In:
American Journal of Health Promotion, SAGE Publications, Vol. 37, No. 4 ( 2023-05), p. 524-528
Abstract:
Assess family-level factors associated with childhood immunization schedule adherence. Design Prospective cohort; Setting; The Healthy Start study enrolled 1,410 pregnant women in Denver, Colorado 2009-2014 Subjects Children with available vaccination data in medical records (0-6 years old) Measures Vaccine schedule completion and compliance Analysis Logistic regression comparing family-level factors that differ based on vaccine schedule adherence Results Most immunizations required in Colorado for school entry were below national completion goals with 61.8% of participants (n = 532/861) completing the full vaccination series. Most participants received the first dose of individual vaccines on time (73.5% - 90.7%), but fewer received all doses on time (21.0% - 39.5%). Factors associated with not completing the vaccination series (OR [95% CI]) included: in-utero exposure to cigarette smoke (1.97 [1.41, 2.75] ), single parent household (1.70 [1.21, 2.38]), children identified as non-White (Hispanic 1.40 [1.01, 1.94] ; Black 1.88 [1.24, 2.85]; Other 2.17 [1.34, 3.49] ), mothers not working outside the home (1.98 [1.46, 2.67]), and household income 〈 $70,000 per year ( 〈 $40,000 1.93 [1.35, 2.75]; $40,000-$70,000 1.64 [1.09, 2.46] ). Conversely, families with more educated mothers (0.47 [0.29, 0.76]) and older parents (0.97 [0.94, 0.99] ) were significantly more likely to complete the series. Conclusions These findings may help identify groups at risk of immunization schedule non-adherence and may be used to target education/advocacy campaigns to reduce hesitancy and increase access in these populations.
Type of Medium:
Online Resource
ISSN:
0890-1171
,
2168-6602
DOI:
10.1177/08901171221136532
Language:
English
Publisher:
SAGE Publications
Publication Date:
2023
detail.hit.zdb_id:
2134271-4
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