Titre :
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Role of health insurance and a usual source of medical care in age-appropriate vaccination. (2004)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 6, 2004)
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Pagination :
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960-966
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Langues:
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Anglais
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Mots-clés :
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Assurance maladie
;
Protection sociale
;
Vaccination
;
Etats Unis
;
Amérique
;
Soins
;
Age
;
Prévention santé
;
Evaluation
;
Enfant
;
Homme
;
Méthodologie
;
Amérique du Nord
;
Couverture vaccinale
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Résumé :
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[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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