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Peer-Reviewed Publication
Vaccine2018;36(20):2861-2869.May 11, 2018Journal Article

Impact of elementary school-located influenza vaccinations: A stepped wedge trial across a community.

Peter G Szilagyi1, Stanley Schaffer2, Cynthia M Rand2, Nicolas P N Goldstein2, A Dirk Hightower3, Mary Younge4, Ashley Eagan2, Aaron Blumkin5, Christina S Albertin6, Kristine DiBitetto2, Cathleen Concannon2, Phyllis Vincelli7, Byung-Kwang Yoo8, Sharon G Humiston9
1Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, USA. Electronic address: pszilagyi@mednet.ucla.edu.
2Department of Pediatrics, Golisano Children's Hospital, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
3Department of Clinical and Social Psychology, University of Rochester and Children's Institute Rochester, NY, USA.
4Department of Public Health, Monroe County, NY, USA.
5Pop Health/Analytics Group, NextGen Healthcare, Fairport, NY, USA.
6Department of Pediatrics, UCLA Mattel Children's Hospital, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
7Department of Ophthalmology, University of Rochester School of Medicine and Dentistry, USA.
8Department of Public Health Sciences, University of California at Davis, Davis, CA, USA.
9Department of Pediatrics, Children's Mercy, Kansas City, MO, USA.

Abstract

BACKGROUND: Influenza vaccination rates among children are low and novel strategies are needed to raise coverage. We measured the impact of school-located influenza vaccination (SLIV) on coverage, examined whether SLIV substitutes for practice-based influenza vaccination ("substitution"), and estimated whether a second year of experience with SLIV increases its impact. METHODS: We implemented a s…

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