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Analysis of a bi-state, multi-district, school-based hepatitis B immunization program.

T Wilson1, S Harman

  • 1University of Missouri-Kansas City, 221 Health Science Bldg., 2220 Holmes St., Kansas City, MO 64108-2676, USA. Wilsontr@umkc.edu

The Journal of School Health
|February 24, 2001
PubMed
Summary

School-based Hepatitis B vaccination programs saw 73.4% participation and 75% completion. Educational interventions boosted rates, while larger schools and varying insurance types showed complex effects on student vaccine uptake.

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Area of Science:

  • Public Health
  • Vaccinology
  • Health Services Research

Background:

  • School-based vaccination programs are crucial for disease prevention.
  • Understanding factors influencing participation and completion is key for program success.
  • Hepatitis B vaccination is a critical public health intervention.

Purpose of the Study:

  • To assess factors affecting participation and completion rates in a school-based Hepatitis B vaccination program.
  • To determine the administration costs of the vaccine in a school setting.
  • To identify demographic and school-level predictors of vaccine uptake.

Main Methods:

  • A descriptive correlational research design was employed.
  • Data were collected from 18,046 students across public and private schools in the Kansas City metropolitan area.

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  • Participation, completion rates, and associated costs were analyzed in relation to school size, educational interventions, and student insurance status.

    • Main Results:

    • Overall participation was 73.4% (12,986 students), with approximately 75% completing the vaccine series.
    • Larger schools exhibited lower participation and completion rates.
    • Schools with educational interventions reported higher rates; commercially insured students showed low participation but high completion, while Medicaid-eligible students had high participation but low completion.
    • Vaccine administration cost was $5.06 per dose.

    Conclusions:

    • School size and student insurance status significantly influence Hepatitis B vaccine uptake.
    • Educational interventions are effective in improving participation and completion rates.
    • Targeted strategies may be needed to address disparities in vaccine completion among different student populations.