健康保险和常规医疗服务来源在适龄疫苗接种中的作用。
Role of health insurance and a usual source of medical care in age-appropriate vaccination.
作者信息
Dombkowski Kevin J, Lantz Paula M, Freed Gary L
机构信息
Division of General Pediatrics, University of Michigan, 300 N. Ingalls, Ann Arbor, MI 48109-0456, USA.
出版信息
Am J Public Health. 2004 Jun;94(6):960-6. doi: 10.2105/ajph.94.6.960.
Abstract
OBJECTIVES
We examined the associations of having health insurance and having a usual source of medical care with age-appropriate childhood vaccination.
METHODS
Simulations were conducted with multivariate logistic regression models and a nationally representative sample of children to assess the likelihood of age-appropriate vaccination.
RESULTS
Simulated provision of health insurance and a usual source of medical care produced substantial increases in the likelihood of doses being received age-appropriately. Increases in the likelihood of a child's being up to date were also observed, but these increases typically were smaller than for age-appropriate vaccination.
CONCLUSIONS
Changes in childhood vaccination status should be assessed in age-appropriate terms, because measures of "up to date" status may not capture the effects of immunization interventions.
摘要
目的
我们研究了拥有医疗保险和有常规医疗服务来源与适龄儿童疫苗接种之间的关联。
方法
使用多变量逻辑回归模型和全国代表性儿童样本进行模拟，以评估适龄接种疫苗的可能性。
结果
模拟提供医疗保险和常规医疗服务来源后，适龄接种疫苗的可能性大幅增加。还观察到儿童疫苗接种及时的可能性有所增加，但这些增加通常小于适龄接种疫苗的增加幅度。
结论
儿童疫苗接种状况的变化应以适龄的方式进行评估，因为“接种及时”状态的衡量标准可能无法反映免疫干预措施的效果。
相似文献
1
Role of health insurance and a usual source of medical care in age-appropriate vaccination.健康保险和常规医疗服务来源在适龄疫苗接种中的作用。
Am J Public Health. 2004 Jun;94(6):960-6. doi: 10.2105/ajph.94.6.960.
2
Insurance status and vaccination coverage among US preschool children.美国学龄前儿童的保险状况和疫苗接种覆盖率。
Pediatrics. 2004 Jun;113(6 Suppl):1959-64.
3
Children in the United States with discontinuous health insurance coverage.美国医疗保险覆盖间断的儿童。
N Engl J Med. 2005 Jul 28;353(4):382-91. doi: 10.1056/NEJMsa043878.
4
Risk factors for delay in age-appropriate vaccination.适龄疫苗接种延迟的风险因素。
Public Health Rep. 2004 Mar-Apr;119(2):144-55. doi: 10.1177/003335490411900207.
5
Family structure, socioeconomic status, and access to health care for children.家庭结构、社会经济地位与儿童获得医疗保健服务的情况。
Health Serv Res. 2002 Feb;37(1):173-86.
6
The health and healthcare impact of providing insurance coverage to uninsured children: A prospective observational study.为未参保儿童提供保险覆盖对健康及医疗保健的影响：一项前瞻性观察性研究。
BMC Public Health. 2017 May 23;17(1):553. doi: 10.1186/s12889-017-4363-z.
7
The association of health insurance and continuous primary care in the medical home on vaccination coverage for 19- to 35-month-old children.医疗保险与医疗之家持续初级保健对19至35个月大儿童疫苗接种覆盖率的关联。
Pediatrics. 2007 Feb;119 Suppl 1:S4-11. doi: 10.1542/peds.2006-2089C.
8
Health insurance coverage within sibships: prevalence of mixed coverage and associations with health care utilization.同胞间的健康保险覆盖情况：混合覆盖的流行程度及其与医疗保健利用的关联。
Soc Sci Med. 2013 Aug;90:1-10. doi: 10.1016/j.socscimed.2013.04.021. Epub 2013 May 2.
9
The impacts of the State Children's Health Insurance Program on children who enroll: findings from ten states.儿童健康保险计划对参保儿童的影响：来自十个州的调查结果
Health Serv Res. 2007 Aug;42(4):1520-43. doi: 10.1111/j.1475-6773.2007.00707.x.
10
Factors associated with influenza vaccination among US children in 2008.2008 年美国儿童流感疫苗接种相关因素。
J Infect Public Health. 2013 Apr;6(2):80-8. doi: 10.1016/j.jiph.2012.12.001. Epub 2013 Jan 26.
引用本文的文献
1
Parental Choice of Recall Method for HPV Vaccination: A Pragmatic Trial.父母对人乳头瘤病毒疫苗接种召回方法的选择：一项实用性试验。
Pediatrics. 2016 Mar;137(3):e20152857. doi: 10.1542/peds.2015-2857. Epub 2016 Feb 26.
2
Understanding how low-income families prioritize elements of health care access for their children via the optimal care model.通过最佳护理模式了解低收入家庭如何为其子女确定医疗保健可及性要素的优先次序。
BMC Health Serv Res. 2014 Nov 19;14:585. doi: 10.1186/s12913-014-0585-2.
3
Incomplete Early Childhood Immunization Series and Missing Fourth DTaP Immunizations; Missed Opportunities or Missed Visits?儿童早期免疫接种系列不完整及白喉破伤风百日咳联合疫苗第四剂漏种；是错失机会还是漏诊？
ISRN Prev Med. 2012 Aug 14;2013:351540. doi: 10.5402/2013/351540. eCollection 2013.
4
Human papillomavirus vaccine initiation and awareness: U.S. young men in the 2010 National Health Interview Survey.人乳头瘤病毒疫苗接种启动和知晓情况：2010 年美国国家健康访谈调查中的年轻男性
Am J Prev Med. 2013 Apr;44(4):330-338. doi: 10.1016/j.amepre.2012.11.027.
5
Trends in health insurance status of US children and their parents, 1998-2008.1998-2008 年美国儿童及其父母的健康保险状况趋势。
Matern Child Health J. 2013 Nov;17(9):1550-8. doi: 10.1007/s10995-012-1142-4.
6
Childhood immunization policies and the prevention of communicable disease.儿童免疫政策与传染病预防
Pediatr Ann. 2011 Mar;40(3):136-43. doi: 10.3928/00904481-20110217-07.
7
Related factors of age-appropriate immunization among urban-rural children aged 24-35 months in a 2005 population-based survey in Nonsan, Korea.韩国论山市 2005 年基于人群的调查中 24-35 月龄城乡儿童适宜免疫的相关因素。
Yonsei Med J. 2011 Jan;52(1):104-12. doi: 10.3349/ymj.2011.52.1.104.
8
Uncertain health insurance coverage and unmet children's health care needs.不确定的医疗保险覆盖范围以及未满足的儿童医疗保健需求。
Fam Med. 2010 Feb;42(2):121-32.
9
A usual source of care: supplement or substitute for health insurance among low-income children?常规医疗服务来源：低收入儿童健康保险的补充还是替代？
Med Care. 2008 Oct;46(10):1041-8. doi: 10.1097/MLR.0b013e3181866443.
10
Effects of maternal and provider characteristics on up-to-date immunization status of children aged 19 to 35 months.母亲和医疗服务提供者特征对19至35个月大儿童最新免疫状况的影响。
Am J Public Health. 2007 Feb;97(2):259-66. doi: 10.2105/AJPH.2005.076661. Epub 2006 Dec 28.
本文引用的文献
1
Risk factors for delay in age-appropriate vaccination.适龄疫苗接种延迟的风险因素。
Public Health Rep. 2004 Mar-Apr;119(2):144-55. doi: 10.1177/003335490411900207.
2
National, state, and urban area vaccination levels among children aged 19-35 months--United States, 2002.2002年美国全国、各州及城区19至35个月儿童的疫苗接种水平
MMWR Morb Mortal Wkly Rep. 2003 Aug 8;52(31):728-32.
3
Timeliness of childhood immunizations.儿童免疫接种的及时性。
Pediatrics. 2002 Nov;110(5):935-9. doi: 10.1542/peds.110.5.935.
4
The need for surveillance of delay in age-appropriate immunization.对适龄免疫接种延迟情况进行监测的必要性。
Am J Prev Med. 2002 Jul;23(1):36-42. doi: 10.1016/s0749-3797(02)00442-7.
5
The impact of record scattering on the measurement of immunization coverage.记录分散对免疫接种覆盖率测量的影响。
Pediatrics. 2001 Jan;107(1):91-6. doi: 10.1542/peds.107.1.91.
6
Effect of patient reminder/recall interventions on immunization rates: A review.患者提醒/召回干预措施对免疫接种率的影响：一项综述。
JAMA. 2000 Oct 11;284(14):1820-7. doi: 10.1001/jama.284.14.1820.
7
The association between greater continuity of care and timely measles-mumps-rubella vaccination.更高的连续性护理与及时接种麻疹-腮腺炎-风疹疫苗之间的关联。
Am J Public Health. 2000 Jun;90(6):962-5. doi: 10.2105/ajph.90.6.962.
8
Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults. The Task Force on Community Preventive Services.关于改善儿童、青少年和成人疫苗接种覆盖率干预措施的证据综述。社区预防服务特别工作组。
Am J Prev Med. 2000 Jan;18(1 Suppl):97-140. doi: 10.1016/s0749-3797(99)00118-x.
9
Vaccines for Children program, United States, 1997.美国1997年儿童疫苗计划。
Pediatrics. 1999 Aug;104(2):e15. doi: 10.1542/peds.104.2.e15.
10
Immunization performance measurement in a changing immunization environment.不断变化的免疫接种环境中的免疫接种绩效评估
Pediatrics. 1999 Apr;103(4 Pt 2):889-97.
Zotero 插件