| Titre : | Role of health insurance and a usual source of medical care in age-appropriate vaccination. (2004) |
| Auteurs : | Kevin-J DOMBKOWSKI ; Gary-L FREED ; Paula-M LANTZ ; University of Michigan. Division of General Pediatrics. Child Health Evaluation and Research Unit. Ann Arbor. USA ; University of Michigan. School of Public Health. Department of Health Management and Policy. Ann Arbor. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 6, 2004) |
| Pagination : | 960-966 |
| Langues: | Anglais |
| Mots-clés : | Assurance maladie ; Protection sociale ; Vaccination ; Etats Unis ; Amérique ; Soins ; Age ; Prévention santé ; Evaluation ; Enfant ; Homme ; Méthodologie ; Amérique du Nord ; Couverture vaccinale |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 2eAocR0x. Diffusion soumise à autorisation]. Objectives : We examined the associations of having health insurance and having a usual source of medical care with age-appropriate childhood vaccination. Methods : Simulations were conducted with multivariate logistic regression models and a nationally representative sample of children to assess the likelihood of age-appropriate vaccination. Results : Simulated provision of health insurance and a usual source of medical care produced substantial increases in the likelihood of doses being received age-appropriately. Increases in the likelihood of a child's being up to date were also observed, but these increases typically were smaller than for age-appropriate vaccination. Conclusions : Changes in childhood vaccination status should be assessed in age-appropriate terms, because measures of "up to date" status may not capture the effects of immunization interventions. |
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