Navigation Links
Why parents miss their children's immunization visits
Date:5/5/2009

BALTIMORE According to a new study led by researchers at Columbia University Medical Center and NewYork-Presbyterian Hospital, there are several factors that contribute to children missing immunization visits.

The findings will be reported in a platform presentation at 8:30 a.m. ET on Tuesday, May 5, 2009, at the Pediatric Academic Societies (PAS) annual meeting here.

"We know that approximately 20 percent of our nation's young children are under-immunized, and previous research has identified many sociodemographic factors, such as lacking insurance or a usual source of care, that may lead to under-immunization. What we wanted to look at were families who actually had a place to go their child has a health care provider but they missed one or more immunization appointments," said the lead investigator, Melissa Stockwell, M.D., M.P.H., assistant professor of clinical pediatrics and population family health at Columbia University's College of Physicians & Surgeons and Mailman School of Public Health, medical director of the NewYork-Presbyterian Hospital Immunization Registry (EzVAC) and a pediatrician at NewYork-Presbyterian Morgan Stanley Children's Hospital.

"What we have identified are small steps that health care providers can take to improve keeping immunization appointments such as talking with parents about the importance of immunizations, having open lines of communication with them, and making it easier for parents to schedule/reschedule appointments. We believe that the first step is making providers aware that how their clinic or office is set up can affect compliance with appointments such as how long it takes to make an appointment or how rescheduling requests are processed," added Dr. Stockwell.

Dr. Stockwell and her research team surveyed the parents of 705 children under the age of three about immunization experiences. The interviews (conducted in both English and Spanish) took place at community health centers, hospital-based clinics, private practices, and community-based organizations in the Washington Heights, Harlem, Bronx, Upper East Side, and Upper West Side areas of New York City.

Parents who had to reschedule an appointment were found to be nearly four times as likely to miss their child's immunization appointment; those who had problems scheduling an appointment were also more likely to miss an appointment. Doubting the importance of vaccines made a parent more than three times as likely to miss appointments. Parents who reported difficulty communicating with their child's healthcare provider were nearly three times as likely to miss their child's scheduled immunization appointment.

A significant association was found between missed visits and under-immunization. Children whose parents reported missing an immunization visit were 2.5 times more likely to have been under-immunized (confirmed by parent-held immunization records, medical record or immunization registry).

"To remedy this situation, educational campaigns about the importance of immunization could help counter misperceptions about the benefits of these important protections against these potentially life-threatening, communicable diseases," said Dr. Stockwell. "Another possible solution may be the availability of online tools to help parents track their child's immunizations and give parents personal information about what immunizations their child needs and when they are due."

Online Management Tool Designed to Facilitate Immunizations:

One example is an online immunization management tool that will be available to patients and their families through NewYork-Presbyterian Hospital's new personal health record portal, myNYP.org. (Introduced earlier this month, myNYP.org gives patients the ability to select and store personal medical information generated during their doctor and hospital visits at NewYork-Presbyterian.) Dr. David Vawdrey, from the Department of Biomedical Informatics at Columbia, Dr. Stockwell and colleagues at the Hospital worked with Microsoft to create the myNYP.org Immunization Management Tool, a personal immunization tracking and reminder program.

"This technology will give parents a powerful tool to ensure their child is current on their immunizations, making it easy to learn about the timing of various immunizations and their importance. In addition, using the myNYP.org Immunization Management Tool, they will also be able to print their child's immunization records something that can be useful for fulfilling school requirements," says Dr. Stockwell.


'/>"/>

Contact: Elizabeth Streich
eas2125@columbia.edu
212-305-6535
Columbia University Medical Center
Source:Eurekalert

Related medicine news :

1. Partnership for a Drug-Free America / MetLife Foundation Survey Shows More Parents Are Talking With Their Teens About Cough Medicine Abuse
2. Parents, Kids Invited to Kids Korral at Annual Komen Atlanta Race for the Cure
3. National Survey: Parents Report Increased Awareness of Risks of Teen Prescription Drug Abuse, But Preventative Action Lags
4. What All Parents Should Know about Swine Flu
5. Pennsylvania Secretary of Health Reminds All Parents to Be Wise, Immunize Your Children
6. Good relationship with parents may prevent teen drinking problems
7. After the Crash, Forty-Five Percent of Caring.com Visitors are Providing Financial Support to Aging Parents
8. California Dental Association Reminds Parents of Kindergarten Dental Check-Up Requirement
9. Parents: Bottled Water Trend Poses Threat to Dental Health
10. Atlanta Parents Brush Up on Growing Concern of Acid Erosion in Childrens Teeth at Atlanta Dogwood Festival
11. Parents Worry That Alcopops Encourage Teen Drinking
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/20/2017)... ... September 20, 2017 , ... “The Financial Favor of God; Second Edition”: a ... Second Edition” is the creation of published author, Brooks Rathell. , “We typically hear ... to you about the financial favor of God. Not only does it exist, but ...
(Date:9/19/2017)... ... September 19, 2017 , ... Only a few physicians were selected to receive ... Ross A. Clevens, MD, FACS . The founder and medical director of Clevens ... who trained at Yale, Harvard and the University of Michigan. He has served patients ...
(Date:9/19/2017)... ... September 19, 2017 , ... Peter ... the President’s Malaria Initiative (PMI) Africa Indoor Residual Spraying (AIRS) Project , ... , The Innovation to Action Award, a USAID Catalyst Award, recognizes USAID ...
(Date:9/19/2017)... ... September 19, 2017 , ... The ... Canyon Ranch to its recently formed Corporate Roundtable, a group of individuals ... and a sustainable world. , Canyon Ranch is a unique collection of lifestyle-based ...
(Date:9/19/2017)... ... September 19, 2017 , ... Leonard I. Linkow, DDS, DMSC, sets a new ... Xlibris on July of 2014). This book details the recent advances and techniques in ... benefit people who have lost all of their natural teeth . , In ...
Breaking Medicine News(10 mins):
(Date:9/5/2017)...  Getinge, a leading global provider of innovative ... program -- "Color for the Kids!" -- to ... by The Children,s Heart Foundation. Pediatric patients and ... encouraged to download a coloring picture at ... the gallery on the website. For each artwork ...
(Date:9/1/2017)... , Sept. 1, 2017  Bayer will present the ... European Society for Medical Oncology (ESMO) 2017 Congress, September 8-12 ... will include new preclinical and clinical data on Bayer,s marketed ... earlier pipeline projects. ... best minds in cancer research at ESMO," said Carsten ...
(Date:8/28/2017)... ®, a division of LightScalpel ®, LLC, is announcing its new ... years of American veterinary laser surgery innovation, Aesculight® is revolutionizing veterinary laser ... ... his new VetScalpel laser. Dr. Duclos practices veterinary dermatology at the Animal ... ...
Breaking Medicine Technology: