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Factors influencing completion of multi-dose vaccine schedules in adolescents: a systematic review

Overview of attention for article published in BMC Public Health, February 2016
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (67th percentile)

Mentioned by

6 tweeters


42 Dimensions

Readers on

223 Mendeley
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Factors influencing completion of multi-dose vaccine schedules in adolescents: a systematic review
Published in
BMC Public Health, February 2016
DOI 10.1186/s12889-016-2845-z
Pubmed ID

K. E. Gallagher, E. Kadokura, L. O. Eckert, S. Miyake, S. Mounier-Jack, M. Aldea, D. A. Ross, D. Watson-Jones


Completion of multiple dose vaccine schedules is crucial to ensure a protective immune response, and maximise vaccine cost-effectiveness. While barriers and facilitators to vaccine uptake have recently been reviewed, there is no comprehensive review of factors influencing subsequent adherence or completion, which is key to achieving vaccine effectiveness. This study identifies and summarises the literature on factors affecting completion of multi-dose vaccine schedules by adolescents. Ten online databases and four websites were searched (February 2014). Studies with analysis of factors predicting completion of multi-dose vaccines were included. Study participants within 9-19 years of age were included in the review. The defined outcome was completion of the vaccine series within 1 year among those who received the first dose. Overall, 6159 abstracts were screened, and 502 full texts were reviewed. Sixty one studies were eligible for this review. All except two were set in high-income countries. Included studies evaluated human papillomavirus vaccine, hepatitis A, hepatitis B, and varicella vaccines. Reported vaccine completion rates, among those who initiated vaccination, ranged from 27 % to over 90 %. Minority racial or ethnic groups and inadequate health insurance coverage were risk factors for low completion, irrespective of initiation rates. Parental healthcare seeking behaviour was positively associated with completion. Vaccine delivery in schools was associated with higher completion than delivery in the community or health facilities. Gender, prior healthcare use and socio-economic status rarely remained significant risks or protective factors in multivariate analysis. Almost all studies investigating factors affecting completion have been carried out in developed countries and investigate a limited range of variables. Increased understanding of barriers to completion in adolescents will be invaluable to future new vaccine introductions and the further development of an adolescent health platform. PROSPERO reg# CRD42014006765.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 223 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Bangladesh 1 <1%
Unknown 221 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 46 21%
Researcher 29 13%
Student > Ph. D. Student 25 11%
Student > Bachelor 23 10%
Student > Doctoral Student 18 8%
Other 39 17%
Unknown 43 19%
Readers by discipline Count As %
Medicine and Dentistry 67 30%
Nursing and Health Professions 27 12%
Social Sciences 17 8%
Economics, Econometrics and Finance 10 4%
Psychology 7 3%
Other 37 17%
Unknown 58 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 September 2016.
All research outputs
of 19,208,681 outputs
Outputs from BMC Public Health
of 12,664 outputs
Outputs of similar age
of 274,079 outputs
Outputs of similar age from BMC Public Health
of 1 outputs
Altmetric has tracked 19,208,681 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 12,664 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.4. This one is in the 49th percentile – i.e., 49% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 274,079 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 67% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them