A DISCRIPTIVE STUDY OF OKLAHOMA 2008 TWO-YEAR OLD IMMUNIZATION SURVEY BY Charlotte Denise Kaboré Público
Kabore, Charlotte Denise (2011)
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
About this Master's Thesis
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