates in Young Cancer Survivors

Klosky

Hudson

Chen

et al. 2017

JCO

View full text Add to dashboard Cite

show abstract

“…In addition to the concurrent changes discussed above, other state based vaccine policy changes not explicitly accounted for due to data limitations could also affect vaccination behavior if not appropriately approximated by state specific trends. I address some specific concerns related to the Vaccines for Children program, daycare vaccination requirements, HMO penetration, and Section 317 funding, all of which have been known to increase immunizations (Walsh, Doherty, & O'Neill, ; Abrevaya & Mulligan, ; IOM, ; and Rein, Honeycutt, Rojas‐Smith, & Hersey, , respectively). I also focus on the subsample of children with private providers and high income as these would be less likely affected by vaccine policy changes.…”

Section: Robustness Checksmentioning

confidence: 99%

Information, education, and health behaviors: Evidence from the MMR vaccine autism controversy

Chang

2018

Health Economics

View full text Add to dashboard Cite

In the wake of strong, although later refuted, claims of a link between autism and the measles-mumps-rubella (MMR) vaccine, I examine whether fewer parents immunized or delayed vaccinations for their children and if there was a differential response by mother's education level. Using various controls and a differencing strategy that compares in MMR take-up with other vaccines, I find that the MMR-autism controversy led to a decline in the immediate years and that there were negative spillovers onto other vaccines. I also find evidence that more highly educated mothers responded more strongly to the controversy either by not immunizing their children altogether or, to a lesser degree, delaying vaccination. Moreover, the educational gap was greater in states where there was greater media attention devoted to the controversy. This is consistent with the health allocative efficiency hypothesis whereby part of the education gradient in health outcomes is due to more-educated individuals absorbing and responding to health information more quickly. However, unlike in the United Kingdom, where previous studies find that the gap was eliminated after the link was refuted, the evidence for the United States suggests that the educational gap persisted.

show abstract

“…Data from the National Immunization Survey (1995-2013) showed that vaccination rates were increased across all ethnicities and income groups following implementation of the Vaccines for Children program in the United States, which aimed to increase vaccination uptake by removing financial barriers. 30 In this regard, gradual incorporation of these vaccines into the EPI would be extremely helpful. Furthermore, self-pay programs should be more tailored going forward, focusing on young parents with low incomes and more than one child.…”

Section: Discussionmentioning

confidence: 99%

Factors impacting self-pay pediatric vaccine utilization in China: a large-scale maternal survey

Lu²,

et al. 2020

J Int Med Res

View full text Add to dashboard Cite

Objectives Utilization of self-pay vaccines worldwide is very low, especially in China; the reasons for this are unclear. We aimed to identify factors that impact the decision among Chinese mothers to utilize self-pay vaccines for their children. Methods Mothers who were hospitalized at two hospitals in Zhanjiang City and who agreed to participate by completing the required questionnaire were eligible for this study. Results In total, 7518 respondents (n = 7592) completed the questionnaire and were included in this survey. The self-pay option was largely elected by mothers with one child, compared with those who had two or more children. Similarly, utilization by workers at government agencies and organizations was higher than that among factory workers or unemployed respondents. Mothers with a college degree or above had higher utilization than those with a high school level education or lower. The main issues affecting maternal decisions to utilize self-pay pediatric vaccines were safety, the protective effect, and the high cost. Conclusion Mothers with higher socioeconomic status were more inclined to self-pay for pediatric vaccines. Steps taken to enhance public awareness about the safety and protective benefits of self-pay vaccines, as well as lowering their cost will likely encourage broader utilization of these vaccines.

show abstract

Since The Start Of The Vaccines For Children Program, Uptake Has Increased, And Most Disparities Have Decreased

Cited by 48 publications

References 25 publications

Human Papillomavirus Vaccination Rates in Young Cancer Survivors

Human Papillomavirus Vaccination Rates in Young Cancer Survivors

Information, education, and health behaviors: Evidence from the MMR vaccine autism controversy

Factors impacting self-pay pediatric vaccine utilization in China: a large-scale maternal survey

Contact Info

Product

Resources

About