Spatial Accessibility to Providers and Vaccination Compliance Among Children With Medicaid

Fu, Linda Y.; Cowan, Nuala; McLaren, Rosie; Engstrom, Ryan; Teach, Stephen J.

doi:10.1542/peds.2009-0233

Cited by 33 publications

(34 citation statements)

References 23 publications

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“…On a related note, not having a clinic close by was a salient barrier to vaccine initiation. Previous research has found that proximity to clinics is related to vaccine compliance for other childhood vaccines (Fu, Cowan, McLaren, Engstrom, & Teach, 2009). Lacking information about the benefits was the final most salient barrier mentioned.…”

Section: Discussionmentioning

confidence: 99%

Identifying Hispanic mothers’ salient beliefs about human papillomavirus vaccine initiation in their adolescent daughters

Roncancio¹,

Vernon²,

Carmack

et al. 2016

J Health Psychol

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Guided by the Integrative Model of Behavioral Prediction, we identify mothers’ salient beliefs regarding their daughters’ initiation of the HPV vaccine series. Thirty-four Hispanic mothers responded to elicitation questions. Salient beliefs included: 1. Feeling secure, happy, relieved, concerned and fear about vaccinating; 2. believing that vaccinating prevents and protects from HPV but may result in side effects and sexual disinhibition; 3. Identifying the daughter, father, mother, aunt friends and grandmothers as supporters/non-supporters; and 4. Affordability, transportation, clinic distance and making appointments as facilitators/barriers. This study begins the process of building a model of HPV vaccine initiation for this population.

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Section: Discussionmentioning

confidence: 99%

Identifying Hispanic mothers’ salient beliefs about human papillomavirus vaccine initiation in their adolescent daughters

Roncancio¹,

Vernon²,

Carmack

et al. 2016

J Health Psychol

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show abstract

“…A dichotomous (yes/no) variable was also constructed for whether at least one immunization clinic existed within a 3-mile radius of each neighborhood’s geographic centroid. Several prior studies have suggested the average distance to health care facilities in urban areas is between 2 to 5 miles [25, 29, 33]. This study started with a 3-mile radius but also examined 1-mile and 5-mile radii as a sensitivity analysis.…”

Section: Methodsmentioning

confidence: 99%

“…A study by Fu and colleagues found that low-income, urban children living closer to pediatricians were more likely to be up to date with childhood vaccinations [25]. Other studies have shown that geographic accessibility to health-related resources, including safety-net clinics, food stores, and open space, are not equitable across racial/ethnic groups or socioeconomic status [30–35].…”

Section: Introductionmentioning

confidence: 99%

Are HPV vaccination services accessible to high-risk communities? A spatial analysis of HPV-associated cancer and Chlamydia rates and safety-net clinics

Tsui

Rodríguez

Gee

et al. 2013

Cancer Causes Control

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Purpose While HPV vaccines can greatly benefit adolescents and young women from high-risk areas, little is known about whether safety-net immunization services are geographically accessible to communities at greatest risk for HPV-associated diseases. We explore the spatial relationship between areas with high HPV risk and proximity to safety-net clinics from an ecologic perspective. Methods We used cancer registry data and Chlamydia surveillance data to identify neighborhoods within Los Angeles County with high risk for HPV-associated cancers. We examined proximity to safety-net clinics among neighborhoods with the highest risk. Proximity was measured as the shortest distance between each neighborhood center and the nearest clinic and having a clinic within 3 miles of each neighborhood center. Results The average 5-year non-age-adjusted rates were 1,940 cases per 100,000 for Chlamydia and 60 per 100,000 for HPV-associated cancers. A large majority, 349 of 386 neighborhoods with high HPV-associated cancer rates and 532 of 537 neighborhoods with high Chlamydia rates had a clinic within 3 miles of the neighborhood center. Clinics were more likely to be located within close proximity to high-risk neighborhoods in the inner city. High-risk neighborhoods outside of this urban core area were less likely to be near accessible clinics. Conclusions The majority of high-risk neighborhoods were geographically near safety-net clinics with HPV vaccination services. Due to low rates of vaccination, these findings suggest that while services are geographically accessible, additional efforts are needed to improve uptake. Programs aimed to increase awareness about the vaccine and to link underserved groups to vaccination services are warranted.

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“…A good illustration of these techniques is a study that assessed the relationship between immunization and proximity to pediatric providers using the Washington, DC Immunization Information System. 53 Geospatial techniques could also be used to gather the data necessary to develop highly specific prediction models regarding which individuals are at risk for a VPD during an outbreak, because these predictions not only include the proportion of unimmunized (susceptible) individuals within a population, but also how likely susceptible individuals are to come into contact with one another. …”

Section: Enhancing School Exemption Datamentioning

confidence: 99%

The Challenges in Measuring Local Immunization Coverage: A Statewide Case Study

et al. 2016

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There are many forms of existing immunization surveillance in the United States and Washington state, but all are limited in their ability to provide timely identification of clusters of unimmunized individuals and assess the risk of vaccine-preventable diseases. This article aims to: (1) describe challenges to measuring immunization coverage at a local level in the United States using Washington State as a case study; and (2) propose improvements to existing surveillance systems that address the challenges identified.

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Spatial Accessibility to Providers and Vaccination Compliance Among Children With Medicaid

Cited by 33 publications

References 23 publications

Identifying Hispanic mothers’ salient beliefs about human papillomavirus vaccine initiation in their adolescent daughters

Identifying Hispanic mothers’ salient beliefs about human papillomavirus vaccine initiation in their adolescent daughters

Are HPV vaccination services accessible to high-risk communities? A spatial analysis of HPV-associated cancer and Chlamydia rates and safety-net clinics

The Challenges in Measuring Local Immunization Coverage: A Statewide Case Study

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