Thomas S Bundt1, Hsou-mei Hu. 1. Department of Defense, Army Medical Department, Darnall Army Community Hospital, Fort Hood, TX 76544, USA.
Abstract
OBJECTIVES: The gap between children's immunization requirements and actual compliance is staggering. Using a national survey instrument, the purpose of this study was to analyze the relationship between select predictors and immunization status in children between 19 months and 6 years of age. METHODS: From the 1998 Medical Expenditure Panel Survey, 1575 children were included in a multivariate logistical model. Outcomes were measured as compliance with approved vaccination regimens. RESULTS: Only 67% of children between 19 months and 6 years old were compliant with all recommended vaccines. However, nonminority children with health insurance from families with income above the federal poverty line or living outside a metropolitan statistical area were more likely to be vaccinated. Children of older or educated parents likewise tended to have complete immunization. CONCLUSIONS: Analyzing childhood immunization via parental characteristics identifies prevalent predictors of compliance. Outcomes suggest potential strategies for health systems to focus on children's health issues--specifically immunizations.
OBJECTIVES: The gap between children's immunization requirements and actual compliance is staggering. Using a national survey instrument, the purpose of this study was to analyze the relationship between select predictors and immunization status in children between 19 months and 6 years of age. METHODS: From the 1998 Medical Expenditure Panel Survey, 1575 children were included in a multivariate logistical model. Outcomes were measured as compliance with approved vaccination regimens. RESULTS: Only 67% of children between 19 months and 6 years old were compliant with all recommended vaccines. However, nonminority children with health insurance from families with income above the federal poverty line or living outside a metropolitan statistical area were more likely to be vaccinated. Children of older or educated parents likewise tended to have complete immunization. CONCLUSIONS: Analyzing childhood immunization via parental characteristics identifies prevalent predictors of compliance. Outcomes suggest potential strategies for health systems to focus on children's health issues--specifically immunizations.
Authors: Kimberly C Arthur; Barbara A Lucenko; Irina V Sharkova; Jingping Xing; Rita Mangione-Smith Journal: Ann Fam Med Date: 2018-01 Impact factor: 5.166
Authors: Michael D Warren; Patrick G Arbogast; Judy A Dudley; Lisa Kaltenbach; Wayne A Ray; Winfred C Wang; William O Cooper Journal: Arch Pediatr Adolesc Med Date: 2010-03