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Review

The Impact of Social Determinants of Health on Meningococcal Vaccination Awareness, Delivery, and Coverage in Adolescents and Young Adults in the United States: A Systematic Review

1
RTI Health Solutions, 3005 Boardwalk Dr # 105, Ann Arbor, MI 48108, USA
2
Pfizer Pharma GmbH I Linkstraße 10, 10785 Berlin, Germany
3
RTI Health Solutions, 3040 E Cornwallis Rd, Durham, NC 27709, USA
4
Pfizer, 235 E 42nd St, New York, NY 10017, USA
5
Pfizer, 500 Arcola Rd, Collegeville, PA 19426, USA
6
Medical Westchester County Department of Health, 134 Court St, White Plains, New York, NY 10601, USA
7
Infectious Disease Consultant Calvary Hospital Bronx, New York, NY 10461, USA
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Microbiology & Immunology New York Medical College, New York, NY 10595, USA
*
Author to whom correspondence should be addressed.
Vaccines 2023, 11(2), 256; https://doi.org/10.3390/vaccines11020256
Received: 16 December 2022 / Revised: 18 January 2023 / Accepted: 19 January 2023 / Published: 24 January 2023
(This article belongs to the Special Issue Vaccines Uptakes and Public Health)

Abstract

Vaccines remain a fundamental intervention for preventing illness and death. In the United States, suboptimal vaccine uptake in adolescents and young adults has been observed for meningococcal conjugate (MenACWY) and serogroup B meningococcal (MenB) vaccines, particularly among marginalized communities, despite current recommendations by the Advisory Committee on Immunization Practices. A systematic literature search was conducted in the MEDLINE and MEDLINE In-Process, Embase, Cochrane, PsychInfo, and CINAHL databases to identify both drivers of, and barriers to, MenACWY and MenB vaccine uptake in adolescents and young adults. A total of 34 of 46 eligible studies that presented outcomes stratified by race/ethnicity, geography, and socioeconomic status were selected for review. Results showed MenACWY and MenB vaccination coverage in adolescents and young adults is impacted by racial/ethnic, socioeconomic, and geographic disparities. Gaps also exist in insurance for, or access to, these vaccines in adolescents and young adults. Moreover, there was variability in the understanding and implementation of the shared decision-making recommendations for the MenB vaccine. Disease awareness campaigns, increased clarity in accessing all meningococcal vaccines, and further research on the relationships between measures of marginalization and its impact on vaccine coverage in adolescents and young adults are needed to reduce the incidence of severe infections.
Keywords: meningococcal disease; vaccine recommendation; meningococcal vaccination; health equity; health disparity meningococcal disease; vaccine recommendation; meningococcal vaccination; health equity; health disparity

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MDPI and ACS Style

Masaquel, C.; Schley, K.; Wright, K.; Mauskopf, J.; Parrish, R.A.; Presa, J.V.; Hewlett Jr., D. The Impact of Social Determinants of Health on Meningococcal Vaccination Awareness, Delivery, and Coverage in Adolescents and Young Adults in the United States: A Systematic Review. Vaccines 2023, 11, 256. https://doi.org/10.3390/vaccines11020256

AMA Style

Masaquel C, Schley K, Wright K, Mauskopf J, Parrish RA, Presa JV, Hewlett Jr. D. The Impact of Social Determinants of Health on Meningococcal Vaccination Awareness, Delivery, and Coverage in Adolescents and Young Adults in the United States: A Systematic Review. Vaccines. 2023; 11(2):256. https://doi.org/10.3390/vaccines11020256

Chicago/Turabian Style

Masaquel, Catherine, Katharina Schley, Kelly Wright, Josephine Mauskopf, Ronika Alexander Parrish, Jessica Vespa Presa, and Dial Hewlett Jr. 2023. "The Impact of Social Determinants of Health on Meningococcal Vaccination Awareness, Delivery, and Coverage in Adolescents and Young Adults in the United States: A Systematic Review" Vaccines 11, no. 2: 256. https://doi.org/10.3390/vaccines11020256

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