Context. - Immunization rates in the inner city remain lower than in the general US population, but efforts to raise immunization levels in inner-city areas have been largely untested.
- To assess the effectiveness of case management in raising immunization levels among infants of inner-city, African American families.
- Randomized controlled trial with follow-up through 1 year of life.
- Low-income areas of inner-city Los Angeles, Calif.
- A representative sample of 419 African American infants and their families.
- In-depth assessment by case managers before infants were 6 weeks of age, with home visits 2 weeks prior to when immunizations were scheduled and additional follow-up visits as needed.
- Percentage of children with up-to-date immunizations at age 1 year, characteristics associated with improved immunization rates, and cost-effectiveness of case management intervention.
- A total of 365 newborns were followed up to age 1 year.
Overall, the immunization completion for the case management group was 13.2 percentage points higher than the control group (63.8% vs 50.6% ; P=01).
In a logistic model, the case management effect was limited to the 25% of the sample who reported 3 or fewer well-child visits (odds ratio, 3.43 ; 95% confidence interval, 1.26-9.35) ; for them, immunization levels increased by 28 percentage points. (...)
Mots-clés Pascal : Vaccination, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Enfant, Homme
Mots-clés Pascal anglais : Vaccination, United States, North America, America, Epidemiology, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0080226
Code Inist : 002B30A03B. Création : 14/05/1998.