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Role of health insurance and a usual source of medical care in age-appropriate vaccination

Author

Listed:
  • Dombkowski, K.J.
  • Lantz, P.M.
  • Freed, G.L.

Abstract

Objectives. We examined the associations of having health insurance and having a usual source of medical care with age-appropriate childhood vaccination. Methods. Simulations were conducted with multivariate logistic regression models and a nationally representative sample of children to assess the likelihood of age-appropriate vaccination. Results. Simulated provision of health insurance and a usual source of medical care produced substantial increases in the likelihood of doses being received age-appropriately. Increases in the likelihood of a child's being up to date were also observed, but these increases typically were smaller than for age-appropriate vaccination. Conclusions. Changes in childhood vaccination status should be assessed in age-appropriate terms, because measures of "up to date" status may not capture the effects of immunization interventions.

Suggested Citation

  • Dombkowski, K.J. & Lantz, P.M. & Freed, G.L., 2004. "Role of health insurance and a usual source of medical care in age-appropriate vaccination," American Journal of Public Health, American Public Health Association, vol. 94(6), pages 960-966.
  • Handle: RePEc:aph:ajpbhl:2004:94:6:960-966_0
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