Risk Factors for Underimmunization in Poor Urban Infants

Abstract

These data suggest that poor urban infants of single mothers and of mothers who received inadequate prenatal care, and those not living with their grandmother should be targeted for tracking and follow-up to ensure adequate immunization. The provision of free vaccine alone will not guarantee adequate immunization coverage of poor urban children.

Systematically reviewing qualitative studies complements survey design: An exploratory study of barriers to paediatric immunisations

“…Of the 29 eligible surveys, 19 used paper surveys (total n ϭ 8,063), 7 used structured interviews (total n ϭ 10,783) [23][24][25][26][27][28][29], and 3 used telephone questionnaires (total n ϭ 2,760) [30,31]. These data represented a total of 21,606 participants with a mean number of participants per survey of 315 (range 832).…”

“…Only four studies [23,31,39,40] provided a description of the methods used to derive the survey questions: two studies used a modification of established health beliefs questionnaires [23,29] and two studies conducted focus groups [31,40]. Six studies reported piloting their questionnaire [24,25,34,[40][41][42].…”

Risk Factors for Undervaccination against Measles in a Large Sample of Preschool Children from Rural Bavaria

“…Coauthors of this paper have previously published the only study in a German setting that controlled for potential confounders in a multivariable analysis [11]. Researchers abroad have been more prolific [12][13][14][15][16][17][18], but even where their results do not contradict each other, it remains questionable whether they can be generalized for countries with different health-care systems and living conditions. Our multivariable analysis, based on a large sample of children from rural Bavaria, aimed at a better characterization of those at risk of undervaccination against measles in Germany.…”

Maternal Mental Health and Pediatric Health Care Use Among a National Sample of Medicaid- and SCHIP-Insured Children

“…This is a fairly conservative measure given that the American Academy of Pediatrics (AAP) recommends more than one visit annually for children under the age of three and at least one visit annually for children ages three and up, with more suggested if the child displays any deviation from normal. 57 For the purposes of the current study, children were divided into three key age ranges corresponding to AAP's recommended pediatric preventive guidelines: infancy and early childhood (0-4), middle childhood (5-10), and adolescence (11)(12)(13)(14)(15)(16)(17). 57,58 A report of one preventive visit annually was used as an indication that a child received at least a minimum standard of care.…”

“…Ninety percent of all mothers of infants or young children reported that their child had any health care visit in the last 12 months, while approximately 83-84% of all mothers of school-aged children reported the same. Among mothers of adolescent children (11)(12)(13)(14)(15)(16)(17), mothers with a mental health problem were significantly less likely than mothers without a mental health problem (78.5% versus 84.4%; AOR=0.77; p=0.05) to report that their child had received any health care in the last 12 months.…”