Factors Associated with Child Vaccination Status: Residential Mobility and a Mother's Employment, Knowledge, Attitudes, and Beliefs. Executive Summary

摘要

This study was a cross-sectional retrospective survey of 82 mothers of children living in Hawaii. Only 35.4% of the children had completed vaccinations (OPV, DTP, MMR) by age 16 months. Use of a life history calendar indicated that some vaccinations were delayed due to family moves. Children of employed mothers were vaccinated, suggesting effective social, employer, and provider support systems. Mothers who knew about the diseases polio, measles, mumps, and rubella and who considered these vaccines beneficial were more likely to complete all vaccinations. The focus of vaccination completion by age 2 years should be changed to age 16 months and younger. Parent need information about the diseases and support from providers, employers, and the community. A national vaccination tracking system would ensure continuity of care for mobile families.