You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 271 No. 11, March 16, 1994 TABLE OF CONTENTS
  JAMA
  •  Online Features
  ARTICLE
 This Article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in JAMA

Low vaccination levels of US preschool and school-age children. Retrospective assessments of vaccination coverage, 1991-1992

E. R. Zell, V. Dietz, J. Stevenson, S. Cochi and R. H. Bruce
National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga 30333.

OBJECTIVE--To obtain estimates on (1) the percentage of children who were up-to-date on the recommended childhood vaccination series, (2) the percentage of children who were age-appropriately immunized, and (3) coverage levels by individual vaccines. DESIGN--Vaccination levels were estimated by conducting retrospective immunization coverage surveys of the school health records of children entering kindergarten or first grade in the 1990-1991 or 1991-1992 school year. A multistage cluster survey design was used. SETTING--Survey sites were selected from among the 60 largest urban areas in the United States. One small city and one rural area were selected for comparison. RESULTS--By their second birthday, 11% to 58% (median, 44%) of the children were fully vaccinated. Stricter measurement criteria lowered coverage levels further. Completed series levels at school entry were 71% to 96% (median, 87%). CONCLUSIONS--Vaccination levels at the second birthday were far below the goal for the year 2000. All health providers need to administer vaccines according to the recommended schedule.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Vaccination coverage among kindergarten children in Phoenix, Arizona
Frimpong et al.
Health Education Journal 2008;67:56-63.
ABSTRACT  

Measuring Immunization Coverage among Preschool Children: Past, Present, and Future Opportunities
Salmon et al.
Epidemiol Rev 2006;28:27-40.
ABSTRACT | FULL TEXT  

Timeliness of Childhood Vaccinations in the United States: Days Undervaccinated and Number of Vaccines Delayed
Luman et al.
JAMA 2005;293:1204-1211.
ABSTRACT | FULL TEXT  

Effectiveness of Individually Tailored Calendars in Promoting Childhood Immunization in Urban Public Health Centers
Kreuter et al.
Am. J. Public Health 2004;94:122-127.
ABSTRACT | FULL TEXT  

The Effect of Education, Feedback, and Provider Prompts on the Rate of Missed Vaccine Opportunities in a Community Health Center
Sabnis et al.
CLIN PEDIATR 2003;42:147-151.
ABSTRACT  

Timeliness of Childhood Immunizations
Luman et al.
Pediatrics 2002;110:935-939.
ABSTRACT | FULL TEXT  

Vaccination Coverage and Physician Distribution in the United States, 1997
LeBaron et al.
Pediatrics 2001;107:31e-31.
ABSTRACT | FULL TEXT  

A Large Rubella Outbreak With Spread From the Workplace to the Community
Danovaro-Holliday et al.
JAMA 2000;284:2733-2739.
ABSTRACT | FULL TEXT  

Effect of Different Types of Medicaid Managed Care on Childhood Immunization Rates
Cotter et al.
Eval Health Prof 2000;23:397-408.
ABSTRACT  

Low immunisation uptake: Is the process the problem?
Harrington et al.
J. Epidemiol. Community Health 2000;54:394-394.
ABSTRACT | FULL TEXT  

Quality of Care and Use of the Medical Home in a State-Funded Capitated Primary Care Plan For Low-Income Children
Kempe et al.
Pediatrics 2000;105:1020-1028.
ABSTRACT | FULL TEXT  

Reconfiguring Child Health Services in the Inner City
Wood and Halfon
JAMA 1998;280:1182-1183.
FULL TEXT  

The Association Between Adequacy of Prenatal Care Utilization and Subsequent Pediatric Care Utilization in the United States
Kogan et al.
Pediatrics 1998;102:25-30.
ABSTRACT | FULL TEXT  

Initiating the First DTP Vaccination Age-appropriately: A Model for Understanding Vaccination Coverage
Ross et al.
Pediatrics 1998;101:970-974.
ABSTRACT | FULL TEXT  

Do Missed Opportunities Stay Missed? A 6-Month Follow-up of Missed Vaccine Opportunities in Inner City Milwaukee Children
Sabnis et al.
Pediatrics 1998;101 :e5-e5.
ABSTRACT | FULL TEXT  

CINCH: An Urban Coalition for Empowerment and Action
Butterfoss et al.
Health Educ Behav 1998;25:212-225.
ABSTRACT  

Persistent Low Immunization Coverage Among Inner-city Preschool Children Despite Access to Free Vaccine
Kenyon et al.
Pediatrics 1998;101:612-616.
ABSTRACT | FULL TEXT  

A Population-based Study of Access to Immunization Among Urban Virginia Children Served By Public, Private, and Military Health Care Systems
Morrow et al.
Pediatrics 1998;101 :e5-e5.
ABSTRACT | FULL TEXT  

Increasing Immunization Rates Among Inner-City, African American Children: A Randomized Trial of Case Management
Wood et al.
JAMA 1998;279:29-34.
ABSTRACT | FULL TEXT  

Immunizing Preschool Children: Beliefs and Practices of Pediatric Residents
England et al.
CLIN PEDIATR 1997;36:129-134.
ABSTRACT  

Problems Encountered By Parents and Guardians of Elementary School-Age Children in Obtaining Immunizations
Schmalz and Larwa
The Journal of School Nursing 1997;13:10-16.
ABSTRACT  

The Influence of Provider Behavior, Parental Characteristics, and a Public Policy Initiative on the Immunization Status of Children Followed by Private Pediatricians: A Study From Pediatric Research in Office Settings
Taylor et al.
Pediatrics 1997;99:209-215.
ABSTRACT | FULL TEXT  

Physician Beliefs and Knowledge About Vaccinations: Are Cincinnati Doctors Giving Their Best Shot?
Siegel and Schubert
CLIN PEDIATR 1996;35:79-83.
ABSTRACT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1994 American Medical Association. All Rights Reserved.