Fragmentation of immunization history among providers and parents of children in selected underserved areas
Objective: We assessed fragmentation of children’s immunization history among providers and parents of children aged 12 to 35 months in four selected underserved areas. Study Design: Area probability cluster sample surveys were conducted in 1997–1998 in northern Manhattan, San Diego, Detroit, and ru...
Gespeichert in:
| Veröffentlicht in: | American journal of preventive medicine 2002-08, Vol.23 (2), p.106-112 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 112 |
|---|---|
| container_issue | 2 |
| container_start_page | 106 |
| container_title | American journal of preventive medicine |
| container_volume | 23 |
| creator | Yusuf, Hussain Adams, Melissa Rodewald, Lance Lu, Pengjun Rosenthal, Jorge Legum, Stanley E Santoli, Jeanne |
| description | Objective: We assessed fragmentation of children’s immunization history among providers and parents of children aged 12 to 35 months in four selected underserved areas.
Study Design: Area probability cluster sample surveys were conducted in 1997–1998 in northern Manhattan, San Diego, Detroit, and rural Colorado. Surveys consisted of face-to-face interviews with parents followed by record checks with all named immunization providers. We used Advisory Committee on Immunization Practices recommendations to determine up-to-date (UTD) status with vaccinations. The UTD status for each child was determined in four ways: (1) according to the parent-held immunization records, (2) according to the records of the child’s most recent provider, (3) according to the records of the child’s second most recent provider, and (4) according to provider and parent-reconciled information.
Results: In all four areas, the majority of records of the most recent provider agreed with the reconciled information. However, in all areas, the percentage of children UTD according to provider- and parent-reconciled information was higher than the percentage of children UTD according to information from only the child’s most recent provider or from only parent-held immunization records. Across all sites, the percentage of children UTD with the DTP/DTaP vaccine was 2% to 9% lower, according to the most recent provider’s information than according to reconciled information. Similar results were seen for other vaccines. The most recent provider not having complete immunization history was significantly associated with not being UTD in New York and having received unnecessary immunizations in San Diego and Detroit.
Conclusion: For most children, although the records of the most recent provider give accurate data for clinical decision making, the immunization histories of some children in these underserved areas are fragmented between providers and parents. This can limit the provider’s ability to vaccinate children appropriately. |
| doi_str_mv | 10.1016/S0749-3797(02)00463-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71925450</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0749379702004634</els_id><sourcerecordid>71925450</sourcerecordid><originalsourceid>FETCH-LOGICAL-c361t-2e3f5ff1f22b7990aff201617386f9f77df62d8a4e530ec39b907b1632a13d213</originalsourceid><addsrcrecordid>eNqFkE1LAzEQhoMotlZ_gpKT6GE1H7ubzUmkWBUED-o5pJuJRnezNdkt1F9vaoseJYdk4HkzMw9Cx5RcUELLyycicplxIcUZYeeE5CXP8h00ppXgGSuJ2EXjX2SEDmJ8J4SIisp9NKIsHSGrMfqYBf3agu917zqPO4td2w7efW3qNxf7Lqywbjv_ihehWzoDIWLtDV7okHJxnanfXGNShZ3HERqoezB48GsUwjK9E6rjIdqzuolwtL0n6GV28zy9yx4eb--n1w9ZzUvaZwy4LayllrG5kJJoa1namApelVZaIYwtmal0DgUnUHM5l0TMacmZptwwyifodPNvmvdzgNir1sUamkZ76IaoBJWsyAuSwGID1qGLMYBVi-BaHVaKErW2rH4sq7VCRZj6sazylDvZNhjmLZi_1FZrAq42AKQ1lw6CirUDX4NxIclRpnP_tPgGHCGOUw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71925450</pqid></control><display><type>article</type><title>Fragmentation of immunization history among providers and parents of children in selected underserved areas</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Yusuf, Hussain ; Adams, Melissa ; Rodewald, Lance ; Lu, Pengjun ; Rosenthal, Jorge ; Legum, Stanley E ; Santoli, Jeanne</creator><creatorcontrib>Yusuf, Hussain ; Adams, Melissa ; Rodewald, Lance ; Lu, Pengjun ; Rosenthal, Jorge ; Legum, Stanley E ; Santoli, Jeanne</creatorcontrib><description>Objective: We assessed fragmentation of children’s immunization history among providers and parents of children aged 12 to 35 months in four selected underserved areas.
Study Design: Area probability cluster sample surveys were conducted in 1997–1998 in northern Manhattan, San Diego, Detroit, and rural Colorado. Surveys consisted of face-to-face interviews with parents followed by record checks with all named immunization providers. We used Advisory Committee on Immunization Practices recommendations to determine up-to-date (UTD) status with vaccinations. The UTD status for each child was determined in four ways: (1) according to the parent-held immunization records, (2) according to the records of the child’s most recent provider, (3) according to the records of the child’s second most recent provider, and (4) according to provider and parent-reconciled information.
Results: In all four areas, the majority of records of the most recent provider agreed with the reconciled information. However, in all areas, the percentage of children UTD according to provider- and parent-reconciled information was higher than the percentage of children UTD according to information from only the child’s most recent provider or from only parent-held immunization records. Across all sites, the percentage of children UTD with the DTP/DTaP vaccine was 2% to 9% lower, according to the most recent provider’s information than according to reconciled information. Similar results were seen for other vaccines. The most recent provider not having complete immunization history was significantly associated with not being UTD in New York and having received unnecessary immunizations in San Diego and Detroit.
Conclusion: For most children, although the records of the most recent provider give accurate data for clinical decision making, the immunization histories of some children in these underserved areas are fragmented between providers and parents. This can limit the provider’s ability to vaccinate children appropriately.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/S0749-3797(02)00463-4</identifier><identifier>PMID: 12121798</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>child ; Child, Preschool ; Cluster Analysis ; Health Personnel ; history ; Humans ; immunization ; Immunization - standards ; Immunization - statistics & numerical data ; Immunization - utilization ; Immunization Schedule ; Infant ; Medical Records ; Medically Underserved Area ; Parents ; United States ; Unnecessary Procedures ; vaccination ; Vaccines - administration & dosage</subject><ispartof>American journal of preventive medicine, 2002-08, Vol.23 (2), p.106-112</ispartof><rights>2002 American Journal of Preventive Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-2e3f5ff1f22b7990aff201617386f9f77df62d8a4e530ec39b907b1632a13d213</citedby><cites>FETCH-LOGICAL-c361t-2e3f5ff1f22b7990aff201617386f9f77df62d8a4e530ec39b907b1632a13d213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749379702004634$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12121798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yusuf, Hussain</creatorcontrib><creatorcontrib>Adams, Melissa</creatorcontrib><creatorcontrib>Rodewald, Lance</creatorcontrib><creatorcontrib>Lu, Pengjun</creatorcontrib><creatorcontrib>Rosenthal, Jorge</creatorcontrib><creatorcontrib>Legum, Stanley E</creatorcontrib><creatorcontrib>Santoli, Jeanne</creatorcontrib><title>Fragmentation of immunization history among providers and parents of children in selected underserved areas</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>Objective: We assessed fragmentation of children’s immunization history among providers and parents of children aged 12 to 35 months in four selected underserved areas.
Study Design: Area probability cluster sample surveys were conducted in 1997–1998 in northern Manhattan, San Diego, Detroit, and rural Colorado. Surveys consisted of face-to-face interviews with parents followed by record checks with all named immunization providers. We used Advisory Committee on Immunization Practices recommendations to determine up-to-date (UTD) status with vaccinations. The UTD status for each child was determined in four ways: (1) according to the parent-held immunization records, (2) according to the records of the child’s most recent provider, (3) according to the records of the child’s second most recent provider, and (4) according to provider and parent-reconciled information.
Results: In all four areas, the majority of records of the most recent provider agreed with the reconciled information. However, in all areas, the percentage of children UTD according to provider- and parent-reconciled information was higher than the percentage of children UTD according to information from only the child’s most recent provider or from only parent-held immunization records. Across all sites, the percentage of children UTD with the DTP/DTaP vaccine was 2% to 9% lower, according to the most recent provider’s information than according to reconciled information. Similar results were seen for other vaccines. The most recent provider not having complete immunization history was significantly associated with not being UTD in New York and having received unnecessary immunizations in San Diego and Detroit.
Conclusion: For most children, although the records of the most recent provider give accurate data for clinical decision making, the immunization histories of some children in these underserved areas are fragmented between providers and parents. This can limit the provider’s ability to vaccinate children appropriately.</description><subject>child</subject><subject>Child, Preschool</subject><subject>Cluster Analysis</subject><subject>Health Personnel</subject><subject>history</subject><subject>Humans</subject><subject>immunization</subject><subject>Immunization - standards</subject><subject>Immunization - statistics & numerical data</subject><subject>Immunization - utilization</subject><subject>Immunization Schedule</subject><subject>Infant</subject><subject>Medical Records</subject><subject>Medically Underserved Area</subject><subject>Parents</subject><subject>United States</subject><subject>Unnecessary Procedures</subject><subject>vaccination</subject><subject>Vaccines - administration & dosage</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotlZ_gpKT6GE1H7ubzUmkWBUED-o5pJuJRnezNdkt1F9vaoseJYdk4HkzMw9Cx5RcUELLyycicplxIcUZYeeE5CXP8h00ppXgGSuJ2EXjX2SEDmJ8J4SIisp9NKIsHSGrMfqYBf3agu917zqPO4td2w7efW3qNxf7Lqywbjv_ihehWzoDIWLtDV7okHJxnanfXGNShZ3HERqoezB48GsUwjK9E6rjIdqzuolwtL0n6GV28zy9yx4eb--n1w9ZzUvaZwy4LayllrG5kJJoa1namApelVZaIYwtmal0DgUnUHM5l0TMacmZptwwyifodPNvmvdzgNir1sUamkZ76IaoBJWsyAuSwGID1qGLMYBVi-BaHVaKErW2rH4sq7VCRZj6sazylDvZNhjmLZi_1FZrAq42AKQ1lw6CirUDX4NxIclRpnP_tPgGHCGOUw</recordid><startdate>20020801</startdate><enddate>20020801</enddate><creator>Yusuf, Hussain</creator><creator>Adams, Melissa</creator><creator>Rodewald, Lance</creator><creator>Lu, Pengjun</creator><creator>Rosenthal, Jorge</creator><creator>Legum, Stanley E</creator><creator>Santoli, Jeanne</creator><general>Elsevier 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>7X8</scope></search><sort><creationdate>20020801</creationdate><title>Fragmentation of immunization history among providers and parents of children in selected underserved areas</title><author>Yusuf, Hussain ; Adams, Melissa ; Rodewald, Lance ; Lu, Pengjun ; Rosenthal, Jorge ; Legum, Stanley E ; Santoli, Jeanne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-2e3f5ff1f22b7990aff201617386f9f77df62d8a4e530ec39b907b1632a13d213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>child</topic><topic>Child, Preschool</topic><topic>Cluster Analysis</topic><topic>Health Personnel</topic><topic>history</topic><topic>Humans</topic><topic>immunization</topic><topic>Immunization - standards</topic><topic>Immunization - statistics & numerical data</topic><topic>Immunization - utilization</topic><topic>Immunization Schedule</topic><topic>Infant</topic><topic>Medical Records</topic><topic>Medically Underserved Area</topic><topic>Parents</topic><topic>United States</topic><topic>Unnecessary Procedures</topic><topic>vaccination</topic><topic>Vaccines - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yusuf, Hussain</creatorcontrib><creatorcontrib>Adams, Melissa</creatorcontrib><creatorcontrib>Rodewald, Lance</creatorcontrib><creatorcontrib>Lu, Pengjun</creatorcontrib><creatorcontrib>Rosenthal, Jorge</creatorcontrib><creatorcontrib>Legum, Stanley E</creatorcontrib><creatorcontrib>Santoli, Jeanne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yusuf, Hussain</au><au>Adams, Melissa</au><au>Rodewald, Lance</au><au>Lu, Pengjun</au><au>Rosenthal, Jorge</au><au>Legum, Stanley E</au><au>Santoli, Jeanne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fragmentation of immunization history among providers and parents of children in selected underserved areas</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2002-08-01</date><risdate>2002</risdate><volume>23</volume><issue>2</issue><spage>106</spage><epage>112</epage><pages>106-112</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><abstract>Objective: We assessed fragmentation of children’s immunization history among providers and parents of children aged 12 to 35 months in four selected underserved areas.
Study Design: Area probability cluster sample surveys were conducted in 1997–1998 in northern Manhattan, San Diego, Detroit, and rural Colorado. Surveys consisted of face-to-face interviews with parents followed by record checks with all named immunization providers. We used Advisory Committee on Immunization Practices recommendations to determine up-to-date (UTD) status with vaccinations. The UTD status for each child was determined in four ways: (1) according to the parent-held immunization records, (2) according to the records of the child’s most recent provider, (3) according to the records of the child’s second most recent provider, and (4) according to provider and parent-reconciled information.
Results: In all four areas, the majority of records of the most recent provider agreed with the reconciled information. However, in all areas, the percentage of children UTD according to provider- and parent-reconciled information was higher than the percentage of children UTD according to information from only the child’s most recent provider or from only parent-held immunization records. Across all sites, the percentage of children UTD with the DTP/DTaP vaccine was 2% to 9% lower, according to the most recent provider’s information than according to reconciled information. Similar results were seen for other vaccines. The most recent provider not having complete immunization history was significantly associated with not being UTD in New York and having received unnecessary immunizations in San Diego and Detroit.
Conclusion: For most children, although the records of the most recent provider give accurate data for clinical decision making, the immunization histories of some children in these underserved areas are fragmented between providers and parents. This can limit the provider’s ability to vaccinate children appropriately.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>12121798</pmid><doi>10.1016/S0749-3797(02)00463-4</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0749-3797 |
| ispartof | American journal of preventive medicine, 2002-08, Vol.23 (2), p.106-112 |
| issn | 0749-3797 1873-2607 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71925450 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | child Child, Preschool Cluster Analysis Health Personnel history Humans immunization Immunization - standards Immunization - statistics & numerical data Immunization - utilization Immunization Schedule Infant Medical Records Medically Underserved Area Parents United States Unnecessary Procedures vaccination Vaccines - administration & dosage |
| title | Fragmentation of immunization history among providers and parents of children in selected underserved areas |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T18%3A48%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Fragmentation%20of%20immunization%20history%20among%20providers%20and%20parents%20of%20children%20in%20selected%20underserved%20areas&rft.jtitle=American%20journal%20of%20preventive%20medicine&rft.au=Yusuf,%20Hussain&rft.date=2002-08-01&rft.volume=23&rft.issue=2&rft.spage=106&rft.epage=112&rft.pages=106-112&rft.issn=0749-3797&rft.eissn=1873-2607&rft_id=info:doi/10.1016/S0749-3797(02)00463-4&rft_dat=%3Cproquest_cross%3E71925450%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71925450&rft_id=info:pmid/12121798&rft_els_id=S0749379702004634&rfr_iscdi=true |