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Immunization milestones: a more comprehensive picture of age-appropriate vaccination.

Robison SG, Kurosky SK, Young CM, Gallia CA, Arbor SA - J. Biomed. Biotechnol. (2010)

Bottom Line: A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates.This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers.Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time.

View Article: PubMed Central - PubMed

Affiliation: Immunization Program, State of Oregon Department of Human Services, 800 NE Oregon St., Suite 370, Portland, OR 97232, USA.

ABSTRACT
A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates. This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers. Milestone analysis measures immunization status at key times between birth and age 2, when recommended immunizations first become late. The immunization status of a large population of children in the Oregon ALERT immunization registry and in the Oregon Health Plan was tracked across milestone ages. Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time. We also found that immunization UTD rates when used alone are biased towards relating non-UTD status to a lack of visits to providers, instead of to provider visits on which recommended immunizations are not given.

No MeSH data available.


Immunization Completeness At Milestone Ages (for Two Year Olds in 2007,  N = 13,199).
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig2: Immunization Completeness At Milestone Ages (for Two Year Olds in 2007, N = 13,199).

Mentions: Rates of completeness of age-appropriate immunizations per the ACIP schedule varied among the milestone ages, from a high of 82.4% at 3 months of age to a low of 52.5% at 19 months of age. For the final milestone at 24-months, no further vaccinations were due, and the final 24 month completion rate for the study population was 68.6%, with 16.1% catching up from the prior 19-month milestone. The pattern of completion, falling behind, and catching up by milestone period is presented in Figure 2.


Immunization milestones: a more comprehensive picture of age-appropriate vaccination.

Robison SG, Kurosky SK, Young CM, Gallia CA, Arbor SA - J. Biomed. Biotechnol. (2010)

Immunization Completeness At Milestone Ages (for Two Year Olds in 2007,  N = 13,199).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2874993&req=5

fig2: Immunization Completeness At Milestone Ages (for Two Year Olds in 2007, N = 13,199).
Mentions: Rates of completeness of age-appropriate immunizations per the ACIP schedule varied among the milestone ages, from a high of 82.4% at 3 months of age to a low of 52.5% at 19 months of age. For the final milestone at 24-months, no further vaccinations were due, and the final 24 month completion rate for the study population was 68.6%, with 16.1% catching up from the prior 19-month milestone. The pattern of completion, falling behind, and catching up by milestone period is presented in Figure 2.

Bottom Line: A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates.This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers.Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time.

View Article: PubMed Central - PubMed

Affiliation: Immunization Program, State of Oregon Department of Human Services, 800 NE Oregon St., Suite 370, Portland, OR 97232, USA.

ABSTRACT
A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD) rates. This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers. Milestone analysis measures immunization status at key times between birth and age 2, when recommended immunizations first become late. The immunization status of a large population of children in the Oregon ALERT immunization registry and in the Oregon Health Plan was tracked across milestone ages. Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time. We also found that immunization UTD rates when used alone are biased towards relating non-UTD status to a lack of visits to providers, instead of to provider visits on which recommended immunizations are not given.

No MeSH data available.