Health Insurance for low-income working families : Effect on the provision of immunizations to preschool-age children.
The out-of-pocket cost for immunizations is a cause for referral to public health department clinics and is associated with delayed immunization.
In 1991, New York State started Child Health Plus (CHPlus), an insurance program that covers ambulatory care and immunization services for children of families earning less than 222% of the poverty level.
To determine the effect of CHPlus on the provision of immunizations.
A before-and-after design was used to compare the year immediately before enrollment in CHPlus with the first year after enrollment in CHPlus.
A mixed-model analysis of variance was used to control for the effects of age.
All area primary care practices (n=164) and public health department clinics (n=6).
Children (n=1730) younger than 6 years who were enrolled in CHPlus.
Main Outcome Measures
Number of immunization visits ; types of providers (public health department clinics or primary care providers [pediatricians and family physicians ]) ; and series-complete immunization coverage, including the diphtheria toxoid, tetanus toxoid, and pertussis vaccine, the oral poliovirus vaccine, and the measles, mumps, and rubella vaccine.
The average age of the children was 37.7 months, 85% were white, 50% had been uninsured for immunizations before enrollment in CHPlus, and 16% previously received Medicaid. (...)
Mots-clés Pascal : Pauvreté, Vaccination, Prévalence, Nourrisson, Homme, Etats Unis, Amérique du Nord, Amérique, Amélioration, Assurance maladie, Enfant, Organisation santé
Mots-clés Pascal anglais : Poverty, Vaccination, Prevalence, Infant, Human, United States, North America, America, Improvement, Health insurance, Child, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0447877
Code Inist : 002B30A03B. Création : 03/02/1998.