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Published on: August 7, 2017
Inadequate immunization among 2-year-old children: a profile of children at risk
P J Salsberry1, J T Nickel, R Mitch
1Department of Family and Community, College of Nursing, Ohio State University, Columbus 43210.
Insights
Many young children lack age-appropriate immunizations, particularly diphtheria-tetanus-pertussis (DTP) and polio vaccines. Health providers can address parental barriers to improve childhood vaccination rates.
Area of Science:
- Pediatrics
- Public Health
- Immunology
Background:
- Childhood immunization is crucial for preventing infectious diseases.
- Assessing immunization status and barriers is vital for public health initiatives.
Purpose of the Study:
- To evaluate the immunization status of 2-year-old children.
- To identify barriers affecting immunization uptake.
- To develop a risk factor profile for non-immunized children.
Main Methods:
- A community survey was conducted with 299 respondents.
- Data collected on immunization status and parental-reported barriers.
- Statistical analysis to identify risk factors.
Main Results:
- Only 31.1% of children were age-appropriately immunized.
- Deficiencies noted in 18-month diphtheria-tetanus-pertussis (DTP) and polio vaccine doses.
- Parents cited multiple changeable barriers and beliefs regarding immunizations.
Conclusions:
- Significant gaps exist in routine childhood immunizations.
- Targeted interventions addressing parental concerns can improve vaccination coverage.
- Understanding risk factors is key to effective immunization strategies.
Abstract:
A community survey was conducted to assess the immunization status of 2-year-old children and barriers to immunization. The 299 respondents were more affluent and well-educated than the general population. Eighty-three percent of the respondents received immunizations from private physicians. Only 31.1% of the children were age-appropriately immunized with deficiencies primarily in receiving the 18-month dosages of diphtheria-tetanus-pertussis (DTP) and polio. Parents reported multiple barriers and beliefs about immunization amenable to change by health providers. A profile of risk factors differentiating nonimmunized from immunized children was developed.
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