Effect of middle school entry requirements on hepatitis B vaccination coverage

J Adolesc Health. 2004 May;34(5):420-3. doi: 10.1016/j.jadohealth.2003.08.014.


We examined hepatitis B immunization coverage in states with and without middle school entry vaccination requirements. Hepatitis B vaccination was initiated and completed more frequently in states with middle school mandates, although near-universal coverage was not obtained. Nonetheless, establishment of mandates in states without them could significantly reduce hepatitis B transmission.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Cross-Sectional Studies
  • Female
  • Hepatitis B / prevention & control*
  • Humans
  • Logistic Models
  • Male
  • Mandatory Programs*
  • Multivariate Analysis
  • School Admission Criteria*
  • Schools / legislation & jurisprudence*
  • United States
  • Vaccination / legislation & jurisprudence
  • Vaccination / standards*
  • Vaccination / statistics & numerical data*