TITLE

A comparison of populations vaccinated in a public service and in a private hospital setting in the same area

AUTHOR(S)
Pandolfi, Elisabetta; Graziani, Maria C.; Ieraci, Roberto; Cavagni, Giovanni; Tozzi, Alberto E.
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8 Issue 1, p278
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Improving immunisation rates in risk groups is one of the main objectives in vaccination strategies. However, achieving high vaccination rates in children with chronic conditions is difficult. Different types of vaccine providers may differently attract high risk children. Aim: To describe the characteristics of two populations of children who attended a private and a public immunisation provider in the same area. Secondarily, to determine if prevalence of patients with underlying diseases by type of provider differs and to study if the choice of different providers influences timeliness in immunisation. Methods: We performed a cross-sectional study on parents of children 2 - 36 months of age who attended a private hospital immunisation service or a public immunisation office serving the same metropolitan area of Rome, Italy. Data on personal characteristics and immunisation history were collected through a face to face interview with parents of vaccinees, and compared by type of provider. Prevalence of underlying conditions was compared in the two populations. Timeliness in immunisation and its determinants were analysed through a logistic regression model. Results: A total of 202 parents of children 2-36 months of age were interviewed; 104 were in the public office, and 98 in the hospital practice. Children immunised in the hospital were more frequently firstborn female children, breast fed for a longer period, with a lower birthweight, and more frequently with a previous hospitalisation. The prevalence of high risk children immunised in the hospital was 9.2 vs 0% in the public service (P = 0.001). Immunisation delay for due vaccines was higher in the hospital practice than in the public service (DTP, polio, HBV, and Hib: 39.8% vs 22.1%; P = 0.005). Anyway multivariate analyses did not reveal differences in timeliness between the public and private hospital settings. Conclusion: Children with underlying diseases or a low birthweight were more frequently immunised in the hospital. This finding suggests that offering immunisations in a hospital setting may facilitate vaccination uptake in high risk groups. An integration between public and hospital practices and an effort to improve communication on vaccines to parents, may significantly increase immunisation rates in high risk groups and in the general population, and prevent immunisation delays.
ACCESSION #
51486024

 

Related Articles

  • Vaccination guidance proposed for pregnancy, breast-feeding. Dickinson, Cara // Infectious Diseases in Children;Apr2008, Vol. 21 Issue 4, p24 

    The article discusses the principles developed to guide pregnant and breast-feeding women about vaccine use. The proposed guidance was developed by the Advisory Committee on Immunization Practices Working Group on Vaccines During Pregnancy and Breast-feeding of the U.S. It suggests that all...

  • Vaccination coverage and timeliness in three South African areas: a prospective study. Fadnes, Lars T.; Jackson, Debra; Engebretsen, Ingunn M. S.; Zembe, Wanga; Sanders, David; Sommerfelt, Halvor; Tylleskär, Thorkild // BMC Public Health;2011 Supplement 4, Vol. 11 Issue Suppl 4, p404 

    Background: Timely vaccination is important to induce adequate protective immunity. We measured vaccination timeliness and vaccination coverage in three geographical areas in South Africa. Methods: This study used vaccination information from a community-based cluster-randomized trial promoting...

  • As campanhas de vacinação contra a poliomielite no Brasil (1960-1990). Raimundo do Nascimento, Dilene // Revista Ciência & Saúde Coletiva;2011, Vol. 16 Issue 2, p501 

    This article discusses the vaccination campaigns against poliomyelitis in Brazil. It examines issues that have shaped the politics of disease control at the interface with the history of science and technology with regard to the discovery of vaccines, the development of laboratory techniques for...

  • Disease Control through Voluntary Vaccination Decisions Based on the Smoothed Best Response. Fei Xu; Cressman, Ross // Computational & Mathematical Methods in Medicine;Jan2014, p1 

    We investigate game-theory based decisions on vaccination uptake and its effects on the spread of an epidemic with nonlinear incidence rate. It is assumed that each individual's decision approximates his/her best response (called smoothed best response) in that this person chooses to take the...

  • A Study of Pre-Decision Evaluation Using Influence Diagram: An Estimation of the Benefits of Influenza Vaccination. Fan Wu; Pei-Ran Sun; His-Kun Ke; Hsieh-Hong Huang; Yungyen Chiang // Journal of Medical Systems;Feb2009, Vol. 33 Issue 1, p19 

    The purpose of this study is to develop a decision analysis model based on the influence diagram and estimate the benefits receiving of influenza vaccination. We collected more than 300,000 samples of elders aged over 65 years in Taiwan and then analyzed the health expenditure of the elders with...

  • Impact of the Maturing Varicella Vaccination Program on Varicella and Related Outcomes in the United States: 1994-2012. Leung, Jessica; Harpaz, Rafael // Journal of the Pediatric Infectious Diseases Society;Dec2016, Vol. 5 Issue 4, p395 

    Background. Although the 1-dose varicella vaccination program, introduced in 1996, has led to significant declines in varicella disease, outbreaks continued to occur, which led to the adoption of a 2-dose vaccination program in 2007. We previously reported an 88% decline in varicella-related...

  • Transmission of Yellow Fever Vaccine Virus: Blood Products and Breast-feeding. Scully, Mary-Louise // Travel Medicine Advisor;Jun2010, Vol. 20 Issue 6, p31 

    Two recent reports highlight the potential risk of transmission of yellow fever vaccine virus through blood products and breast-feeding.

  • Estimates of the Burden of Rotavirus Disease in Malaysia. Hsu, Vincent P.; Rahman, Hasan bin Abdul; Wong, Swee Lan; Ibrahim, Lailanor H. J.; Yusoff, Ahmad Faudzi H. J.; Chan, Lee Gaik; Parashar, Umesh; Glass, Roger I.; Bresee, Joseph // Journal of Infectious Diseases;9/1/2005 Supplement, Vol. 192, pS80 

    Background. Accurate national estimates of the disease burden associated with rotavirus diarrhea are essential when considering implementation of a rotavirus vaccination program. We sought to estimate rotavirus disease- associated morbidity and mortality in Malaysia, using available sources of...

  • Varicella Vaccine for Susceptible Adults: Do It Today. Gershon, Anne A.; Hambleton, Sophie // Clinical Infectious Diseases;12/1/2004, Vol. 39 Issue 11, p1640 

    The article presents information on varicella vaccine for susceptible adults. Varicella outbreaks such as this one should no longer occur in the United States. An effective vaccine that is highly protective against varicella--and especially protective against severe cases of varicella-and that...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics