Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015
Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to d...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Fabio Machado [verfasserIn] Jessica Tuttle [verfasserIn] Cherie Drenzek [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2017 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Journal of the Georgia Public Health Association - Georgia Southern University, 2016, 7(2017), 1 |
|---|---|
| Übergeordnetes Werk: |
volume:7 ; year:2017 ; number:1 |
| Links: |
|---|
| DOI / URN: |
10.21633/jgpha.7.139 |
|---|
| Katalog-ID: |
DOAJ044371721 |
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| 520 | |a Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 | ||
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10.21633/jgpha.7.139 doi (DE-627)DOAJ044371721 (DE-599)DOAJ1aff52da2f274df6afa844548e356f87 DE-627 ger DE-627 rakwb eng RA1-1270 Fabio Machado verfasserin aut Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 immunization georgia two year old georgia immunization study gis 2015 Public aspects of medicine Jessica Tuttle verfasserin aut Cherie Drenzek verfasserin aut In Journal of the Georgia Public Health Association Georgia Southern University, 2016 7(2017), 1 (DE-627)1760632759 24719773 nnns volume:7 year:2017 number:1 https://doi.org/10.21633/jgpha.7.139 kostenfrei https://doaj.org/article/1aff52da2f274df6afa844548e356f87 kostenfrei https://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/38 kostenfrei https://doaj.org/toc/2471-9773 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 7 2017 1 |
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10.21633/jgpha.7.139 doi (DE-627)DOAJ044371721 (DE-599)DOAJ1aff52da2f274df6afa844548e356f87 DE-627 ger DE-627 rakwb eng RA1-1270 Fabio Machado verfasserin aut Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 immunization georgia two year old georgia immunization study gis 2015 Public aspects of medicine Jessica Tuttle verfasserin aut Cherie Drenzek verfasserin aut In Journal of the Georgia Public Health Association Georgia Southern University, 2016 7(2017), 1 (DE-627)1760632759 24719773 nnns volume:7 year:2017 number:1 https://doi.org/10.21633/jgpha.7.139 kostenfrei https://doaj.org/article/1aff52da2f274df6afa844548e356f87 kostenfrei https://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/38 kostenfrei https://doaj.org/toc/2471-9773 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 7 2017 1 |
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10.21633/jgpha.7.139 doi (DE-627)DOAJ044371721 (DE-599)DOAJ1aff52da2f274df6afa844548e356f87 DE-627 ger DE-627 rakwb eng RA1-1270 Fabio Machado verfasserin aut Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 immunization georgia two year old georgia immunization study gis 2015 Public aspects of medicine Jessica Tuttle verfasserin aut Cherie Drenzek verfasserin aut In Journal of the Georgia Public Health Association Georgia Southern University, 2016 7(2017), 1 (DE-627)1760632759 24719773 nnns volume:7 year:2017 number:1 https://doi.org/10.21633/jgpha.7.139 kostenfrei https://doaj.org/article/1aff52da2f274df6afa844548e356f87 kostenfrei https://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/38 kostenfrei https://doaj.org/toc/2471-9773 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 7 2017 1 |
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10.21633/jgpha.7.139 doi (DE-627)DOAJ044371721 (DE-599)DOAJ1aff52da2f274df6afa844548e356f87 DE-627 ger DE-627 rakwb eng RA1-1270 Fabio Machado verfasserin aut Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 immunization georgia two year old georgia immunization study gis 2015 Public aspects of medicine Jessica Tuttle verfasserin aut Cherie Drenzek verfasserin aut In Journal of the Georgia Public Health Association Georgia Southern University, 2016 7(2017), 1 (DE-627)1760632759 24719773 nnns volume:7 year:2017 number:1 https://doi.org/10.21633/jgpha.7.139 kostenfrei https://doaj.org/article/1aff52da2f274df6afa844548e356f87 kostenfrei https://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/38 kostenfrei https://doaj.org/toc/2471-9773 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 7 2017 1 |
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RA1-1270 Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 immunization georgia two year old georgia immunization study gis 2015 |
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Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 |
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Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 |
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Fabio Machado |
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Fabio Machado Jessica Tuttle Cherie Drenzek |
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effect of medicaid status on up-to-date vaccination rates among two-year-old children in georgia, 2015 |
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RA1-1270 |
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Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 |
| abstract |
Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 |
| abstractGer |
Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 |
| abstract_unstemmed |
Background: The annual Georgia Immunization Study (GIS) employs a retrospective cohort design to determine the up-to-date (UTD) immunization rate of 24-month-old children in Georgia. Previous results have shown lower vaccination rates in the second year of life, particularly for DTaP. We sought to determine if a discontinuation of Medicaid coverage after the infant year contributed to lower immunization rates in the second year. Methods: A stratified random sample of 2,002 Georgia children born in January 2013 was drawn from electronic birth records. Immunization history and Medicaid status were obtained from the Georgia Registry of Immunization Transactions and Services (GRITS). Parents and providers of children inadequately immunized according to the Advisory Committee on Immunization Practices’ (ACIP) immunization schedule were contacted for additional information. UTD immunization rates were compared among participants based on Medicaid status (Medicaid both years, first year only, second year only, never on Medicaid). The relationship between Medicaid status and specific immunizations was also explored. Reasons for loss of Medicaid among children who were not UTD were sought via parent interview. Significance testing was performed using Chi-Square tests in SAS version 9.4. Results: Children covered by Medicaid both years or never covered by Medicaid were more likely to be UTD by 24 months (90.4% and 84.5%, respectively) than children no longer covered by Medicaid in their second year of life (49.2%). These children also demonstrated a significantly lower immunization rate for the 4th DTaP dose (p<0.0001). Conclusions: A discontinuation of Medicaid coverage after the first year of life was associated with a lower UTD immunization rate among 24 month old children, particularly the 4th DTaP dose. Although reasons for discontinuation of Medicaid were beyond the scope of this study, lower vaccination levels among this group may reflect a lack of understanding of vaccine support services, and deserves further examination. Key words: immunization, Georgia, two year old, Georgia Immunization Study, GIS, 2015 |
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Effect of Medicaid Status on up-to-date Vaccination Rates Among two-year-old Children in Georgia, 2015 |
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