Public health nursing (Boston, Mass.) · 2026
Enhancing Adolescent Vaccine Acceptance: A Multi-Component Intervention Study on 13-Year-Old Tetanus-Diphtheria Vaccination.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Acar Ufuk, Beyazgül Burcu, Koruk İbrahim
Аннотация
OBJECTIVE: This study aimed to evaluate the impact of Turkey's 2020 policy shift from school-based to family physician-based individual vaccination for the adolescent Tetanus-Diphtheria (Td) vaccine and to assess the effectiveness of a multi-component intervention (education, reminders, and on-site vaccination) in improving vaccine uptake among initially unvaccinated adolescents.
METHODS: The study consisted of two phases: first, a cross-sectional analysis comparing Td vaccination coverage rates from 2018 to 2024 before and after the policy change; second, a quasi-experimental intervention involving 1007 high school students in Haliliye district during the 2023-2024 academic year. The intervention included structured educational sessions, monthly reminders, and on-site vaccination services. Data were analyzed using descriptive statistics, Cochran's Q test, and McNemar tests.
RESULTS: Following the shift to family physician-based individual vaccination in 2020, Td coverage initially decreased from 71.3% to 64.3% but increased gradually to 79.3% by 2024. The multi-component intervention increased vaccination coverage from 77.8% to 98.4% (p < 0.001). Major barriers overcome included lack of awareness (51.3%) and reluctance or time constraints (27.7%).
CONCLUSION: Transitioning from school-based to family physician-based individual vaccination increased coverage gradually but left many adolescents unvaccinated. A multi-component intervention significantly improved vaccine uptake, supporting a hybrid school- and physician-based model.
METHODS: The study consisted of two phases: first, a cross-sectional analysis comparing Td vaccination coverage rates from 2018 to 2024 before and after the policy change; second, a quasi-experimental intervention involving 1007 high school students in Haliliye district during the 2023-2024 academic year. The intervention included structured educational sessions, monthly reminders, and on-site vaccination services. Data were analyzed using descriptive statistics, Cochran's Q test, and McNemar tests.
RESULTS: Following the shift to family physician-based individual vaccination in 2020, Td coverage initially decreased from 71.3% to 64.3% but increased gradually to 79.3% by 2024. The multi-component intervention increased vaccination coverage from 77.8% to 98.4% (p < 0.001). Major barriers overcome included lack of awareness (51.3%) and reluctance or time constraints (27.7%).
CONCLUSION: Transitioning from school-based to family physician-based individual vaccination increased coverage gradually but left many adolescents unvaccinated. A multi-component intervention significantly improved vaccine uptake, supporting a hybrid school- and physician-based model.