Published online June 1, 2006
PEDIATRICS Vol. 117 No. 6 June 2006, pp. 1972-1978 (doi:10.1542/peds.2005-2414)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Web of Science (7)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Smith, P. J.
Right arrow Articles by Chu, S. Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Smith, P. J.
Right arrow Articles by Chu, S. Y.
Related Collections
Right arrow Infectious Disease & Immunity
Right arrowRelated AAP Red Book topics:
Pertussis (Whooping Cough)
Haemophilus influenzae Infections
Poliovirus Infections
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Associations Between Childhood Vaccination Coverage, Insurance Type, and Breaks in Health Insurance Coverage

Philip J. Smith, PhD, John Stevenson, MA and Susan Y. Chu, PhD, MSPH

National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia

OBJECTIVES. This study explored how vaccination coverage is associated with not being insured and with insurance type among children who are insured and to show how these associations are modified by race/ethnicity.

METHODS. We determined whether 8324 children sampled in the National Immunization Survey in 2001 and 2002 were covered by private insurance only, Medicaid/State Children's Health Insurance Program, or another insurance type or were uninsured at the time of the National Immunization Survey interview or were uninsured at some time before the interview. Children were up to date if, by the date of the interview, their vaccination providers had administered ≥4 doses of diphtheria-tetanus toxoids-acellular pertussis vaccine, ≥3 doses of polio vaccine, ≥1 dose of measles-mumps-rubella vaccine, ≥3 doses of Haemophilus influenzae type b vaccine, and ≥3 doses of hepatitis B vaccine. To evaluate the association between insurance type and breaks in insurance with timely completion of the recommended vaccination schedule soon after 19 months of age, we restricted our analyses to children 19 to 24 months of age.

RESULTS. Nationally, 12.6 ± 1.6% of all children 19 to 24 months of age were uninsured at some time. Children who were uninsured at the time of the National Immunization Survey interview had significantly lower vaccination coverage than did children with Medicaid/State Children's Health Insurance Program coverage or children with private insurance only (52.6% vs 70.0% and 75.6%). Children who had never been insured and children who were insured but had a break in insurance coverage in the 12 months immediately preceding the National Immunization Survey interview had significantly lower vaccination coverage than did children who had been insured continuously (47.4% and 64.8% vs 73.5%).

CONCLUSIONS. Approximately 1 of 8 children were uninsured at some time, and those children were at greater risk of not being vaccinated on time as recommended.

Key Words: insurance • Medicaid • State Children's Health Insurance Program • survey • vaccines

Abbreviations: NIS—National Immunization Survey • PRC—provider record check • RDD—random-digit-dialing • SCHIP—State Children's Health Insurance Program • CI—confidence interval

Accepted Dec 21, 2005.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Eur J Public HealthHome page
E. Borras, A. Dominguez, M. Oviedo, J. Batalla, and L. Salleras
The influence of public or private paediatric health care on vaccination coverages in children in Catalonia (Spain)
Eur J Public Health, January 1, 2009; 19(1): 69 - 72.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
P. J. Smith, J. P. Nuorti, J. A. Singleton, Z. Zhao, and K. M. Wolter
Effect of Vaccine Shortages on Timeliness of Pneumococcal Conjugate Vaccination: Results From the 2001 2005 National Immunization Survey
Pediatrics, November 1, 2007; 120(5): e1165 - e1173.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
S. G. Federico, J. F. Steiner, B. Beaty, L. Crane, and A. Kempe
Disruptions in Insurance Coverage: Patterns and Relationship to Health Care Access, Unmet Need, and Utilization Before Enrollment in the State Children's Health Insurance Program
Pediatrics, October 1, 2007; 120(4): e1009 - e1016.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. M. Rand, P. G. Szilagyi, C. Albertin, and P. Auinger
Additional Health Care Visits Needed Among Adolescents for Human Papillomavirus Vaccine Delivery Within Medical Homes: A National Study
Pediatrics, September 1, 2007; 120(3): 461 - 466.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
N. J. Allred, K. G. Wooten, and Y. Kong
The Association of Health Insurance and Continuous Primary Care in the Medical Home on Vaccination Coverage for 19- to 35-Month-Old Children
Pediatrics, February 1, 2007; 119(Supplement_1): S4 - S11.
[Abstract] [Full Text] [PDF]