Trends in adolescent and adult vaccination in pharmacy and medical settings in the United States, 2018-2024: a database study.

IF 5.5 3区 医学 Q1 IMMUNOLOGY Expert Review of Vaccines Pub Date : 2025-12-01 Epub Date: 2024-12-22 DOI:10.1080/14760584.2024.2441255
Yi Zheng, Dong Wang, Ya-Ting Chen, Kunal Saxena, Goran Bencina, Amanda L Eiden
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Abstract

Background: Pharmacies can increase access to vaccines. This study aimed to describe trends in the proportion of adolescent and adult vaccinations administered in pharmacies in the United States from 2018 to 2024.

Research design and methods: This was a retrospective cross-sectional analysis of medical and pharmacy claims from commercial health insurance enrollees. We recorded vaccinations received by enrollees ≥9 years of age from 2018 to 2023 (routine vaccines) or 2024 (seasonal vaccines). We calculated the annual proportion of vaccinations occurring in pharmacies and the accumulated percent change in vaccination rate during each year from 2020 onward compared to 2018-2019.

Results: The proportion of routine vaccinations occurring in pharmacies was higher among adults than among adolescents. For most routine vaccines, this proportion increased during the study period. The lowest proportion was observed for adolescent human papillomavirus vaccination in 2018 (0.2%), and the highest for herpes zoster vaccination among adults ≥65 years of age in 2023 (88.6%). For all age groups, pharmacy-based vaccination was more common for seasonal influenza and SARS-CoV-2 vaccines than for all routine vaccines except herpes zoster.

Conclusions: Pharmacy-based vaccination is increasingly common in the United States, particularly among adults and for seasonal vaccines, and can help increase the overall level of vaccine uptake.

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2018-2024 年美国药房和医疗机构中青少年和成人疫苗接种趋势:一项数据库研究。
背景:药店可以增加获得疫苗的机会。本研究旨在描述2018年至2024年美国药房中青少年和成人疫苗接种比例的趋势。研究设计和方法:对商业健康保险参保人的医疗和药房索赔进行回顾性横断面分析。我们记录了2018年至2023年(常规疫苗)或2024年(季节性疫苗)期间≥9岁入组者的疫苗接种情况。我们计算了药房每年接种疫苗的比例,以及与2018-2019年相比,2020年以后每年疫苗接种率的累计变化百分比。结果:成人在药店进行常规疫苗接种的比例高于青少年。对于大多数常规疫苗,这一比例在研究期间有所增加。2018年青少年人乳头瘤病毒疫苗接种率最低(0.2%),2023年65岁以上成人带状疱疹疫苗接种率最高(88.6%)。在所有年龄组中,季节性流感和SARS-CoV-2疫苗以药物为基础的疫苗接种比除带状疱疹外的所有常规疫苗更常见。结论:基于药物的疫苗接种在美国越来越普遍,特别是在成年人和季节性疫苗中,可以帮助提高疫苗的整体吸收水平。
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来源期刊
Expert Review of Vaccines
Expert Review of Vaccines 医学-免疫学
CiteScore
9.10
自引率
3.20%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Expert Review of Vaccines (ISSN 1476-0584) provides expert commentary on the development, application, and clinical effectiveness of new vaccines. Coverage includes vaccine technology, vaccine adjuvants, prophylactic vaccines, therapeutic vaccines, AIDS vaccines and vaccines for defence against bioterrorism. All articles are subject to rigorous peer-review. The vaccine field has been transformed by recent technological advances, but there remain many challenges in the delivery of cost-effective, safe vaccines. Expert Review of Vaccines facilitates decision making to drive forward this exciting field.
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