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Failure to return: parental, practice, and social factors affecting missed immunization visits for urban children

Melissa S Stockwell1, Matilde Irigoyen, Raquel Andres Martinez

  • 11Columbia University, New York, NY, USA.

Clinical Pediatrics
|March 21, 2014
PubMed

Insights

Parents who rescheduled appointments or had scheduling issues were more likely to miss child immunization visits. Positive social support for vaccines was protective, highlighting the need for better communication and education.

Area of Science:

  • Pediatrics
  • Public Health
  • Health Services Research

Background:

  • Childhood immunizations are crucial for public health.
  • Missed vaccination appointments are a significant challenge in urban pediatric care.

Purpose of the Study:

  • To identify parental, practice, and social factors linked to missed immunization visits in young, urban children.
  • To inform strategies for improving childhood vaccination rates.

Main Methods:

  • Survey of 705 parents of children 36 months or younger.
  • Hierarchical logistic regression analysis to assess key factors.
  • Primary outcome: missed immunization visit, self-reported by parents.

Main Results:

  • Rescheduling or difficulty scheduling appointments increased missed visits (AORs 3.27-4.00).
  • Vaccine safety concerns and limited provider communication were associated with missed visits (AORs 3.76 and 2.38).
  • Positive immunization views from social networks offered protection (AOR 0.030).

Conclusions:

  • Open provider communication and flexible scheduling are key to maintaining immunization visits.
  • Community and individual education can address vaccine hesitancy.
  • Addressing parental concerns and improving access are vital for urban child immunization.
Abstract

Keywords:
access to health careambulatory carevaccinations

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