Estimating immunization coverage from school-based childhood immunization records

Murphy, Trudy V.; Pastor, Patricia; Turner, Susan B.; Jacobs, Jean L.; White, Karen E.; Medley, Francinne; Osterholm, Michael T.

doi:10.1097/00006454-199507000-00002

Cited by 10 publications

(3 citation statements)

References 0 publications

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“…a child's vaccination status, whether by directly offering immunization services, maintaining immunization records, or providing an incentive for up-to-date immunizations through the enforcement of school entry laws. [1][2][3] Within the American educational system, however, children do not all attend the same type of school. While most children attend public schools, a variety of educational options-including secular and religiously affiliated private schools and homeschoolsare available.…”

mentioning

confidence: 99%

Parental Vaccine Beliefs and Child's School Type

Kennedy¹,

Gust²

2005

Journal of School Health

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mentioning

confidence: 99%

Parental Vaccine Beliefs and Child's School Type

Kennedy¹,

Gust²

2005

Journal of School Health

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“…21 Discrepancies between school-based and provider records were also compared in Dallas County, TX, and Minnesota. 22 In Minnesota, age-appropriate immunization coverage as determined by school records was within 2% of the actual coverage assessed among provider records. In Dallas, school records underestimated actual coverage by ϳ21% compared with provider records.…”

Section: Discussionmentioning

confidence: 88%

“…Some school immunization record forms provided space only for recording these required immunizations. Murphy et al 22 estimated that as much as 10% of the difference between school and provider records may have been attributable to selective recording only of the immunizations required by law. The Chicago school-based data are similar to Minnesota in that all immunizations required for being up to date by AAP/ACIP recommendations are also required by Illinois state law.…”

Section: Discussionmentioning

confidence: 99%

On-Time Immunization Rates Among Children Who Enter Chicago Public Schools

Dominguez

Parrott²,

Lauderdale

et al. 2004

Pediatrics

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ABSTRACT. Objective. A primary objective of the Healthy People 2010 initiatives is to increase on-time immunization rates during the first 2 years of life and to decrease racial disparities in coverage. The objective of this study was to determine on-time immunization coverage rates among infants and toddlers stratified by race/ ethnicity in a large metropolitan center.Methods. A retrospective cohort study that was based on immunization records in the Chicago Public Schools computerized database was conducted using all 67376 children who completed kindergarten in 2001 and 2002.Results. On-time immunization rates in Chicago public school children are low (31% at 7 months, 32% at 19 months, 59% at 36 months). At 19 months of age and thereafter, Hispanic children had the highest rate of ontime immunization coverage. Among children <48 months old, black children had the lowest rates of up-todate immunization status. At 48 months of age, the upto-date rate for black children improved to a rate similar to white children (58%) and by school entry surpassed the up-to-date rate for white children (71%). Compared with the recommended 2, 4, 6, and 15 to 18 months schedule, black children received 4 doses of diphtheria/ tetanus/acellular pertussis at a mean age of 10.0, 14.6, 20.4, and 34.5 months of age. In contrast, Hispanic children received the same doses at a mean of 4.5, 7.4, 11.0, and 25.1 month of age. In addition, ϳ25% of black children received the majority of their vaccinations >12 months later than the recommended time intervals.Conclusions. Striking immunization delay still exists during the infant and toddler years. Targeted efforts are needed to increase on-time immunization rates and to decrease racial disparity in immunization coverage. Pediatrics 2004;114:e741-e747. URL: www.pediatrics.org/ cgi

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