HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Mayer, M L Articles by Slifkin, R T Search for Related Content PubMed PubMed Citation Articles by Mayer, M L Articles by Slifkin, R T

The role of state policies and programs in buffering the effects of poverty on children's immunization receipt.

M L Mayer, S J Clark, T R Konrad, V A Freeman and R T Slifkin

Department of Pediatrics, Stanford University, Calif., USA. mmayer@email.unc.edu

OBJECTIVES: This study assessed the influence of public policies on the immunization status of 2-year old children in the United States. METHODS: Up-to-dateness for the primary immunization series was assessed in a national sample of 8100 children from the 1988 National Maternal and Infant Health Survey and its 1991 Longitudinal Follow-Up. RESULTS: Documented immunization rates of this sample were 33% for poor children and 44% for others. More widespread Medicated coverage was associated with greater likelihood of up-to-dateness among poor children. Up-to-dateness was more likely for poor children with public rather than private sources of routine pediatric care, but all children living in states where most immunizations were delivered in the public sector were less likely to be up to date. Poor children in state with partial vaccine replacement programs were less likely to be up to date than those in free-market purchase states. CONCLUSIONS: While state policies can enhance immunization delivery for poor children, heavy reliance on public sector immunization does not ensure timely receipt of vaccines. Public- and private-sector collaboration is necessary to protect children from vaccine-preventable diseases.

This article has been cited by other articles:

				N. J. Allred, K. G. Wooten, and Y. Kong The Association of Health Insurance and Continuous Primary Care in the Medical Home on Vaccination Coverage for 19- to 35-Month-Old Children Pediatrics, February 1, 2007; 119(Supplement_1): S4 - S11. [Abstract] [Full Text] [PDF]

				K. J. Dombkowski, P. M. Lantz, and G. L. Freed Role of Health Insurance and a Usual Source of Medical Care in Age-Appropriate Vaccination Am J Public Health, June 1, 2004; 94(6): 960 - 966. [Abstract] [Full Text] [PDF]

				M. A. Schillaci, H. Waitzkin, E. A. Carson, C. M. Lopez, D. A. Boehm, L. A. Lopez, and S. F. Mahoney Immunization Coverage and Medicaid Managed Care in New Mexico: A Multimethod Assessment Ann. Fam. Med, January 1, 2004; 2(1): 13 - 21. [Abstract] [Full Text] [PDF]

				D. L. Langkamp, S. Hoshaw-Woodard, M. E. Boye, and S. Lemeshow Delays in Receipt of Immunizations in Low-Birth-Weight Children: A Nationally Representative Sample Arch Pediatr Adolesc Med, February 1, 2001; 155(2): 167 - 172. [Abstract] [Full Text] [PDF]

				J. J. Cotter, K. A. McDonald, D. A. Parker, D. K. McClish, C. B. Pugh, V. E. Bovbjerg, G. A. Tipton, L. F. Rossiter, and W. R. Smith Effect of Different Types of Medicaid Managed Care on Childhood Immunization Rates Eval Health Prof, December 1, 2000; 23(4): 397 - 408. [Abstract] [PDF]

				J. M. Cowell and M. E. Cowell Immunization Rates: A Community Assessment Approach for Diagnosis The Journal of School Nursing, December 1, 1999; 15(5): 40 - 43. [Abstract] [PDF]