To measure the proportion of children cared for in private pediatric practices who are fully immunized and have been screened for anemia, tuberculosis (TB), and lead poisoning by 2 years of age.
Cross-sectional chart review.
Fifteen private pediatric practices in central North Carolina (11 chosen randomly).
One thousand thirty-two randomly selected 2-year-old children.
Proportion of children immunized and screened for anemia, TB, and lead poisoning by 24 months of age and immunization and screening rates of the practices.
Sixty-one percent of the children were fully immunized at 24 months of age ; the rates among practices varied widely (38% to 82%). Sixty-eight percent of the children had been screened for anemia, 57% had been screened for TB, and 3% had been screened for lead poisoning.
Physicians overestimated the proportions of fully immunized children in their practices by an average of 10% (range, - 3% to 17%). The median number of well child visits by 2 years of age was 5 (range, 0 to 14), and only 19% of the entire sample made 8 or more well child visits, the number recommended by the American Academy of Pediatrics in the first 18 months of life.
The numbers of well child and non-well child visits were the strongest predictors of complete immunization.
Practice characteristics associated with being fully immunized included the use of preventive services prompting sheets (eg, flo...
Mots-clés Pascal : Vaccination, Immunoprophylaxie, Tuberculose, Secteur privé, Médecin, Saturnisme, Anémie, Epidémiologie, Intoxication, Plomb, Etats Unis, Prévention, Dépistage, Enfant, Enquête, Mycobactériose, Bactériose, Infection, Amérique du Nord, Amérique, Homme, Hémopathie
Mots-clés Pascal anglais : Vaccination, Immunoprophylaxis, Tuberculosis, Private sector, Physician, Saturnism, Anemia, Epidemiology, Poisoning, Lead, United States, Prevention, Medical screening, Child, Inquiry, Mycobacterial infection, Bacteriosis, Infection, North America, America, Human, Hemopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0226516
Code Inist : 002B30A03B. Création : 199608.