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Related Experiment Videos

Rural childhood immunization. Rates and demographic characteristics

N E Lowery1, E S Belansky, C D Siegel

  • 1University of Colorado Health Sciences Center, Denver, USA. lowery.elaine@tchden.org

The Journal of Family Practice
|September 30, 1998
PubMed
Summary
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Approximately one-third of children remain underimmunized in both urban and rural settings. Key demographic factors like low income and education are linked to underimmunization, necessitating tailored rural health interventions.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Childhood immunization rates are suboptimal, particularly in high-risk populations.
  • Rural populations may be at increased risk for underimmunization.
  • Demographic factors associated with childhood underimmunization require further investigation.

Purpose of the Study:

  • Compare immunization rates between urban and rural 2-year-olds.
  • Examine demographic factors associated with underimmunization in rural 2-year-olds.

Main Methods:

  • Analysis of two nationally representative surveys: 1991 National Maternal and Infant Health Survey (NMIHS) and 1993 National Health Interview Survey (NHIS).
  • Study population included children in non-metropolitan statistical areas within specific age ranges for each survey.

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  • NMIHS sample: 4425 children (966 rural); NHIS sample: 2505 children (566 rural).
  • Main Results:

    • No significant differences in immunization rates were observed between rural and urban children.
    • Immunization rates were approximately 63-68% in both urban and rural areas across both surveys.
    • Low income, lower family education, nonwhite race, unemployment, and being female were associated with underimmunization.

    Conclusions:

    • About one-third of children in both urban and rural areas were underimmunized.
    • Demographic characteristics of underimmunized children were similar across urban and rural settings.
    • Interventions must be tailored to the specific needs of rural areas to address underimmunization.