PEDIATRICS Vol. 96 No. 5 November 1995, pp. 889-892
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs 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 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 arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Askew, G. L.
Right arrow Articles by Spitalny, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Askew, G. L.
Right arrow Articles by Spitalny, K.

Beliefs and Practices Regarding Childhood Vaccination Among Urban Pediatric Providers in New Jersey

George L. Askew MD1, Lyn Finelli DrPH2, James Lutz BA2, Janet DeGraaf MPA2, Bruce Siegel MD MPH3, and Kenneth Spitalny MD2

1 Centers for Disease Control and Prevention, Epidemiology Program Office, Epidemic Intelligence Service, Division of Field Epidemiology
2 New Jersey Department of Health, Division of Epidemiology, Environmental, and Occupational Health Services
3 New Jersey Department of Health Office of the Commissioner

Background. In 1991, the fourth largest measles outbreak in the nation (824 cases) occurred in the Jersey City, New Jersey area. Data from a subsequent intervention trial in Jersey City demonstrated that vaccinations were more likely to be delayed for children who had received care from private rather than public clinic providers. In addition, failure to administer multiple indicated vaccines at a single visit was associated with vaccination delay, and reluctance to administer multiple vaccines was more common among private providers. These findings prompted an investigation of vaccination beliefs and practices among urban pediatric providers.

Methods. A telephone survey of vaccination beliefs and practices was administered to all pediatric providers in both private and public clinics in the Paterson and Jersey City areas.

Results. Private providers were less likely than public clinic providers to consider vaccinating children during emergency room visits (relative risk [RR] = 2.2; 95% confidence interval [CI] = 1.2-4.2) or hospital admissions (RR = 13.2; 95% CI = 1.9-92.7) and less likely to believe that all recommended vaccine doses should be administered simultaneously (RR = infinite; lower 95% confidence limit = 3.0). Private providers were less likely to consider administering live-virus vaccines to children with minor acute illnesses and low-grade fever (RR = 2.2; 95% CI = 1.2-3.8) or killed-virus vaccines to children with minor acute illnesses without fever (RR = 3.4; 95% CI = 1.4-8.5) or with low-grade fever (RR = 2.2;95% CI = 1.2-3.9). Private providers were more likely to believe that multiple injections should be avoided because of potential psychological and physical trauma to the child (RR = 4.0; 95% CI = 1.3-12.3).

Conclusions. Adherence to Standards for Pediatric Immunization Practices by pediatric providers could improve vaccine coverage rates among urban children.

Submitted on November 28, 1994
Accepted on January 11, 1995




This article has been cited by other articles:


Home page
 PediatricsHome page
A. Taddio, J. Manley, L. Potash, M. Ipp, M. Sgro, and V. Shah
Routine Immunization Practices: Use of Topical Anesthetics and Oral Analgesics
Pediatrics, September 1, 2007; 120(3): e637 - e643.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
K. M. Posfay-Barbe, U. Heininger, C. Aebi, D. Desgrandchamps, B. Vaudaux, and C.-A. Siegrist
How Do Physicians Immunize Their Own Children? Differences Among Pediatricians and Nonpediatricians
Pediatrics, November 1, 2005; 116(5): e623 - e633.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
A. Meyerhoff, R. J. Jacobs, D. P. Greenberg, B. Yagoda, and C. G. Castles
Clinician Satisfaction with Vaccination Visits and the Role of Multiple Injections, Results from the Covise Study (Combination Vaccines Impact on Satisfaction and Epidemiology)
Clinical Pediatrics, January 1, 2004; 43(1): 87 - 93.
[Abstract] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
J. A. Gaudino, M. P. deHart, A. Cheadle, D. P. Martin, D. L. Moore, S. J. Schwartz, and B. Schulman
Childhood Immunization Registries: Gaps Between Knowledge and Action Among Family Practice Physicians and Pediatricians in Washington State, 1998
Arch Pediatr Adolesc Med, October 1, 2002; 156(10): 978 - 985.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
T. A. Lieu, R. L. Davis, A. M. Capra, L. K. Mell, C. P. Quesenberry, K. E. Martin, A. Zavitkovsky, S. B. Black, H. R. Shinefield, R. S. Thompson, et al.
Variation in Clinician Recommendations for Multiple Injections During Adoption of Inactivated Polio Vaccine
Pediatrics, April 1, 2001; 107(4): e49 - e49.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. S. Shaw, R. C. Samuels, E. M. Larusso, and H. H. Bernstein
Impact of an Encounter-Based Prompting System on Resident Vaccine Administration Performance and Immunization Knowledge
Pediatrics, April 1, 2000; 105(4): 978 - 983.
[Abstract] [Full Text]

Home page
 Arch Pediatr Adolesc MedHome page
C. T. Rust, F. A. Sisk, A. R. Kuo, J. Smith, R. Miller, and K. M. Sullivan
Impact of Resident Feedback on Immunization Outcomes
Arch Pediatr Adolesc Med, November 1, 1999; 153(11): 1165 - 1169.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
The National Vaccine Advisory Committee
Strategies to Sustain Success in Childhood Immunizations
JAMA, July 28, 1999; 282(4): 363 - 370.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
K. Barnes, S. M. Friedman, P. B. Namerow, and J. Honig
Impact of Community Volunteers on Immunization Rates of Children Younger Than 2 Years
Arch Pediatr Adolesc Med, May 1, 1999; 153(5): 518 - 524.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
Committee on Infectious Diseases, 1998MIHNEAndash1, Ex-Officio, and L. Representatives
Combination Vaccines for Childhood Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP)
Pediatrics, May 1, 1999; 103(5): 1064 - 1077.
[Full Text]

Home page
 Arch Pediatr Adolesc MedHome page
G. L. Freed, T. Kauf, V. A. Freeman, D. E. Pathman, and T. R. Konrad
Vaccine-Associated Liability Risk and Provider Immunization Practices
Arch Pediatr Adolesc Med, March 1, 1998; 152(3): 285 - 289.
[Abstract] [Full Text] [PDF]