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Failure to Return: Parental, Practice, and Social Factors Affecting Missed Immunization Visits for Urban Children
Objective. To assess parental, practice, and social factors associated with missed immunization visits by young, urban children. Study Design. Parents of children ≤36 months(n = 705) were surveyed. The primary outcome was missed immunization visit, by parental report. Key parent, practice, and socia...
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| Published in: | Clinical pediatrics 2014-05, Vol.53 (5), p.420-427 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 427 |
| container_issue | 5 |
| container_start_page | 420 |
| container_title | Clinical pediatrics |
| container_volume | 53 |
| creator | Stockwell, Melissa S. Irigoyen, Matilde Andres Martinez, Raquel Findley, Sally E. |
| description | Objective.
To assess parental, practice, and social factors associated with missed immunization visits by young, urban children.
Study Design.
Parents of children ≤36 months(n = 705) were surveyed. The primary outcome was missed immunization visit, by parental report. Key parent, practice, and social factors were assessed using hierarchical logistical regression.
Results.
Families were predominantly Latino and publicly insured. Parents who rescheduled (adjusted odds ratio [AOR] = 3.27; 95% confidence interval [95% CI] = 1.76-6.09) or had problems scheduling appointments (AOR = 4.00; 95% CI = 1.49-10.75) were more likely to miss an immunization visit, as were those with vaccine safety fears (AOR = 3.76; 95% CI = 1.23-11.5) or more limited communication with their provider (AOR = 2.38; 95% CI = 1.05-5.36). Having friends and families with positive immunization views was protective (AOR = 0.030; 95% CI = 0.002-0.41).
Conclusion.
This study highlights factors that may help urban families keep immunization visits: open communication with providers, flexibility in scheduling appointments, and individual and community education. |
| doi_str_mv | 10.1177/0009922814527497 |
| format | article |
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To assess parental, practice, and social factors associated with missed immunization visits by young, urban children.
Study Design.
Parents of children ≤36 months(n = 705) were surveyed. The primary outcome was missed immunization visit, by parental report. Key parent, practice, and social factors were assessed using hierarchical logistical regression.
Results.
Families were predominantly Latino and publicly insured. Parents who rescheduled (adjusted odds ratio [AOR] = 3.27; 95% confidence interval [95% CI] = 1.76-6.09) or had problems scheduling appointments (AOR = 4.00; 95% CI = 1.49-10.75) were more likely to miss an immunization visit, as were those with vaccine safety fears (AOR = 3.76; 95% CI = 1.23-11.5) or more limited communication with their provider (AOR = 2.38; 95% CI = 1.05-5.36). Having friends and families with positive immunization views was protective (AOR = 0.030; 95% CI = 0.002-0.41).
Conclusion.
This study highlights factors that may help urban families keep immunization visits: open communication with providers, flexibility in scheduling appointments, and individual and community education.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/0009922814527497</identifier><identifier>PMID: 24647698</identifier><identifier>CODEN: CPEDAM</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Child, Preschool ; Communication ; Health Personnel ; Hispanic Americans ; Humans ; Immunization ; Immunization Schedule ; Logistic Models ; Parents & parenting ; Parents - psychology ; Pediatrics ; Regression analysis ; Scheduling ; United States ; Urban areas ; Urban Population ; Vaccines</subject><ispartof>Clinical pediatrics, 2014-05, Vol.53 (5), p.420-427</ispartof><rights>The Author(s) 2014</rights><rights>Copyright Westminster Publications, Inc. May 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c318t-206d6d48643d342433ab7b1b229164bee51e1152fcd3c9fdab9e2ef6e0260deb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24647698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stockwell, Melissa S.</creatorcontrib><creatorcontrib>Irigoyen, Matilde</creatorcontrib><creatorcontrib>Andres Martinez, Raquel</creatorcontrib><creatorcontrib>Findley, Sally E.</creatorcontrib><title>Failure to Return: Parental, Practice, and Social Factors Affecting Missed Immunization Visits for Urban Children</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>Objective.
To assess parental, practice, and social factors associated with missed immunization visits by young, urban children.
Study Design.
Parents of children ≤36 months(n = 705) were surveyed. The primary outcome was missed immunization visit, by parental report. Key parent, practice, and social factors were assessed using hierarchical logistical regression.
Results.
Families were predominantly Latino and publicly insured. Parents who rescheduled (adjusted odds ratio [AOR] = 3.27; 95% confidence interval [95% CI] = 1.76-6.09) or had problems scheduling appointments (AOR = 4.00; 95% CI = 1.49-10.75) were more likely to miss an immunization visit, as were those with vaccine safety fears (AOR = 3.76; 95% CI = 1.23-11.5) or more limited communication with their provider (AOR = 2.38; 95% CI = 1.05-5.36). Having friends and families with positive immunization views was protective (AOR = 0.030; 95% CI = 0.002-0.41).
Conclusion.
This study highlights factors that may help urban families keep immunization visits: open communication with providers, flexibility in scheduling appointments, and individual and community education.</description><subject>Child, Preschool</subject><subject>Communication</subject><subject>Health Personnel</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization Schedule</subject><subject>Logistic Models</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Pediatrics</subject><subject>Regression analysis</subject><subject>Scheduling</subject><subject>United States</subject><subject>Urban areas</subject><subject>Urban Population</subject><subject>Vaccines</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kM1Lw0AQxRdRbK0evHkSwYuX6Mx-Zo9SrAoFQfQcdrMTaUmbupsc_O9NaBUpeJrD-703j8fYBcItojF3AGAt5zlKxY205oCN0Yo84wbMIRsPcjboI3aS0hIABShxzEZcamm0zcfsfOYWdRfpqm2uXqnt4vqUHVWuTnS2uxP2Pnt4mz5l85fH5-n9PCsF5m3GQQcdZK6lCEJyKYTzxqPn3KKWnkghISpelUGUtgrOW-JUaQKuIZAXE3azzd3E5rOj1BarRSqprt2ami4VqFBKbqwRPXq9hy6bvmnfbqA0GKOs6inYUmVsUopUFZu4WLn4VSAUw1zF_ly95XIX3PkVhV_Dzz49kG2B5D7oz9f_Ar8BawxuUQ</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Stockwell, Melissa S.</creator><creator>Irigoyen, Matilde</creator><creator>Andres Martinez, Raquel</creator><creator>Findley, Sally E.</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Failure to Return</title><author>Stockwell, Melissa S. ; Irigoyen, Matilde ; Andres Martinez, Raquel ; Findley, Sally E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c318t-206d6d48643d342433ab7b1b229164bee51e1152fcd3c9fdab9e2ef6e0260deb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Child, Preschool</topic><topic>Communication</topic><topic>Health Personnel</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>Immunization</topic><topic>Immunization Schedule</topic><topic>Logistic Models</topic><topic>Parents & parenting</topic><topic>Parents - psychology</topic><topic>Pediatrics</topic><topic>Regression analysis</topic><topic>Scheduling</topic><topic>United States</topic><topic>Urban areas</topic><topic>Urban Population</topic><topic>Vaccines</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stockwell, Melissa S.</creatorcontrib><creatorcontrib>Irigoyen, Matilde</creatorcontrib><creatorcontrib>Andres Martinez, Raquel</creatorcontrib><creatorcontrib>Findley, Sally E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stockwell, Melissa S.</au><au>Irigoyen, Matilde</au><au>Andres Martinez, Raquel</au><au>Findley, Sally E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Failure to Return: Parental, Practice, and Social Factors Affecting Missed Immunization Visits for Urban Children</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>53</volume><issue>5</issue><spage>420</spage><epage>427</epage><pages>420-427</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><abstract>Objective.
To assess parental, practice, and social factors associated with missed immunization visits by young, urban children.
Study Design.
Parents of children ≤36 months(n = 705) were surveyed. The primary outcome was missed immunization visit, by parental report. Key parent, practice, and social factors were assessed using hierarchical logistical regression.
Results.
Families were predominantly Latino and publicly insured. Parents who rescheduled (adjusted odds ratio [AOR] = 3.27; 95% confidence interval [95% CI] = 1.76-6.09) or had problems scheduling appointments (AOR = 4.00; 95% CI = 1.49-10.75) were more likely to miss an immunization visit, as were those with vaccine safety fears (AOR = 3.76; 95% CI = 1.23-11.5) or more limited communication with their provider (AOR = 2.38; 95% CI = 1.05-5.36). Having friends and families with positive immunization views was protective (AOR = 0.030; 95% CI = 0.002-0.41).
Conclusion.
This study highlights factors that may help urban families keep immunization visits: open communication with providers, flexibility in scheduling appointments, and individual and community education.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>24647698</pmid><doi>10.1177/0009922814527497</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Clinical pediatrics, 2014-05, Vol.53 (5), p.420-427 |
| issn | 0009-9228 1938-2707 |
| language | eng |
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| source | Sage Journals Online |
| subjects | Child, Preschool Communication Health Personnel Hispanic Americans Humans Immunization Immunization Schedule Logistic Models Parents & parenting Parents - psychology Pediatrics Regression analysis Scheduling United States Urban areas Urban Population Vaccines |
| title | Failure to Return: Parental, Practice, and Social Factors Affecting Missed Immunization Visits for Urban Children |
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