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Published on: July 31, 2021
Immunization initiation among infants in the Oregon Health Plan
Jessica W Henderson1, Susan A Arbor, Steven L Broich
1Division of Health and Physical Education, Western Oregon University, Monmouth, OR 97361. hendersonj@wou.edu
Insights
Timely infant immunizations are crucial for long-term health. Delays in early healthcare coverage and specific demographic factors, such as race and maternal coverage, were linked to delayed vaccination schedules in Oregon infants.
Area of Science:
- Pediatrics
- Public Health
- Health Services Research
Background:
- On-time immunization is associated with up-to-date vaccination status at 2 years.
- Early healthcare access is a critical determinant of timely pediatric care.
Purpose of the Study:
- To identify factors associated with delayed initiation of infant immunizations among beneficiaries of the Oregon Health Plan.
Main Methods:
- Retrospective cohort study of 39,708 infants aged 3 months covered by the Oregon Health Plan.
- Analysis of factors including timing of health care coverage, child welfare status, disability, race/ethnicity, and maternal coverage.
Main Results:
- Infants lacking health care coverage within the first month of life were less likely to start immunizations on time.
- Infants in foster care, subadoptive care, those with disabilities, Native American or Black infants, and those whose mothers lacked coverage were also at increased risk for delayed vaccination.
Conclusions:
- Early healthcare coverage is essential for timely infant immunization.
- Vulnerable infant populations, including those in child welfare or with disabilities, and certain racial/ethnic groups, require targeted interventions to ensure vaccination timeliness.
Abstract:
Infants who start receiving immunizations on time are more likely to be up to date at age 2 years. Among 39708 infants aged 3 months covered by the Oregon Health Plan (expanded Medicaid), those who did not have health care coverage within the first month of life were less likely to start receiving immunizations on time. Also at risk were infants in foster care, in subadoptive care, who were blind or disabled, who were Native American or Black, or whose mothers were not covered by the Oregon Health Plan.
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