Deficiencies in current childhood immunization indicators.

Details

• Alternative Title:
  Public Health Rep
• Personal Author:
  Bolton, P ; Hussain, A ; Hadpawat, A ; Holt, E ; Hughart, N ; Guyer, B
• Description:
  To investigate "up-to-date" and "age-appropriate" indicators of preschool vaccination status and their implications for vaccination policy.|The authors analyzed medical records data from the Baltimore Immunization Study for 525 2-year-olds born from August 1988 through March 1989 to mothers living in low-income Census tracts of the city of Baltimore.|While only 54% of 24-month-old children were up-to-date for the primary series, indicators of up-to-date coverage were consistently higher, by 37 or more percentage points, than corresponding age-appropriate indicators. Almost 80% of children who failed to receive the first dose of DTP or OPV age-appropriately failed to be up-to-date by 24 months of age for the primary series.|Age-appropriate immunization indicators more accurately reflect adequacy of protection for preschoolers than up-to-date indicators at both the individual and population levels. Age-appropriate receipt of the first dose of DTP should be monitored to identify children likely to be underimmunized. Age-appropriate indicators should also be incorporated as vaccination coverage estimators in population-based surveys and as quality of care indicators for managed care organizations. These changes would require accurate dates for each vaccination and support the need to develop population-based registries.
• Subjects:
  Baltimore Child, Preschool Diphtheria-Tetanus-Pertussis Vaccine Humans Immunization Schedule Measles-Mumps-Rubella Vaccine Measles Vaccine Medical Records Mumps Vaccine Poliovirus Vaccine, Inactivated Population Surveillance Poverty Predictive Value Of Tests Research Article Rubella Vaccine Vaccination Vaccines, Combined

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• Source:
  Public Health Rep. 113(6):527-532
• Pubmed ID:
  9847924
• Pubmed Central ID:
  PMCnull
• Document Type:
  Journal Article
• Funding:
  200-90-0850/PHS HHS/United States
• Volume:
  113
• Issue:
  6
• Collection(s):
  Public Health Reports
• Main Document Checksum:
  urn:sha256:00c308492f66598926bcf39ce4f1d562dd203ec681eef94bc425c053cdde6c3b
• Download URL:
  https://stacks.cdc.gov/view/cdc/64695/cdc_64695_DS1.pdf
• File Type:
  [PDF - 2.22 MB ]