Changes in Tdap and MCV4 Vaccine Coverage Following Enactment of a Statewide Requirement of Tdap Vaccination for Entry Into Sixth Grade

Bibliographic Data

ID11029903
AuthorsElyse O Kharbanda (0000-0003-1806-6502, Columbia University), Melissa S Stockwell (0000-0002-2113-7247, Elyse Olshen Kharbanda and Melissa S. Stockwell are with the Department of Pediatrics, College of Physicians and Surgeons, Mailman School of Public Health, Columbia University, New York, NY, and the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York. James Colgrove is with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York. Karthik Natarajan is with the Department of Bioinformatics,...), James Colgrove (0009-0006-6684-0469, Elyse Olshen Kharbanda and Melissa S. Stockwell are with the Department of Pediatrics, College of Physicians and Surgeons, Mailman School of Public Health, Columbia University, New York, NY, and the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York. James Colgrove is with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York. Karthik Natarajan is with the Department of Bioinformatics,...), Karthik Natarajan (0000-0003-1977-1860, Elyse Olshen Kharbanda and Melissa S. Stockwell are with the Department of Pediatrics, College of Physicians and Surgeons, Mailman School of Public Health, Columbia University, New York, NY, and the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York. James Colgrove is with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York. Karthik Natarajan is with the Department of Bioinformatics,...), Vaughn I Rickert (Elyse Olshen Kharbanda and Melissa S. Stockwell are with the Department of Pediatrics, College of Physicians and Surgeons, Mailman School of Public Health, Columbia University, New York, NY, and the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York. James Colgrove is with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York. Karthik Natarajan is with the Department of Bioinformatics,...)
Year2010
Volume100
Issue9
Pages1635-1640
Publication date2010-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.179341
PMID20634463
PMCIDPMC2920954
OpenAlexW1987258352
LanguageEN
Citations received4
References cited20

Objectives. We evaluated changes in tetanus toxoid, reduced diptheria toxoid, acellular pertussis (Tdap), and tetravalen meningococcal (MCV4) vaccine coverage following enactment of a New York State mandate requiring Tdap before entering sixth grade. Methods. Using data from a hospital-based immunization registry, we measured Tdap and MCV4 coverage among youths aged 11 to 14 years in New York City at 3 time points: premandate, mandate year 1, and mandate year 2. Results. Among overlapping cohorts of 4316 (premandate), 4131 (mandate year 1), and 3639 (mandate year 2) youths, Tdap coverage increased steadily over time (29%, 58%, and 83%, respectively). Increases were observed among all ages. Across the same time points, MCV4 coverage also increased (10%, 30%, and 60%, respectively). Most adolescents did not receive MCV4 during the same visit they received Tdap. Conclusions. A Tdap school-entry mandate was associated with substantial increases in immunization coverage, even in age groups not directly affected by the mandate. At the postmandate time points, MCV4 coverage remained lower than Tdap coverage. Provider education should emphasize the importance of reviewing vaccine records and administering all recommended vaccines at every clinical encounter

Antibody · Immunization · Mandate · Political science · Sociology · Tetanus · Toxoid · Vaccination · Bacterial Infections and Vaccines · Demography · Immunology · Law · Medicine · Vaccine Coverage and Hesitancy · Virology and Viral Diseases

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