{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:26:39Z","timestamp":1793658399218,"version":"4.5.1"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Royal Children\u2019s Hospital League of Former Trainees"},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT2007722"],"award-info":[{"award-number":["GNT2007722"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001782","name":"University of Melbourne","doi-asserted-by":"publisher","award":["GNT1196999"],"award-info":[{"award-number":["GNT1196999"]}],"id":[{"id":"10.13039\/501100001782","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To identify the proportion of young people experiencing homelessness who are immunized against vaccine-preventable diseases, and to evaluate the impact of a nurse-led immunization program to improve vaccination coverage in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective audit of electronic medical records included 400 participants aged 15 to 24\u2009years who had an encounter with the Young People\u2019s Health Service, a nurse-led clinic co-located with a specialist youth homelessness service in Melbourne, Australia, between February 2019 and May 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Integrating an immunization nurse within a youth specialist homelessness service increased the percentage of young people who were up-to-date with routine vaccinations from 6.0% (n\u2009=\u200924) to 38.8% (n\u2009=\u2009155). Intersecting social determinants of health that increased participants\u2019 risk of vaccine preventable diseases, and of missing routine vaccines, were common.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Incomplete coverage of routine vaccines is common in young people accessing homelessness services, and this coverage was improved when young people encountered an immunization nurse while accessing support from a specialist youth homelessness service. As a service model, nurse-led community health clinics co-located within homelessness providers can improve vaccination coverage, and therefore health outcomes, of young people experiencing or at risk of homelessness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319231204581","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T02:39:08Z","timestamp":1697510348000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Immunization Coverage in Young People Experiencing Homelessness and the Impact of a Nurse-led Program"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8661-1472","authenticated-orcid":false,"given":"Belinda L.","family":"Tominc","sequence":"first","affiliation":[{"name":"The Royal Children\u2019s Hospital, Melbourne, VIC, Australia"},{"name":"Murdoch Children\u2019s Research Institute, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1751-5313","authenticated-orcid":false,"given":"Kate L.","family":"Francis","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, VIC, Australia"},{"name":"The University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Sawyer","sequence":"additional","affiliation":[{"name":"The Royal Children\u2019s Hospital, Melbourne, VIC, Australia"},{"name":"Murdoch Children\u2019s Research Institute, Melbourne, VIC, Australia"},{"name":"The University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica A.","family":"Heerde","sequence":"additional","affiliation":[{"name":"Murdoch Children\u2019s Research Institute, Melbourne, VIC, Australia"},{"name":"The University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"O\u2019Neill","sequence":"additional","affiliation":[{"name":"The Royal Children\u2019s Hospital, Melbourne, VIC, Australia"},{"name":"The University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dot","family":"Henning","sequence":"additional","affiliation":[{"name":"The Royal Children\u2019s Hospital, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"bibr1-21501319231204581","volume-title":"Specialist Homelessness Services Annual Report 2021-2022","author":"Australian Institute of Health and Welfare","year":"2022"},{"key":"bibr2-21501319231204581","volume-title":"Census of Population and Housing: Estimating Homelessness, 2016","author":"Australian Bureau of Statistics","year":"2018"},{"key":"bibr3-21501319231204581","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30121-3"},{"key":"bibr4-21501319231204581","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31869-X"},{"key":"bibr5-21501319231204581","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01264"},{"key":"bibr6-21501319231204581","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13038"},{"key":"bibr7-21501319231204581","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.26203"},{"key":"bibr8-21501319231204581","unstructured":"Burdekin B. 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