Meningococcal vaccination in primary care amongst adolescents in North West England: An ecological study investigating associations with general practice characteristics

Sarah Blagden, Daniel Hungerford, Mark Limmer

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Background In 2015 the meningococcal ACWY (MenACWY) vaccination was introduced amongst adolescents in England following increased incidence and mortality associated with meningococcal group W. Methods MenACWY vaccination uptake data for 17-18 years old and students delivered in primary care were obtained for 20 National Health Service clinical commissioning groups (CCGs) via the ImmForm vaccination system. Data on general practice characteristics, encompassing demographics and patient satisfaction variables, were extracted from the National General Practice Profiles resource. Univariable analysis of the associations between practice characteristics and vaccination was performed, followed by multivariable negative binomial regression. Results Data were utilized from 587 general practices, accounting for ~8% of all general practices in England. MenACWY vaccination uptake varied from 20.8% to 46.8% across the CCGs evaluated. Upon multivariable regression, vaccination uptake increased with increasing percentage of patients from ethnic minorities, increasing percentage of patients aged 15-24 years, increasing percentage of patients that would recommend their practice and total Quality and Outcomes Framework achievement for the practice. Conversely, vaccination uptake decreased with increasing deprivation. Conclusions This study has identified several factors independently associated with MenACWY vaccination in primary care. These findings will enable a targeted approach to improve general practice-level vaccination uptake.

Original languageEnglish
Pages (from-to)149-157
Number of pages9
JournalJournal of Public Health
Volume41
Issue number1
DOIs
Publication statusPublished - 1 Mar 2019

Keywords

  • Immunization
  • Infectious disease
  • Primary care

Fingerprint

Dive into the research topics of 'Meningococcal vaccination in primary care amongst adolescents in North West England: An ecological study investigating associations with general practice characteristics'. Together they form a unique fingerprint.

Cite this