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Published on: August 7, 2017
Factors associated with unnecessary immunization given to children
T V Murphy1, P Pastor, F Medley
1Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas, USA.
Insights
Maintaining complete immunization records for children significantly reduces the risk of unnecessary immunizations. Ensuring accurate documentation, whether from providers or parents, is crucial for child health.
Area of Science:
- Pediatrics
- Public Health
- Immunization Practices
Background:
- Unnecessary immunizations pose risks and increase healthcare costs.
- Accurate tracking of childhood immunizations is essential for public health.
Purpose of the Study:
- To identify factors contributing to unnecessary immunizations in preschool-aged children.
- To evaluate the impact of immunization record completeness on vaccination accuracy.
Main Methods:
- Study involved 187 children selected from birth certificates.
- Parental interviews were conducted to document immunizations up to 72 months of age.
- Immunization records were verified for accuracy.
Main Results:
- 18% of children received unnecessary immunizations.
- Unnecessary immunization was strongly linked to care within a large public clinic system.
- Incomplete or missing immunization records significantly increased the rate of unnecessary immunizations.
Conclusions:
- Complete immunization documentation, held by either the provider or parent, substantially lowers the risk of unnecessary immunizations.
- Access to comprehensive immunization records is vital for preventing redundant vaccinations.
Objective:
To determine the factors associated with unnecessary immunization during the pre-school years.
Methods:
Children were selected from birth certificates and their parents were interviewed to identify all immunizations to 72 months of age. The immunizations were verified.
Results:
Of 187 children studied 34 (18%) received unnecessary immunization. Unnecessary immunization was strongly associated with ever receiving immunization in a large system of public clinics (designated "Public A") (33%) compared with other providers (5%) (P < 0.00001). Among children immunized in Public A, unnecessary immunization was associated with the parent having an incomplete or no copy of the child's immunization record (P = 0.007) and with not being up to date for immunizations at 24 months of age (P = 0.04). Complete documentation of immunizations either in the Public. A record or in the parent's copy of the record was associated with a 4% rate of unnecessary immunization; incomplete or no documentation in both the Public A and the parent's record was associated with a 45% rate of unnecessary immunization (P = 0.001).
Conclusions:
Access to a complete immunization record, be it the provider's, the parent's or ideally both, decreases substantially a child's risk of unnecessary immunization.
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