| Titre : | Deficiencies in current childhood immunization indicators. (1998) |
| Auteurs : | P. BOTTON ; B. GUYER ; A. HADPAWAT ; E. HOLT ; N. HUGHART ; A. HUSSAIN ; Johns Hopkins School of Hygiene and Public Health. USA |
| Type de document : | Article |
| Dans : | Public health reports (vol. 113, n° 6, 1998) |
| Pagination : | 527-532 |
| Langues: | Anglais |
| Mots-clés : | Vaccination ; Epidémiologie ; Indicateur ; Taux ; Enfant ; Homme ; Enfant 2 5 ans ; Prévention santé ; Politique santé ; Programme élargi vaccination ; Programme santé ; Etats Unis ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST R0xoJ2IN. Diffusion soumise à autorisation]. Objective. To nvestigate "up-to-date'and" age-appropriate indicators of preschool vaccination status and their implications for vaccination policy Methods. The authors analyzec medical records data fron the Baltimore lmmunization Study for 525 2-year-olds born from August 1988 through March 989 to mothers living in low-income Census tracts of the city of Baltimore. Results. While only 54% of 24-month-old children were up-to-date for the primary series, indicators of up-to-date coverage were consistently higher. by 37 or more percentage points than correspond ng age-appropriate ndicators. Almost 80% of children who failed to recelve the first dose of DTP or OPV age-approp ately fa led to be up-to-date by 24 months f age for the primary series. Conclusions. Age-appropriate immunization indicators more accurately reflect adequacy of protection for preschoolers than up-to-date indicators at both the indivicual and population levels. Age-appropriate receipt of the first dose of DTP should be monitored to identify children likely to be nde mmun zed. Age-appropr ate ndicators should also be incorporated as vaccination coverage estimators in population-basec surveys and as quality of care rdicators for managed care organizations. These changes would require accurate dates for each vaccination and support the need to develop population-based registries. |
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