Document Detail

Adequacy of well-child care and immunizations in US infants born in 1988.
MedLine Citation:
PMID:  7933323     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine adequacy of preventive care for US infants, including both well-child care visits and immunizations, and to identify risk factors for inadequate receipt of care.
DESIGN: Analysis of the 1988 National Maternal and Infant Health Survey of the National Center for Health Statistics.
SAMPLE: Nationally representative sample of all US children born in 1988.
PARTICIPANTS: A total of 7035 infants from a live-birth subsample who were at least 8 months of age and living with their mothers at the time of the survey.
MAIN OUTCOME MEASURES: Percentage of children receiving both adequate well-child visits and adequate immunizations by 8 months of age.
RESULTS: Adequate visits were received by 82% of white infants and 75% of black infants; adequate immunizations were received by 46% and 34%, respectively. Forty-two percent of white infants and 29% of black infants received both. Sixty percent of infants who did not have adequate immunizations by 8 months of age had at least three well-baby visits. With adjustment for maternal education level, poor white children had a relative risk of 1.5 of receiving inadequate care compared with infants in families with income greater than 185% of the federal poverty level. Infants with Medicaid or other government assistance had significantly lower levels of adequate care than did infants with private insurance.
CONCLUSIONS: This study demonstrates a wide gap between actual immunization coverage levels and recommended levels among US infants born in 1988. Public health agencies, Medicaid programs, and primary care providers should explore ways to take better advantage of well-child visits that are already occurring to achieve appropriate levels of immunization coverage.
H D Mustin; V L Holt; F A Connell
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  JAMA     Volume:  272     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1994 Oct 
Date Detail:
Created Date:  1994-10-27     Completed Date:  1994-10-27     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1111-5     Citation Subset:  AIM; IM    
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MeSH Terms
Health Priorities
Health Surveys
Infant Care*
Infant Welfare*
Office Visits / statistics & numerical data,  utilization*
Risk Factors
United States
Vaccination / statistics & numerical data,  utilization*
Grant Support
5 T 123 HS00034/HS/AHRQ HHS
Comment In:
JAMA. 1995 May 24-31;273(20):1580   [PMID:  7745768 ]
JAMA. 1995 May 24-31;273(20):1580   [PMID:  7745769 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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