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Did school characteristics affect the uptake of meningococcal quadrivalent vaccine in Greater Manchester, United Kingdom?
Fletcher, Rebecca Wilkinson, Ewan Cleary, Paul Blagden, Sarah Farmer, Siobhan
Fletcher, Rebecca
Wilkinson, Ewan
Cleary, Paul
Blagden, Sarah
Farmer, Siobhan
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Publication Date
2019-05-10
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Article - AAM
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Abstract
Objectives
The objective of this study was to assess if school characteristics were associated with the uptake of the meningococcal ACWY (MenACWY) vaccine in Greater Manchester in 2017/18.
Study design
This is an ecological cross-sectional study.
Methods
We analysed data on all 129 schools in seven local authorities in Greater Manchester from the Department for Education and from local child health information systems to determine whether school characteristics, including school type and Ofsted effectiveness score, were associated with vaccine uptake. Schools with no eligible pupils were excluded. We undertook single-variable and multivariable analysis and considered key interactions.
Results
The overall uptake rate was 80.7%, with a median uptake per school of 80.6% (interquartile range, 69.0%–87.4%). Lower vaccination rates were associated with lower overall effectiveness scores (odds ratio [OR]: 3.54, 95% confidence interval [CI]: 3.00–4.19) and lower numbers of pupils eligible for vaccination (OR: 1.39, 95% CI: 1.28–1.51). Schools with a lower percentage of pupils for whom English is a second language and high deprivation were associated with lower uptake (OR: 1.58, 95% CI: 1.41–1.78). In addition, community schools (the schools with the most local authority oversight) had lower vaccination rates than other categories of schools.
Conclusions
In this study, uptake rates of the MenACWY vaccine were associated with all five school characteristics considered. Effectiveness scores for schools had the largest association with vaccine uptake, with poorer schools having lower uptake. These characteristics should be used by vaccination providers to prioritise their interventions to increase immunisation rates.
Citation
Fletcher, R., Wilkinson, E., Cleary, P., Blagden, S., & Farmer, S. (2019). Did school characteristics affect the uptake of meningococcal quadrivalent vaccine in Greater Manchester, United Kingdom?. Public Health, 171, 24-30. https://doi.org/10.1016/j.puhe.2019.03.018
Publisher
Elsevier
Journal
Public Health
Research Unit
DOI
10.1016/j.puhe.2019.03.018
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PubMed Central ID
Type
Article