Document Detail

Physician and parent opinions. Are children becoming pincushions from immunizations?
MedLine Citation:
PMID:  7633536     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine parent and physician opinions regarding the administration of multiple childhood immunizations by injection. DESIGN: Confidential mailed survey to physicians and residents; interview of parents during office visits for immunizations. PARTICIPANTS: Physicians and parents from Rochester, NY. RESULTS: The survey included 215 practicing physicians and 74 residents; response rate was 82%. Of the 197 parents interviewed, 93% were mothers, 68% were white; the mean (+/- SD) age was 25.8 +/- 5.2 years, with 12.8 +/- 1.8 years of education; 59% had private insurance, and 35% had Medicaid coverage. Of the parents, 31% had strong concerns about their child receiving a single injection; an additional 10% (total, 41% vs 31%; chi 2 = 4.05, P = .04) had the same concerns about their child receiving three injections. More practicing physicians than parents had strong concerns about children 7 months old or younger receiving three injections (60% vs 41%; chi 2 = 7.71, P < or = .01). Physician concern increased further when physicians were asked about administration of four injections (80% vs 60%; chi 2 = 18.77, P < .001). Of the parents, 64% preferred one rather than two visits to have three injections administered, if their physician recommended it; 58% still preferred one visit even if four injections were needed. CONCLUSIONS: Physicians have more concerns than parents about the administration of multiple injections at a single visit. Pain for the child was the main concern of all respondents. While most physicians have strong concerns about administering three or more injections at one visit, most parents prefer this practice. Continued education and reassurance of parents and physicians is needed to address concerns about children becoming "pincushions" from immunizations.
K A Woodin; L E Rodewald; S G Humiston; M S Carges; S J Schaffer; P G Szilagyi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  149     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-09-14     Completed Date:  1995-09-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  845-9     Citation Subset:  AIM; IM    
Department of Pediatrics, University of Rochester, NY School of Medicine and Dentistry, USA.
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MeSH Terms
Child Welfare
Child, Preschool
Diphtheria-Tetanus-Pertussis Vaccine
Haemophilus Vaccines
Health Surveys
Hepatitis B Vaccines
Immunization Schedule
New York
Parents / psychology*
Physicians / psychology*
Reg. No./Substance:
0/Diphtheria-Tetanus-Pertussis Vaccine; 0/Haemophilus Vaccines; 0/Hepatitis B Vaccines
Comment In:
Arch Pediatr Adolesc Med. 1996 Mar;150(3):330-1   [PMID:  8603236 ]

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

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