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.

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