Perceived barriers to immunizations as identified by Latino mothers

Anita Adorador · Rita McNulty · Dynnette Hart · Joyce J. Fitzpatrick

13 citations0/0 files storedJournal of the American Academy of Nurse Practitioners

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

Abstract

PURPOSE: Identify low-income Latino mothers' perceived barriers to immunizations. DATA SOURCES: A 1-month survey was conducted in a Southern California, low-income primary care clinic. Mothers of Latino children aged 2 months to 18 years were surveyed in Spanish using a 52-question immunization survey. CONCLUSIONS: Latino mothers' perception of immunizations and knowledge of up-to-date status greatly influenced their children's immunization status. In addition, Latino children had lower immunization rates and encountered more barriers to immunizations than children in other population groups despite government efforts to provide vaccines to healthcare providers at no cost to assist low-income children. Most mothers (92%) believed their children were up-to-date on immunizations; however, immunization records documented that 42% of the children were current based on age. The most common barriers reported were that the child was sick at the time of the visit (51%) and/or transportation problems (39%). IMPLICATIONS FOR PRACTICE: When working with low-income, uninsured Latinos, nurse practitioners and other healthcare professionals with low immunization rates in their clinic must assess the barriers to immunization and implement an action plan.

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References

2000Do Parents Understand Immunizations? A National Telephone Survey 2004Underimmunization Among Children: Effects of Vaccine Safety Concerns on Immunization Status 2006Health Disparities And Prevention: Racial/ethnic Barriers To Flu Vaccinations 2005Patients’ perceptions of cultural factors affecting the quality of their medical encounters 2006Parents Concerned About Vaccine Safety 2006Associations Between Childhood Vaccination Coverage, Insurance Type, and Breaks in Health Insurance Coverage 2006Parental Concerns and Medical-Seeking Behavior After Immunization 2001Variation in vaccination coverage among children of Hispanic ancestry22Address reprint requests to: Centers for Disease Control and Prevention, National Immunization Program Resource Center, 1600 Clifton Road NE, Mailstop E-34, Atlanta, Georgia 30333. Fax: (404) 639-8828.

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2022Reasons and suggestions for improving low immunization uptake among children living in low socioeconomic status communities in Northern Alberta, Canada – A qualitative study

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