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

作为“NIH/DC降低婴儿死亡率倡议”计划的一部分 研究的目的是增加婴儿和儿童在 哥伦比亚特区根据年龄进行了适当的免疫接种 发展起来的。这项研究的目的是识别心理上的， 与免疫接种率低有关的社会学和其他因素 儿童保育率低。被发现与以下因素有关的因素 这些结果然后可以作为未来干预的目标，通过 公共卫生和医疗官员以及政策制定者。 参与这项研究的母亲在分娩后不久就接受了采访。 这一“基线”访谈包括有关社会人口的信息。 母亲、父亲和婴儿的特征；母亲的医学 历史；家庭的心理社会特征；以及母亲的知识， 围绕良好的儿童保育和免疫的信念和做法。 进行了两次“后续”访谈，其中一次是在婴儿处于 3-7个月大，当婴儿在7个月到1个月之间时为1个月 年龄。关于基线的一些问题和主题 面谈(例如，关于免疫做法的公认社会规范) 在三个月和七个月的面试中重复。另外， 期间收集了保健访问和免疫接种的结果数据 这些“后续”采访。在三个月内取得的资料--及 为期七个月的疫苗接种和医疗保健访问采访是 通过检查确定的提供者的医疗记录进行验证 网站。 该项目的调查人员包括流行病学家、行为学家、 科学家、卫生保健提供者和管理人员。这是一部 研究是在不同角度的投入下进行的 由调查人员代表，拟议的研究具有 可能受益于流行病学、行为学和 科学，以及公共卫生和保健实践。

As part of the "NIH/DC Initiative to Reduce Infant Mortality" a program of research aimed at increasing the proportion of infants and children in the District of Columbia who are age-appropriately immunized has been developed. The purpose of this study is to identify psychological, sociological and other factors associated with low rates of immunization and low rates of well-child care. Factors found to be associated with these outcome can then serve as targets for future interventions by public health and medical officials and policy makers. Mothers enrolled in the study are interviewed shortly after giving birth. This "baseline" interview includes information on sociodemographic characteristics of the mother, father and infant; the mother's medical history; psychosocial features of the family; and maternal knowledge, beliefs and practices surrounding well- child care and immunizations. Two "follow-up" interviews are conducted, one when the infant is between 3-7 months of age and one when the infant is between 7 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) are repeated in the three-and-seven month interviews. Additionally, outcome data on health care visits and immunizations are collected during these "follow-up" interviews. Information obtained in the three-and seven-month interviews on immunizations and health care visits is verified via inspection of medical records at the identified provider sites. Investigators on this project include epidemiologists, behavioral scientists, health care providers and administrators. The program of research was developed with input from the variety of perspectives represented by the investigators, and the proposed studies have the potential to benefit from a unique blend of epidemiology, behavioral science, and public health and health care practice.