4278.0: Tuesday, November 14, 2000 - Board 2

Abstract #8490

Association of maternal characteristics and experiences in seeking medical care with immunization status at 1 and 2 years of age

Mia J. Ko, PhD, CHES, Department of Health Sciences, Towson University, Burdick Hall, Room 114, Ellicott City, MD 21043, (410) 750-7366, mko@towson.edu, Patricia Langenberg, PhD, Department of Epidemiology and Preventive Medicine, University of Maryland at Baltimore, Sharon Desmond, PhD, Department of Health Education, University of Maryland at College Park, 2387 Valley Drive, HHP Building, College Park, MD 20742, and Ellen Schulken, PhD, Department of Prevention and Community Health, George Washington University.

We examined whether characteristics of those women with children who are age-appropriately immunized (AAI) differ from those whose children are not with respect to:

  1. sociodemographic variables;
  2. maternal preventive and risk behaviors;
  3. insurance status; and
  4. barriers encountered while seeking medical care.

The population consists of 6,161 mother/child dyads with medical record information on immunizations. Chi-Square analyses and logistic regression modeling were conducted at both 1 and 2 years of age.

Results from this study indicate factors that predict immunization status are shared at 1 and 2 years of age. Children with multiple siblings, Hispanic children, poor children, and those with financial barriers are all at significantly increased risk for failing to be AAI. To the contrary, high rates of immunization were observed among Asian Americans suggesting that improving immunization coverage is possible. Also surprising is specific barriers in seeking medical care such as clinic-related barriers and arranging for medical care did not have a negative impact on mothers’ ability to get their children vaccinated. Having syrup of ipecac in the household strongly predicted AAI at both ages.

The greatest improvement to increasing immunization rates among children would be achieved if disparities in access to care, particularly financial access, were reduced. Furthermore, increased vaccination levels might be achieved through efforts to increase adoption of maternal health behaviors.

Learning Objectives: At the end of this session, the learner will be able to:

  1. Identify specific characteristics of women that are associated with their children's immunization status.
  2. List at least 2 barriers women face in getting their children immunized.
  3. Identify maternal preventive behaviors that are associated with immunization coverage leves at both 1 and 2 years of age.
  4. Describe the impact of insurance coverage on immunization.

Keywords: Immunizations, Maternal and Child Health

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA