A DISCRIPTIVE STUDY OF OKLAHOMA 2008 TWO-YEAR OLD IMMUNIZATION SURVEY BY Charlotte Denise Kaboré Public

Kabore, Charlotte Denise (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/w0892b699?locale=fr
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Abstract

Immunizations have transformed the landscape of medicine over the past 50 to 60 years. Immunizations help to protect our children, our families, our schools and the community-at-large from vaccine preventable diseases which lurk in the environment in which we all share. By having a small sub-set of individuals who are not adequately immunized is an open invitation to allowing the return of vaccine preventable diseases. In the state of Oklahoma, there is a growing concern for the continuous low immunization rates among two-year old children. This study examines the primary series [(4:3:1:3:3- four doses of diphtheria and tetanus toxioids an acellualare pertussis vaccine (DTaP); three doses of inactivated poliovirus vaccine (IPV); one dose of measles-containing vaccine (MMR); three doses of Haemophilus influenza type b vaccine (Hib); three doses of hepatitis B vaccine (Hep B)] vaccine coverage rates for the 2008 cohort using data from the Oklahoma Immunization Information System (OIIS). The purpose of the study is to determine the extent of vaccine coverage for the 2008 cohort of two year olds and to identify disparities in coverage based on geography, ethnicity, gender or other demographic factors. This descriptive study is secondary data analysis of the 2008 Oklahoma two-year old survey data to provide information for guiding program improvement. There are a total of 77 counties in Oklahoma and 43,942 children were included in this descriptive study.The findings of the primary series showed that only 4 counties, Harmon (96.2%), Jefferson (90.1%), Woods (90.1%) and Major (90.0%) were up-to-date at the recommended national average 90%. The state of Oklahoma had a 78.4% coverage percent which is 11.6% below the national average. There is no significant difference between the gender (OR= 1.00, 95% confidence interval [CI] 0.9, 1.05). Of the children UTD for the primary series, 73.4% were Black, 85.7% Hispanic, 80.6% Native American, 78.4% white, and 87.37. To date, there is no published data to explain why Oklahoma children are not receiving the recommended vaccines in a timely manner prior to two years of age. The survey provides coverage rates by county to provide a local perspective.

Table of Contents


TABLE OF CONTENTS

CHAPTER I: INTRODUCTION1

INTRODUCTION AND RATIONALE 1

PROBLEM STATEMENT 5

PURPOSE STATEMENT 5

RESEARCH QUESTIONS 6

SIGNIFICANCE OF STATEMENT 7

DEFINITION OF TERMS 8

SUMMARY 9

CHAPTER II: REVIEW OF LITERATURE10

INTRODUCTION 10

CHILDHOOD IMMUNIZATION INITIATIVE 10

THEORETICAL FRAMEWORK 16

IMMUNIZATION SCHEDULE 18

DISPARITIES IN CHILDHOOD IMMUNIZATION RATES 21

CHAPTER III: METHDOLOGY23

INTRODUCTION 23

RESEARCH DESIGN 24

POPULATION 24

DATA PREPARATION FOR ANALYSIS 25

DATA ANALYSIS 25

ETHICAL ISSUES 25

INSTITUATION PERMISSION 26

CHAPTER IV: RESULTS

INTRODUCTION 27

FINDINGS 27

SUMMARY 33

CHAPTER V: CONCLUSIONS AND RECOMMENDATIONS

INTRODUCTION 35

SUMMARY OF FINDINGS 36

RECOMMENDATIONS 36

SUMMARY 38


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