LACK OF AGE APPROPRIATE IMMUNIZATION AMONG INFANTS BORN IN DISTRICT OF COLUMBIA

哥伦比亚特区出生的婴儿缺乏适当年龄的免疫接种

• 批准号: 6432596
• 负责人: Ruth A Brenner
• 金额: --
• 依托单位: EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6432596
• 关键词: United States; behavioral /social science research tag; child (0-11); child health care personnel; clinical research; clinical trial phase I; disease /disorder prevention /control; epidemiology; health care service; health care service utilization; health services research tag; human mortality; human subject; immunization; infant human (0-1 year); infant mortality; interview; urban area

The purpose of this study is to identify psychological, sociological and other factors associated with low rates of immunization and well child care. Mothers enrolled in the study were interviewed shortly after giving birth. This "baseline" interview included information on sociodemographic characteristics of the mother, father and infant; the mothers medical history; psychosocial features of the family; and maternal knowledge, beliefs and practices surrounding well child care and immunizations and other health care practices. Two "follow-up" interviews were conducted, one when the infant is between three and seven months of age and one when the infant was between seven months and one year of age. A number of questions and topics covered on the baseline interview (e.g., perceived social norms regarding immunization practices) were repeated in the three and seven month interviews. Additionally, outcome data on health care practices, medical visits, and immunizations were collected during these "follow-up" interviews. Information obtained in the three and seven month interviews on immunizations and medical visits was verified via inspection of medical records at the identified provider sites. At three months 75% of infants were up to date (UTD) versus only 42% at seven months. Factors associated with being UTD included enrollment in the Special Supplemental Program for Women, Infants and Children (WIC) during pregnancy, intention to breastfeed, presence of the infant's grandmother in the household, low perceived barriers to immunization, lower birth order, and maternal employment. Preliminary results were presnted at the May 2000 meeting of the Society for Pediatric Research.

本研究的目的是确定与低免疫接种率和良好儿童保育相关的心理、社会学和其他因素。 参与这项研究的母亲在分娩后不久接受了采访。 这个“基线”访谈包括有关母亲、父亲和婴儿的社会人口特征的信息；母亲的病史；家庭的社会心理特征；围绕儿童健康护理和免疫接种以及其他保健实践的孕产妇知识、信念和实践。 进行了两次“后续”访谈，一次是在婴儿三到七个月大时进行，另一次是在婴儿七个月到一岁之间进行。 在三个月和七个月的访谈中重复了基线访谈中涉及的许多问题和主题（例如，有关免疫接种实践的社会规范）。 此外，在这些“后续”访谈中还收集了有关医疗保健实践、就诊和免疫接种的结果数据。 在三个月和七个月的访谈中获得的有关免疫接种和医疗就诊的信息通过检查已确定的提供者地点的医疗记录进行了验证。 3 个月时，75% 的婴儿已更新 (UTD)，而 7 个月时，这一比例仅为 42%。 与 UTD 相关的因素包括怀孕期间参加妇女、婴儿和儿童特别补充计划 (WIC)、母乳喂养的意愿、婴儿祖母在家中、感知到的免疫障碍较低、出生顺序较低以及孕产妇就业。初步结果在儿科研究学会 2000 年 5 月的会议上公布。