Barriers to immunization in a relatively affluent community.

Barbara P. Yawn · Zhisen Xia · Larry Edmonson · Robert M. Jacobson · Steven J. Jacobsen

32 citations0/0 files storedPubMed

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Vaccine Coverage and Hesitancy Child and Adolescent Health Pediatric Pain Management Techniques

Abstract

BACKGROUND: Although Healthy People 2000 calls for the complete immunization of at least 90% of children by age 20 months, few communities can claim such success. We wanted to determine the parent-reported barriers associated with underimmunization of infants in a relatively affluent midwestern population. METHODS: We undertook a case-control study of a population-based sample of parents and guardians of children who were either fully immunized or underimmunized at 20 months of age in Olmsted County, Minn. RESULTS: In this study, 596 of 1,216 parents (46%) of both immunized and underimmunized children participated. Of these participants, 281 (47%) reported barriers to immunizations, but only 15 (3%) reported major barriers. Whereas the most commonly reported barriers were barriers of inconvenience (waiting too long, inconvenient office hours), only delays caused by a sick child, fear of reactions, trouble remembering an appointment, not knowing when the next shot was due, and transportation problems were significantly associated with underimmunization when controlling for demographic factors. Fear of reactions, sick child delays, and not knowing when the next shot was due had the highest attributable risk for underimmunization. Taken together, parent-reported barriers and demographic factors explained less than 30% of the underimmunization status of children. Parents' most common recommendations for improving immunization status were the use of a recall or reminder system and a single unified schedule for immunizations. CONCLUSIONS: In this relatively affluent community, barriers to immunization were commonly reported but few (fear of reactions, sick child delays, and not knowing when the next shot was due) were associated with underimmunization. The types of barriers reported were similar to those reported in other communities, but unlike many populations studied, cost was not reported as an important barrier.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 32 citations exist upstream.

References

1993Standards for Pediatric Immunization Practices 1990Barriers to Vaccinating Preschool Children 1998Personal, Financial, and Structural Barriers to Immunization in Socioeconomically Disadvantaged Urban Children 1992Causes of Low Preschool Immunization Coverage in the United States 1994Immunization in urban areas: issues and strategies.1999Predictors of childhood immunization completion in a rural population 1997Barriers to Measles and Pertussis Immunization: The Knowledge and Attitudes of Pennsylvania Primary Care Physicians 1999IMMUNIZATION REGISTRIES IN THE UNITED STATES: Implications for the Practice of Public Health in a Changing Health Care System

Cited by

2012Factors Influencing Childhood Immunization Defaulters in Sabah, Malaysia 2021Addressing logistical barriers to childhood vaccination using an automated reminder system and online resource intervention: A randomized controlled trial 2017Coverage and predictors of routine immunization among 12-23 months old children in disaster affected communities in Pakistan.

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.