Journal article
Identifying risk factors for underimmunization by using geocoding matched to census tracts: a statewide assessment of children in Hawaii.
OBJECTIVE: Obtaining childhood immunization coverage data for small geographic areas is difficult and resource-intensive- especially in the absence of comprehensive immunization registries. To identify factors that are associated with delayed immunization- we collected school-entry immunization records statewide and used geocoding to link to publicly available census tract sociodemographic data. METHODS: Immunization records were reviewed for children who were enrolled in all public and private school kindergarten programs in Hawaii in the 2002-2003 school year/ immunization status at the time of the second birthday was determined. The main outcome variable was up-to-date status for the 4:3:1:3:3 vaccination series (4 doses of diphtheria-tetanus-pertussis- 3 doses of polio- 1 dose of measles-mumps-rubella- 3 doses of Haemophilus influenzae type b- and 3 doses of hepatitis B vaccines). Children's home addresses were geocoded to census tracts/ coverage rates by tract were mapped- and sociodemographic data from
Publication year
2007
Journal
Pediatrics
Volume
3
Type
Journal article
