HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (27) Citing Articles via Google Scholar Google Scholar Articles by Averhoff, F. Articles by Fishbein, D. Search for Related Content PubMed PubMed Citation Articles by Averhoff, F. Articles by Fishbein, D. Related Collections Health Law Health Policy Adolescent Health Immunization/Vaccines Hepatitis School Health

Francisco Averhoff, MD, MPH, Leslie Linton, JD, MPH, K. Michael Peddecord, DrPH, Christine Edwards, MPH, Wendy Wang, MPH and Daniel Fishbein, MD

Francisco Averhoff and Daniel Fishbein are with the National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga. Leslie Linton, K. Michael Peddecord, and Christine Edwards are with the Graduate School of Public Health, San Diego State University, San Diego, Calif. Leslie Linton is also with, and Wendy Wang is with, the Health and Human Services Agency, County of San Diego, San Diego, Calif.

Correspondence: Requests for reprints should be sent to Francisco Averhoff, MD, MPH, National Immunization Program, MS E-61, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333 (e-mail: fma0{at}cdc.gov).

Objectives. This study assessed the effectiveness of a middle school vaccination requirement for raising second-dose measles, mumps, and rubella vaccine and hepatitis B vaccine coverage among adolescents.

Methods. Random-digit-dialed telephone surveys were conducted before (1998) and after (1999) the implementation of a vaccination requirement for entry into the seventh grade in San Diego, Calif.

Results. Vaccination coverage was higher among children subject to the vaccination requirement (seventh-grade students; 60%) than among fifth- and sixth-grade students 1 year before the requirement (13%, P < .001), and 8th- through 12th-grade students not subject to the requirement (27%, P < .0001).

Conclusions. Middle school–entry vaccination requirements can rapidly and substantially raise vaccination coverage among students subject to the law.

This article has been cited by other articles:

				M. P. Bennett Ethics and the HPV Vaccine: Considerations for School Nurses The Journal of School Nursing, October 1, 2008; 24(5): 275 - 283. [Abstract] [Full Text] [PDF]

				G. M. Lee, S. A. Lorick, E. Pfoh, K. Kleinman, and D. Fishbein Adolescent Immunizations: Missed Opportunities for Prevention Pediatrics, October 1, 2008; 122(4): 711 - 717. [Abstract] [Full Text] [PDF]

				N. J. Hartman The School Nurse Voice in Setting Policy: Unfunded Vaccination Mandates NASN School Nurse, July 1, 2008; 23(4): 20 - 23. [PDF]

				D. L. Koya, E. G. Hill, and P. M. Darden The Effect of Vaccinated Children on Increased Hepatitis B Immunization Among High-Risk Adults Am J Public Health, May 1, 2008; 98(5): 832 - 838. [Abstract] [Full Text] [PDF]

				J. Y. Morita, E. Ramirez, and W. E. Trick Effect of a School-Entry Vaccination Requirement on Racial and Ethnic Disparities in Hepatitis B Immunization Coverage Levels Among Public School Students Pediatrics, March 1, 2008; 121(3): e547 - e552. [Abstract] [Full Text] [PDF]

				R. L. Dekker Human Papillomavirus Vaccine Legislation in Kentucky: A Policy Analysis Policy Politics Nursing Practice, February 1, 2008; 9(1): 40 - 49. [Abstract] [PDF]

				D. B. Fishbein, K. R. Broder, L. Markowitz, and N. Messonnier New, and Some Not-so-New, Vaccines for Adolescents and Diseases They Prevent Pediatrics, January 1, 2008; 121(Supplement_1): S5 - S14. [Abstract] [Full Text] [PDF]

				K. R. Broder, A. C. Cohn, B. Schwartz, J. D. Klein, M. M. Fisher, D. B. Fishbein, C. Mijalski, G. R. Burstein, M. E. Vernon-Smiley, M. M. McCauley, et al. Adolescent Immunizations and Other Clinical Preventive Services: A Needle and a Hook? Pediatrics, January 1, 2008; 121(Supplement_1): S25 - S34. [Abstract] [Full Text] [PDF]

				M. C. Lindley, L. Boyer-Chu, D. B. Fishbein, M. Kolasa, A. B. Middleman, T. Wilson, J. Wolicki, S. Wooley, and for the Working Group on the Role of Schools in De The Role of Schools in Strengthening Delivery of New Adolescent Vaccinations Pediatrics, January 1, 2008; 121(Supplement_1): S46 - S54. [Abstract] [Full Text] [PDF]

				V.-P. Sneller, D. B. Fishbein, C. M. Weinbaum, A. Lombard, P. Murray, J. A. McLaurin, L. Friedman, and for the Working Group on Vaccination of High-Risk Vaccinating Adolescents in High-Risk Settings: Lessons Learned From Experiences With Hepatitis B Vaccine Pediatrics, January 1, 2008; 121(Supplement_1): S55 - S62. [Abstract] [Full Text] [PDF]

				G. Horlick, F. E. Shaw, M. Gorji, D. B. Fishbein, and for the Working Group on Legislation, Vaccination Delivering New Vaccines to Adolescents: The Role of School-Entry Laws Pediatrics, January 1, 2008; 121(Supplement_1): S79 - S84. [Abstract] [Full Text] [PDF]