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

这项研究的目的是确定与免疫接种率低和儿童保育良好有关的心理、社会和其他因素。 参加这项研究的母亲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。在三个月大的时候，75%的婴儿是最新的（UTD），而在七个月大的时候只有42%。 与UTD相关的因素包括在怀孕期间参加妇女、婴儿和儿童特别补充方案（WIC），母乳喂养的意图，婴儿祖母在家中的存在，免疫接种的低感知障碍，较低的出生顺序和产妇就业。初步结果在2000年5月的儿科研究学会会议上公布。

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.