Personal, financial, and structural barriers to immunization in socioeconomically disadvantaged urban children.
To evaluate personal, financial, and structural barriers to vaccination in socioeconomically disadvantaged urban children in the first 2 years of life.
Prospective cohort study.
A large municipal teaching hospital in the Midwest.
Healthy term newborns discharged to the care of their mothers.
Mothers were interviewed 24 to 72 hours postpartum regarding personal and financial barriers, and 2 years later regarding personal, financial, and structural barriers to care.
Main Outcome Measure
Vaccination status at age 2 years.
Of 399 children with documented vaccination status, 47% had not received all recommended vaccinations by 2 years of age.
After adjusting for mother's age, race, and education, mothers who were unmarried (adjusted odds ratio [AOR] 1.74 ; 95% confidence interval [CI] : 1.05,2.90), multiparous (AOR 2.10 ; 95% CI : 1.26,3.52), not coresident with the child's grandmother (AOR 1.75 ; 95% CI : 1.01,3.03), had not received adequate prenatal care (AOR 1.78 ; 95% CI : 1.12,2.84), or lived in poverty (AOR 2.62 ; 95% CI : 1.44,4.75) were more likely to have undervaccinated children, as were mothers who perceived less satisfaction with their child's health care (AOR 1.63 ; 95% CI : 1.01,2.61), less control over their lives (AOR 2.01 ; 95% CI : 1.03,3.94), or more benefit of medical care to prevent vaccine-related diseases (AOR 1.76 ; 95% CI : 1.25,2.48). (...)
Mots-clés Pascal : Vaccination, Prospective, Etude cohorte, Enquête socioéconomique, Zone urbaine, Relation mère enfant, Utilisateur défavorisé, Evaluation, Enfant, Homme, Immunisation, Immunoprophylaxie, Education santé
Mots-clés Pascal anglais : Vaccination, Prospective, Cohort study, Socioeconomical inquiry, Urban area, Mother child relation, Disadvantaged user, Evaluation, Child, Human, Immunization, Immunoprophylaxis, Health education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0260307
Code Inist : 002B05A02. Création : 11/09/1998.