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Related Experiment Videos

Barriers to immunization in a relatively affluent community.

B P Yawn1, Z Xia, L Edmonson

  • 1Olmsted Medical Center, Department of Research, Rochester, Minn 55904, USA.

The Journal of the American Board of Family Practice
|September 23, 2000
PubMed
Summary
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Parent-reported barriers like fear of reactions and sick child delays are linked to underimmunization in infants. Improving immunization rates may involve reminder systems and unified schedules.

Area of Science:

  • Pediatrics
  • Public Health
  • Preventive Medicine

Background:

  • Healthy People 2000 aimed for 90% infant immunization by 20 months, a target rarely met.
  • Underimmunization remains a public health challenge, necessitating identification of parental barriers.

Purpose of the Study:

  • To identify parent-reported barriers to infant underimmunization.
  • To analyze these barriers in an affluent midwestern population.

Main Methods:

  • A case-control study was conducted in Olmsted County, Minnesota.
  • Parents of fully immunized and underimmunized children (at 20 months) were surveyed.

Main Results:

  • 46% of parents participated; 47% reported barriers, but only 3% cited major ones.

Related Experiment Videos

  • Inconvenience was common, but fear of reactions, sick child delays, and not knowing the next due date were significantly associated with underimmunization.
  • Parent-reported barriers and demographics explained <30% of underimmunization.

    • Conclusions:

    • Few reported barriers strongly correlated with underimmunization in this affluent community.
    • Fear of reactions, sick child delays, and lack of knowledge about due dates were key factors.
    • Cost was not a significant barrier, unlike in other populations.