Role of Health Insurance and a Usual Source of Medicinal Care in Age-Appropriate Vaccination

Dombkowski, Kevin J.; Lantz, Paula M.; Freed, Gary L.
June 2004
American Journal of Public Health;Jun2004, Vol. 94 Issue 6, p960
Academic Journal
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. (Am J Public Health. 2004;94:960-966).


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