PT  - JOURNAL ARTICLE
AU  - Springer, Rachel
AU  - Heintzman, John
AU  - Kaufmann, Jorge
AU  - Giebultowicz, Sophia
AU  - Marino, Miguel
AU  - Warren, Nathaniel
AU  - Angier, Heather
TI  - Latino Adolescent-Mother Language Concordance, Neighborhood Deprivation, and Vaccinations in Community Health Centers
AID  - 10.1370/afm.21.s1.3815
DP  - 2023 Jan 01
TA  - The Annals of Family Medicine
PG  - 3815
VI  - 21
IP  - Supplement 1
4099  - http://www.annfammed.org/content/21/Supplement_1/3815.short
4100  - http://www.annfammed.org/content/21/Supplement_1/3815.full
SO  - Ann Fam Med2023 Jan 01; 21
AB  - Context: Latino adolescents face multilevel barriers (e.g. language, neighborhood deprivation) to preventive care, including recommended vaccinations. There is little research on the association between Latino adolescent-mother preferred language concordance and vaccination completion and if it varies by neighborhood deprivation.Objective: To better understand the social/family factors associated with Latino adolescent vaccination completion by studying the association of adolescent-mother language concordance and neighborhood social deprivation with adolescent vaccination completion.Study Design and Analysis: Retrospective observational study comparing human papilloma virus (HPV), meningococcal, and influenza vaccination rates in dyads from Latino families of three types (English-preferring Latino adolescents with English-preferring mothers, Spanish-preferring Latino adolescents with Spanish-preferring mothers, and English-preferring Latino adolescents with Spanish- preferring mothers) with those of English-preferring non-Hispanic white adolescent-mother pairs, adjusting for mother and adolescent demographics and healthcare utilization and stratifying by social deprivation of the family’s neighborhood.Setting: Multistate electronic health record (EHR)-based dataset of patients from 389 community health centers (CHCs) across 17 states from the OCHIN Network.Population Studied: Latino and non-Latino adolescent-mother dyads.Outcome Measures: Adolescent HPV and meningococcal vaccinations and yearly influenza vaccination rate.Results: Our sample included 56,542 adolescent-mother dyads. Compared with Non-Hispanic white dyads, all three groups of Latino dyads had higher odds of adolescent HPV and meningococcal vaccines and higher rates of flu vaccines, and Latino dyads with Spanish-preferring mothers had higher vaccination odds/rates than did Latino dyads with English-preferring mothers. While there was some evidence of variation by neighborhood social deprivation in influenza vaccination rates, these effects were minor in comparison to differences by ethnicity and language concordance.Conclusions: In a multistate analysis of vaccinations among Latino and non-Latino adolescents, English-preferring adolescents with Spanish- preferring mothers had the highest completion rates and English-preferring non-Hispanic white dyads had the lowest. Further research can seek to understand why this language dyad may have an advantage in adolescent vaccination completion.