RT Journal Article
SR Electronic
T1 Underinsurance and Adolescent Immunization Delivery in the United States
JF Pediatrics
JO Pediatrics
FD American Academy of Pediatrics
SP S515
OP S521
DO 10.1542/peds.2009-1542K
VO 124
IS Supplement 5
A1 Smith, Philip J.
A1 Lindley, Megan C.
A1 Shefer, Abby
A1 Rodewald, Lance E.
YR 2009
UL http://pediatrics.aappublications.org/content/124/Supplement_5/S515.abstract
AB OBJECTIVE: The goal was to explore the association of being underinsured and receiving doses at a health department clinic (HDC) with not receiving all recommended adolescent vaccine doses.METHODS: A total of 5657 adolescents, 13 to 17 years of age, were sampled in the National Immunization Survey-Teen in 2006–2007.RESULTS: A total of 63.9% of all adolescents were covered by private health insurance. Among privately insured adolescents, ∼31.3% were underinsured. Compared with fully insured adolescents, underinsured adolescents were more likely to receive doses at an HDC for tetanus-diphtheria toxoids/tetanus toxoids-reduced diphtheria toxoids-acellular pertussis vaccine (25.1% vs 6.2%; P &lt; .05), tetravalent meningococcal conjugate vaccine (11.5% vs 2.5%; P &lt; .05), and quadrivalent human papillomavirus vaccine (16.2% vs 3.4%; P &lt; .05). Also, compared with fully insured adolescents, underinsured adolescents who received doses at an HDC had lower estimated rates of vaccination coverage for tetanus-diphtheria toxoids/tetanus toxoids-reduced diphtheria toxoids-acellular pertussis vaccine (58.5% vs 70.9%; P &lt; .05), tetravalent meningococcal conjugate vaccine (10.8% vs 25.8%; P &lt; .05), and quadrivalent human papillomavirus vaccine (7.8% vs 14.3%; P &lt; .05).CONCLUSION: Underinsured adolescents who receive doses at an HDC have lower rates of vaccination coverage than do fully insured adolescents.