Abstract
A rapid survey was conducted to describe the immunization status of the 0- to 2-year-old population in selected communities of Kern County, California, and identify reasons for noncompliance with immunization recommendations. Households were selected by two-stage cluster sampling. Among 860 children, 38% had received immunizations on schedule, while 44% had not received the recommended doses for their age. Compliance with the immunization schedule worsened dramatically after the first year of life. Among 2 year olds, the proportion that had the recommended number of vaccine doses was 81% for MMR, 82% for polio, 65% for DTP, and 47% for Hib. Parents' main reasons for noncompliance included child's illness, procrastination, and limited access to information and services. The low levels of compliance reflect lack of active follow-up in preventive health care across socioeconomic levels. The results show the importance of aiming immunization messages at parents and physicians of 12- to 18-month-old children. The rapid survey approach offers public health agencies an efficient means of assessing community health problems and targeting programs according to need.
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REFERENCES
CDC: Reported vaccine-preventable diseases—United States, 1993, and the Childhood Immunization Initiative. MMWR 1994; 43:57-60
Lemeshow S, Robinson D: Surveys to measure programme coverage and impact: a review of the methodology used by the Expanded Programme on Immunization. World Health Stat Q 1985; 38:65-75
Frerichs RR, Tar Tar K: Computer-assisted rapid surveys in developing countries. Public Health Rep 1989; 104:14-23
Frerichs RR: Simple analytic procedures for rapid computerassisted cluster surveys in developing countries. Public Health Rep 1989; 104:24-35
Suarez L, Simpson DM, Smith DR: Errors and correlates in parental recall of child immunizations: effects on vaccination coverage estimates. Pediatrics 1997; 99:e3
Dean AG, Dean JA, Coulombier D, Brendel KA, Smith DC, Burton AH, Dicker RC, Sullivan K, Fagan RF, Arner, TG: Epi Info, Version 6: A Word Processing, Database, and Statistics Program for Epidemiology on Microcomputers. Atlanta: Centers for Disease Control and Prevention; 1994
CDC: Recommended Childhood Immunization Schedule— United States, 1997. MMWR 1997; 46:35-41
Shah BV, Barnwell BG, Bieler GS: SUDAAN Release 7.11. Professional Software for SUrvey DAta ANalysis for Multi-Stage Sample Designs. Research Triangle Park, NC: Research Triangle Institute; 1996
CDC: State and national vaccination coverage levels among children aged 19–35 months—United States, April–December, 1994. MMWR 1995; 44:613, 619-623
CDC: National, state, and urban area vaccination coverage levels among children aged 19–35 months—United States, April 1994–March 1995. MMWR 1996; 45:149-150
CDC: Notice to readers: National vaccination coverage levels among children aged 19–35 months—United States, 1998. MMWR 1998; 48:829-830
CDC: Vaccination coverage by race/ethnicity and poverty level among children aged 19–35 months—United States, 1997. MMWR 1997; 47:956-9
CDC: National, state, and urban area vaccination coverage levels among children aged 19–35 months—United States, 1997. MMWR 1997; 47:547-554
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Goodman, K.J., Wu, J.S. & Frerichs, R.R. Compliance with Childhood Immunizations in Kern County, California. Journal of Immigrant Health 2, 213–222 (2000). https://doi.org/10.1023/A:1009592329980
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DOI: https://doi.org/10.1023/A:1009592329980