Lack Of Age Appropriate Immunization Among Infants Born

本研究的目的是确定与免疫接种和其他健康结果相关的心理、社会学和其他因素。1995年8月至1996年9月期间，来自哥伦比亚特区三家医院的母亲参加了这项研究。母亲们在分娩后不久接受了采访。这一“基线”访谈包括关于母亲、父亲和婴儿的社会人口学特征的信息;母亲的病史;家庭的心理社会特征;以及母亲对儿童保育和免疫接种以及其他保健做法的知识、信念和做法。进行了两次“后续”访谈，一次是在婴儿3至7个月大时，另一次是在婴儿7个月至1岁大时。基线访谈中涉及的一些问题和主题（例如，在三个月和七个月的访谈中，重复了关于免疫做法的社会规范。此外，在这些“随访”访谈期间收集了有关医疗保健实践、医疗访问和免疫接种的结果数据。通过在指定的提供者地点检查医疗记录，核实了在三个月和七个月的免疫接种和医疗访问访谈中获得的信息。研究免疫和睡眠姿势预测因子的Mannapts已经发表。最近的分析集中在共用床位的普遍性上。这项分析的目的是确定婴儿与父母同床的流行率;检查婴儿出生后7-12个月内睡眠习惯的稳定性;并确定与同床有关的因素。在两次随访中，几乎一半的婴儿通常与父母或其他成年人睡觉。在两次访谈之间，睡眠习惯相对稳定。报告这些发现的手稿已被接受出版。其他分析的重点是母乳喂养，特别是母乳喂养的禁忌症如何导致参与研究的母亲母乳喂养率低。

The purpose of this study was to identify psychological, sociological and other factors associated immunization and other health outcomes. Mothers were enrolled in the study from three hospitals in the District of Columbia between August 1995 - September 1996. Mothers 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 was 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. Manuscripts examining predictors of immunization and sleep position have been published. Recent analyses have focused on the prevalence of bed sharing. The purpose of this analysis was to determine the prevalence of infant-parent bed sharing; to examine stability in sleep practices during the first 7-12 months of life; and to identify factors associated with bed sharing. At both follow-up interviews almost half of infants usually slept with a parent or other adult. Sleep practices were relatively stable between the two interviews. A manuscript reporting these findings has been accepted for publication. Additional analyses are focusing on breastfeeding, and particularly on how contraindications to breastfeeding contribute to the low rates of breastfeeding among mothers enrolled in the study.