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Year:: 2023
Contributor:: Egbert, Emily R. (Creator)
Subject:: social determinants of health; Vaccination; pediatric; federally qualified health center; COVID-19; SARS-COV-2
DOI: https://doi.org/10.26300/q2yv-8y80

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Abstract:: Background: While the American Academy of Pediatrics recommends that all children and adolescents 6 months and older receive COVID-19 vaccinations, research has shown that pediatric COVID-19 vaccination rates nationally (37.8%) and locally (52.4%) lag substantially behind that of adults. Objective: This study analyzes the pediatric COVID-19 vaccination rates at Providence Community Health Centers (PCHC) as well as how the following factors are associated with vaccination: zip code, age, primary language, completion of influenza vaccination, and select underlying conditions. Methods: Pediatric vaccination data from January 2021 through December 2022 across PCHC sites were gathered from Electronic Health Records for analysis. Excel was utilized to analyze the dataset. Results: Of the total PCHC pediatric population (N=22747), 11.1% (n=2520) of patients received at least 1 COVID-19 vaccination. Most received only the primary two-dose series (75.4%). The majority identified Spanish as a primary language (n=1301, 51.6%), followed by English (n=1176, 46.7%). 62.8% of the COVID-19 vaccinated patients also received the influenza vaccine, whereas only 30.4% of the pediatric population that received a flu vaccine also received a COVID-19 vaccination. At the vaccine visit, reported underlying conditions included asthma: 4.7%, diabetes 2.3%, obesity 7.9%, immune deficiencies 0.3%, behavioral health: 4.8%. The 0-4 years old group demonstrated the lowest vaccination rate of the total pediatric population (1.7%), followed by the 5-11 years old (7.4%). Conclusion: The PCHC pediatric population demonstrates lower COVID-19 vaccination rates than state and national levels. COVID-19 vaccination appeared to be associated with receipt of a flu vaccine, which has been suggested in other studies. The higher proportion of Spanish-speaking patients who received COVID-19 vaccines highlights the strength of PCHC in facilitating language concordance and presents a model for interventions for other languages. Both the low proportion of patients under age four and the low number of patients recorded to have underlying conditions, compared to the total PCHC pediatric population, present opportunities for targeted interventions. These findings could be used to develop further pediatric COVID-19 vaccination efforts at PCHC. Further studies should explore pediatrician experiences with COVID-19 vaccination uptake and parent/guardian characteristics impact on vaccination decisions.

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Egbert, Emily R., "Pediatric COVID-19 Vaccination Challenges and Successes: An Evaluation of Patient Factors in an FQHC Setting" (2023). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/q2yv-8y80

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Abstract for Pediatric COVID-19 Vaccination Challenges and Successes: An Evaluation of Patient Factors in an FQHC Setting
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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Pediatric COVID-19 Vaccination Challenges and Successes: An Evaluation of Patient Factors in an FQHC Setting