1999
DOI: 10.2105/ajph.89.9.1442-b
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Parental attitudes and childhood immunization.

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Cited by 25 publications
(38 citation statements)
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“…These factors are each associated with reduced risk of vaccination delay, and therefore the bias associated with excluding the subpopulation of children who do not have written vaccination records is likely to result in an understatement of the reported risk factors for vaccination delay. [7][8][9][10][11]14,26,35 Although more current NHIS data have been released subsequent to the completion of our study, we believe that our conclusions regarding the improved sensitivity of risk models based upon delays in age-appropriate vaccination would be unlikely to change using more recent data. However, recently released public use data sets now offer the opportunity to consider variations in the risk of vaccination delays from additional perspectives, such as by state and for additional vaccination doses and series, using providervalidated data.…”
Section: Discussionmentioning
confidence: 99%
“…These factors are each associated with reduced risk of vaccination delay, and therefore the bias associated with excluding the subpopulation of children who do not have written vaccination records is likely to result in an understatement of the reported risk factors for vaccination delay. [7][8][9][10][11]14,26,35 Although more current NHIS data have been released subsequent to the completion of our study, we believe that our conclusions regarding the improved sensitivity of risk models based upon delays in age-appropriate vaccination would be unlikely to change using more recent data. However, recently released public use data sets now offer the opportunity to consider variations in the risk of vaccination delays from additional perspectives, such as by state and for additional vaccination doses and series, using providervalidated data.…”
Section: Discussionmentioning
confidence: 99%
“…20 Even so, it is acknowledged that cultural factors and individual behavior are very complex aspects and that the effect of variables, such as social preferences and competing needs, require more extensive analysis. Several studies on poor urban populations have also shown that sociodemographic factors and individual characteristics of the population, including their attitudes and beliefs, did not fully explain their vaccination use.…”
Section: Discussionmentioning
confidence: 99%
“…10,16,41 In fact, there is some evidence that parents of these children are less likely to be concerned about vaccine safety or efficacy than parents of nonpoor or white children. 42 Similarly, there is little evidence that provider bias or ineffectiveness account for these disparities; in fact, some data suggest that providers serving high-risk populations are more aggressive in their immunization practices than providers serving populations of higher socioeconomic status. [43][44][45] The major cause of lower immunization rates 16,46 seems to be "the immunization information gap" 47 -a combination of patient factors such as barriers to care, missed appointments, and unfamiliarity with the vaccination schedule; provider factors including failure to identify children who are behind and to apply effective interventions such as reminder and recall; and health care system factors including lack of community-wide immunization registries or interventions, access barriers, and cost issues.…”
Section: Commentmentioning
confidence: 99%