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Immunization coverage and its relationship to preventive health care visits among inner-city children in Baltimore.
Pediatrics. 1994 Jul; 94(1):53-8.Ped

Abstract

OBJECTIVE

To provide empirical data on immunization coverage and the receipt of preventive health care to inform policy makers' efforts to improve childhood immunization.

DESIGN AND METHODS

We surveyed a random sample drawn from a birth cohort of 557 2-year-old children living in the inner-city of Baltimore. Complete information on all their preventive health care visits and immunization status was obtained from medical record audits of their health care providers.

MAIN OUTCOME MEASURES

Age-appropriate immunizations and preventive health care visits.

RESULTS

By 3 months of age, nearly 80% made an age-appropriate preventive health visit, but by 7 months of age, less than 40% had a preventive visit that was age-appropriate. In the second year of life, 75% made a preventive health visit between their 12- and 17-month birthdays. The corresponding age-appropriate immunization levels were 71% for DTP1, 39% for DTP3, and 53% for measles-mumps-rubella vaccine. Infants who received their DTP1 on-time were twice as likely to be up-to-date by 24 months of age.

CONCLUSIONS

Our analyses focus attention on the performance of the primary health care system, especially during the first 6 months of life. Many young infants are underimmunized despite having age-appropriate preventive visits, health insurance coverage through Medicaid, and providers who receive free vaccine from public agencies. Measles vaccination coverage could be improved by initiating measles-mumps-rubella vaccine vaccination, routinely, at 12 months among high risk populations.

Authors+Show Affiliations

Department of Maternal and Child Health, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8008538

Citation

Guyer, B, et al. "Immunization Coverage and Its Relationship to Preventive Health Care Visits Among Inner-city Children in Baltimore." Pediatrics, vol. 94, no. 1, 1994, pp. 53-8.
Guyer B, Hughart N, Holt E, et al. Immunization coverage and its relationship to preventive health care visits among inner-city children in Baltimore. Pediatrics. 1994;94(1):53-8.
Guyer, B., Hughart, N., Holt, E., Ross, A., Stanton, B., Keane, V., Bonner, N., Dwyer, D. M., & Cwi, J. S. (1994). Immunization coverage and its relationship to preventive health care visits among inner-city children in Baltimore. Pediatrics, 94(1), 53-8.
Guyer B, et al. Immunization Coverage and Its Relationship to Preventive Health Care Visits Among Inner-city Children in Baltimore. Pediatrics. 1994;94(1):53-8. PubMed PMID: 8008538.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Immunization coverage and its relationship to preventive health care visits among inner-city children in Baltimore. AU - Guyer,B, AU - Hughart,N, AU - Holt,E, AU - Ross,A, AU - Stanton,B, AU - Keane,V, AU - Bonner,N, AU - Dwyer,D M, AU - Cwi,J S, PY - 1994/7/1/pubmed PY - 1994/7/1/medline PY - 1994/7/1/entrez SP - 53 EP - 8 JF - Pediatrics JO - Pediatrics VL - 94 IS - 1 N2 - OBJECTIVE: To provide empirical data on immunization coverage and the receipt of preventive health care to inform policy makers' efforts to improve childhood immunization. DESIGN AND METHODS: We surveyed a random sample drawn from a birth cohort of 557 2-year-old children living in the inner-city of Baltimore. Complete information on all their preventive health care visits and immunization status was obtained from medical record audits of their health care providers. MAIN OUTCOME MEASURES: Age-appropriate immunizations and preventive health care visits. RESULTS: By 3 months of age, nearly 80% made an age-appropriate preventive health visit, but by 7 months of age, less than 40% had a preventive visit that was age-appropriate. In the second year of life, 75% made a preventive health visit between their 12- and 17-month birthdays. The corresponding age-appropriate immunization levels were 71% for DTP1, 39% for DTP3, and 53% for measles-mumps-rubella vaccine. Infants who received their DTP1 on-time were twice as likely to be up-to-date by 24 months of age. CONCLUSIONS: Our analyses focus attention on the performance of the primary health care system, especially during the first 6 months of life. Many young infants are underimmunized despite having age-appropriate preventive visits, health insurance coverage through Medicaid, and providers who receive free vaccine from public agencies. Measles vaccination coverage could be improved by initiating measles-mumps-rubella vaccine vaccination, routinely, at 12 months among high risk populations. SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/8008538/Immunization_coverage_and_its_relationship_to_preventive_health_care_visits_among_inner_city_children_in_Baltimore_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=8008538 DB - PRIME DP - Unbound Medicine ER -