Childhood Immunization Coverage in US States

Collins, Brian K.; Morrow, Helen; Ramirez, Jennifer; Cochran, Clarke E.; Smith, David R.

doi:10.1300/j045v22n01_06

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…Changing ImmTrac2 to opt-out has two primary benefits including increased vaccination coverage and cost savings. Opt-out registries are associated with increased statewide vaccine coverage compared to states with opt-in registries such as ImmTrac2 [16]. Additionally, Bloom et al found that changing ImmTrac2 to opt-out may be more cost-effective than current opt-in consent processes allowing limited resources to be allocated elsewhere [17].…”

Section: Discussionmentioning

confidence: 99%

Low-income Hispanic parent recall of daughters’ HPV vaccination status: Correlates of accurate reporting of daughters’ HPV-vaccine naïve status compared with electronic health records

Rodriguez

Savas

Loomba

et al. 2019

Vaccine

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Purpose: This study aimed to (1) assess the accuracy of parental recall of adolescent (11-17 years) daughters' HPV vaccine initiation in a low-income, urban Hispanic population, and (2) describe the correlates of accurate recall. Methods:We compared parental recall of HPV vaccine naivety to daughter's electronic medical records to calculate the proportion of parents accurately reporting HPV naïve status. We used mixed effects logistic regression to identify correlates of accurate recall. Results:We verified vaccination status for 1103 daughters of participants who reported their daughters were HPV vaccine-naïve; 69.3% of parents accurately reported their daughters as HPV vaccine-naïve. Parents of older daughters (13-17 years) compared to younger daughters (11-12 years) had significantly lower odds of accurately reporting daughters as unvaccinated (AOR = 0.60; 95% CI 0.42-0.83).Discussion: Underreporting of vaccination status among our study population corresponds with national data that suggest lower income and minority populations underreport HPV vaccination initiation and completion.

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Section: Discussionmentioning

confidence: 99%

Low-income Hispanic parent recall of daughters’ HPV vaccination status: Correlates of accurate reporting of daughters’ HPV-vaccine naïve status compared with electronic health records

Rodriguez

Savas

Loomba

et al. 2019

Vaccine

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“…For example, HPV vaccination prevalence in the cervical PROSPR I cohorts may not reflect true prevalence since immunizations received outside of the health care systems may be less complete for new enrollees, those with limited utilization history, or in states (e.g., Texas) with opt-in immunization registries. 38,39 Published age-specific hysterectomy prevalence estimates are not available for New Mexico and this is a limitation of the results presented in the supplemental table. Additionally, hysterectomy prevalence as ascertained by EHR documentation of an absent cervix in the KPWA, KPNC, and KPSC cohorts appears to be lower than some national survey estimates.…”

Section: Discussionmentioning

confidence: 99%

Cervical cancer screening research in the PROSPR I consortium: Rationale, methods and baseline findings from a US cohort

Kamineni

Tiro

Beaber

et al. 2018

Intl Journal of Cancer

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Little is known about the effect of evolving risk-based cervical cancer screening and management guidelines on United States (US) clinical practice and patient outcomes. We describe the National Cancer Institute’s Population-based Research Optimizing Screening through Personalized Regimens (PROSPR I) consortium, methods, and baseline findings from its cervical sites: Kaiser Permanente Washington, Kaiser Permanente Northern California, Kaiser Permanente Southern California, Parkland Health & Hospital System/University of Texas Southwestern (Parkland-UTSW), and New Mexico HPV Pap Registry housed by University of New Mexico (UNM-NMHPVPR). Across these diverse healthcare settings, we collected data on human papillomavirus (HPV) vaccinations, screening tests/results, diagnostic and treatment procedures/results, and cancer diagnoses on nearly 4.7 million women aged 18–89 years from 2010–2014. We calculated baseline (2012 for UNM-NMHPVPR; 2010 for other sites) frequencies for sociodemographics, cervical cancer risk factors, and key screening process measures for each site’s cohort. Healthcare delivery settings, cervical cancer screening strategy, race/ethnicity, and insurance status varied among sites. The proportion of women receiving a Pap test during the baseline year was similar across sites (26.1–36.1%). Most high-risk HPV tests were performed either reflexively or as co-tests, and utilization pattern varied by site. Prevalence of colposcopy or biopsy was higher at Parkland-UTSW (3.6%) than other sites (1.3–1.4%). Incident cervical cancer was rare. HPV vaccination among age-eligible women not already immunized was modest across sites (0.1–7.2%). Cervical PROSPR I makes available high-quality, multilevel, longitudinal screening process data from a large and diverse cohort of women to evaluate and improve the effectiveness of US cervical cancer screening delivery.

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“…It has been suggested that switching from opt in to opt out could save more than $1 million per year in 1 state, 22 and at least 1 study has suggested that opt out policies may correlate with improved immunization coverage. 23 …”

Section: Discussionmentioning

confidence: 99%

Immunization Information Systems

Martin

Lowery

Brand

et al. 2015

Journal of Public Health Management and Practice

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This article reports on a study of laws, regulations, and policies governing Immunization Information Systems (IIS, also known as “immunization registries”) in states and selected urban areas of the United States. The study included a search of relevant statutes, administrative codes and published attorney general opinions/findings, an online questionnaire completed by immunization program managers and/or their staff, and follow-up telephone interviews. The legal/regulatory framework for IIS has changed considerably since 2000, largely in ways that improve IIS’ ability to perform their public health functions while continuing to maintain strict confidentiality and privacy controls. Nevertheless, the exchange of immunization data and other health information between care providers and public health and between entities in different jurisdictions remains difficult due in part to ongoing regulatory diversity. To continue to be leaders in health information exchange and facilitate immunization of children and adults, IIS will need to address the challenges presented by the interplay of federal and state legislation, regulations, and policies and continue to move toward standardized data collection and sharing necessary for interoperable systems.

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Childhood Immunization Coverage in US States

Cited by 7 publications

References 10 publications

Low-income Hispanic parent recall of daughters’ HPV vaccination status: Correlates of accurate reporting of daughters’ HPV-vaccine naïve status compared with electronic health records

Low-income Hispanic parent recall of daughters’ HPV vaccination status: Correlates of accurate reporting of daughters’ HPV-vaccine naïve status compared with electronic health records

Cervical cancer screening research in the PROSPR I consortium: Rationale, methods and baseline findings from a US cohort

Immunization Information Systems

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