Effectiveness of a community coalition for improving child vaccination rates in New York City.
We used a retrospective, matching, birth cohort design to evaluate a comprehensive, coalition-led childhood immunization program of outreach, education, and reminders in a Latino, urban community. After we controlled for Latino ethnicity and Medicaid, we found that children enrolled in the program were 53% more likely to be up-to-date (adjusted odds ratio = 1.53; 95% confidence interval = 1.33, 1.75) and to receive timely immunizations than were children in the control group (t = 3.91). The coalition-led, community-based immunization program was effective in improving on-time childhood immunization coverage.
Findley
Sally E
SE
Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. sef5@columbia.edu
Irigoyen
Matilde
M
Sanchez
Martha
M
Stockwell
Melissa S
MS
Mejia
Miriam
M
Guzman
Letty
L
Ferreira
Richard
R
Pena
Oscar
O
Chen
Shaofu
S
Andres-Martinez
Raquel
R
D002662:Child Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D002675:Child, Preschool; D015331:Cohort Studies; D003159:Community-Institutional Relations; D006293:Health Promotion / Q000458:organization & administration*; D006630:Hispanic or Latino / Q000193:education*; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D017589:Immunization Programs / Q000458:organization & administration* / Q000706:statistics & numerical data; D007223:Infant; D008484:Medicaid; D009519:New York City; D015397:Program Evaluation; D012042:Registries; D012189:Retrospective Studies; D012941:Social Responsibility; D014481:United States; D019037:Urban Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D014765:Viral Vaccines / Q000008:administration & dosage / Q000145:classification
D014765:Viral Vaccines
JAMA. 2005 Mar 9;293(10):1204-11
15755943
JAMA. 1998 Oct 7;280(13):1182-3
9777819
Ambul Pediatr. 2006 Jan-Feb;6(1):21-4
16443179
Am J Prev Med. 2000 Jan;18(1 Suppl):97-140
10806982
MMWR Morb Mortal Wkly Rep. 2006 Sep 15;55(36):988-93
16971887
Health Educ Behav. 1997 Dec;24(6):683-702
9408783
Med Care Res Rev. 2000;57 Suppl 1:181-217
11092163
JAMA. 2000 Oct 11;284(14):1820-7
11025835
Annu Rev Public Health. 1998;19:173-202
9611617
JAMA. 1998 Oct 7;280(13):1143-7
9777813
Health Educ Behav. 1997 Aug;24(4):413-7
9247821
Pediatrics. 1997 Jan;99(1):E4
9096172
Ethn Dis. 2004 Summer;14(3 Suppl 1):S134-41
15682783
Health Educ Q. 1994 Summer;21(2):149-70
8021145
Health Promot Pract. 2006 Jul;7(3 Suppl):191S-200S
16760249
JAMA. 1998 Jan 7;279(1):29-34
9424040
Am J Public Health. 2004 Jun;94(6):967-72
15249300
J Community Health. 1999 Feb;24(1):13-27
10036645
Arch Pediatr Adolesc Med. 1999 May;153(5):518-24
10323634
Cochrane Database Syst Rev. 2005 Jan 25;(1):CD004015
15674924
Pediatrics. 2003 Oct;112(4):993-6
14523201