Kevin J Dombkowski1, Paula M Lantz, Gary L Freed. 1. Division of General Pediatrics, University of Michigan, 300 N. Ingalls, Ann Arbor, MI 48109-0456, USA. kjd@med.umich.edu
Abstract
OBJECTIVES: We examined the associations of having health insurance and having a usual source of medical care with age-appropriate childhood vaccination. METHODS: Simulations were conducted with multivariate logistic regression models and a nationally representative sample of children to assess the likelihood of age-appropriate vaccination. RESULTS: Simulated provision of health insurance and a usual source of medical care produced substantial increases in the likelihood of doses being received age-appropriately. Increases in the likelihood of a child's being up to date were also observed, but these increases typically were smaller than for age-appropriate vaccination. CONCLUSIONS: Changes in childhood vaccination status should be assessed in age-appropriate terms, because measures of "up to date" status may not capture the effects of immunization interventions.
OBJECTIVES: We examined the associations of having health insurance and having a usual source of medical care with age-appropriate childhood vaccination. METHODS: Simulations were conducted with multivariate logistic regression models and a nationally representative sample of children to assess the likelihood of age-appropriate vaccination. RESULTS: Simulated provision of health insurance and a usual source of medical care produced substantial increases in the likelihood of doses being received age-appropriately. Increases in the likelihood of a child's being up to date were also observed, but these increases typically were smaller than for age-appropriate vaccination. CONCLUSIONS: Changes in childhood vaccination status should be assessed in age-appropriate terms, because measures of "up to date" status may not capture the effects of immunization interventions.
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