Journal of Adolescent Health
Volume 46, Issue 2, Supplement 2 , Pages S24-S33, February 2010

Barriers and Potential Solutions to Increasing Immunization Rates in Adolescents

  • David W. Kaplan, M.D., M.P.H.

      Affiliations

    • Corresponding Author InformationAddress correspondence to: David W. Kaplan, M.D., M.P.H., Department of Pediatrics, University Colorado Denver School of Medicine, The Children's Hospital, 13123 East 16th Avenue, Aurora, CO 80045.

Department of Pediatrics, University Colorado Denver School of Medicine, The Children's Hospital, Aurora, Colorado

Received 9 July 2009; accepted 8 December 2009.

Abstract 

The creation of the adolescent vaccine platform presents both opportunities and challenges. Many of the barriers to vaccinating adolescents are similar to those of vaccinating younger children. However, adolescents have additional issues, such as their rapidly changing emotional and cognitive development, which can shape their immunization receptivity. Adolescents' lower rates of contact with the healthcare system for both acute and preventive health care result in fewer immunization opportunities. Potential solutions to increase adolescent immunization rates include the following: first, further development of computerized immunization information systems that contain the complete immunization history and flag recommended immunizations. Second, widely adopting a single state middle/high school mandate for the adolescent immunization platform to bring adolescents in for immunizations, which could result in the fulfillment of all recommended immunizations. Finally, implementing proposed financing changes to better apply Vaccines for Children coverage, reimbursement and administration fees in the public sector, and changes to private health insurance plans coverage.

Keywords: Meningococcal vaccination, Barriers, Adolescent, Immunization

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PII: S1054-139X(09)00657-0

doi:10.1016/j.jadohealth.2009.12.004

Journal of Adolescent Health
Volume 46, Issue 2, Supplement 2 , Pages S24-S33, February 2010