Skip to main content
Erschienen in: Maternal and Child Health Journal 3/2011

01.04.2011

Maternal Health Literacy and Late Initiation of Immunizations Among an Inner-City Birth Cohort

verfasst von: Susmita Pati, Kristen A. Feemster, Zeinab Mohamad, Alex Fiks, Robert Grundmeier, Avital Cnaan

Erschienen in: Maternal and Child Health Journal | Ausgabe 3/2011

Einloggen, um Zugang zu erhalten

Abstract

To determine if maternal health literacy influences early infant immunization status. Longitudinal prospective cohort study of 506 Medicaid-eligible mother-infant dyads. Immunization status at age 3 and 7 months was assessed in relation to maternal health literacy measured at birth using the Test of Functional Health Literacy in Adults (short version). Multivariable logistic regression quantified the effect of maternal health literacy on immunization status adjusting for the relevant covariates. The cohort consists of primarily African-American (87%), single (87%) mothers (mean age 23.4 years). Health literacy was inadequate or marginal among 24% of mothers. Immunizations were up-to-date among 73% of infants at age 3 months and 43% at 7 months. Maternal health literacy was not significantly associated with immunization status at either 3 or 7 months. In multivariable analysis, compared to infants who had delayed immunizations at 3 months, infants with up-to-date immunizations at 3 months were 11.3 times (95%CI 6.0–21.3) more likely to be up-to-date at 7 months. The only strong predictors of up-to-date immunization status at 3 months were maternal education (high school graduate or beyond) and attending a hospital-affiliated clinic. Though maternal health literacy is not associated with immunization status in this cohort, later immunization status is most strongly predicted by immunization status at 3 months. These results further support the importance of intervening from an early age to ensure that infants are fully protected against vaccine preventable diseases.
Literatur
1.
Zurück zum Zitat Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (Eds.). (2004). Health literacy: A prescription to end confusion. Washington, DC: The National Academies Press. Committee on Health Literacy, Board on Neuroscience and Behavioral Health, Institute of Medicine. Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (Eds.). (2004). Health literacy: A prescription to end confusion. Washington, DC: The National Academies Press. Committee on Health Literacy, Board on Neuroscience and Behavioral Health, Institute of Medicine.
2.
Zurück zum Zitat Gazmararian, J. A., Parker, R. M., & Baker, D. W. (1999). Reading skills and family planning knowledge and practices in a low-income managed-care population. Obstetrics and Gynecology, 93(2), 239–244.PubMedCrossRef Gazmararian, J. A., Parker, R. M., & Baker, D. W. (1999). Reading skills and family planning knowledge and practices in a low-income managed-care population. Obstetrics and Gynecology, 93(2), 239–244.PubMedCrossRef
3.
Zurück zum Zitat Lindau, S. T., Tomori, C., Lyons, T., Langseth, L., Bennett, C. L., & Garcia, P. (2002). The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. American Journal of Obstetrics and Gynecology, 186(5), 938–943.PubMedCrossRef Lindau, S. T., Tomori, C., Lyons, T., Langseth, L., Bennett, C. L., & Garcia, P. (2002). The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. American Journal of Obstetrics and Gynecology, 186(5), 938–943.PubMedCrossRef
4.
Zurück zum Zitat Miller, L. G., Liu, H., Hays, R. D., et al. (2003). Knowledge of antiretroviral regimen dosing and adherence: A longitudinal study. Clinical Infectious Diseases, 36(4), 514–518.PubMedCrossRef Miller, L. G., Liu, H., Hays, R. D., et al. (2003). Knowledge of antiretroviral regimen dosing and adherence: A longitudinal study. Clinical Infectious Diseases, 36(4), 514–518.PubMedCrossRef
5.
Zurück zum Zitat Schillinger, D., Grumbach, K., Piette, J., et al. (2002). Association of health literacy with diabetes outcomes. JAMA, 288(4), 475–482. (see comment).PubMedCrossRef Schillinger, D., Grumbach, K., Piette, J., et al. (2002). Association of health literacy with diabetes outcomes. JAMA, 288(4), 475–482. (see comment).PubMedCrossRef
6.
Zurück zum Zitat Scott, T. L., Gazmararian, J. A., Williams, M. V., & Baker, D. W. (2002). Health literacy and preventive health care use among medicare enrollees in a managed care organization. Medical Care, 40(5), 395–404.PubMedCrossRef Scott, T. L., Gazmararian, J. A., Williams, M. V., & Baker, D. W. (2002). Health literacy and preventive health care use among medicare enrollees in a managed care organization. Medical Care, 40(5), 395–404.PubMedCrossRef
7.
Zurück zum Zitat DeWalt, D. A., Dilling, M. H., Rosenthal, M. S., & Pignone, M. P. (2007). Low parental literacy is associated with worse asthma care measures in children. Ambulatory Pediatrics, 7(1), 25–31.PubMedCrossRef DeWalt, D. A., Dilling, M. H., Rosenthal, M. S., & Pignone, M. P. (2007). Low parental literacy is associated with worse asthma care measures in children. Ambulatory Pediatrics, 7(1), 25–31.PubMedCrossRef
8.
Zurück zum Zitat Moon, R. Y., Cheng, T. L., Patel, K. M., Baumhaft, K., & Scheidt, P. C. (1998). Parental literacy level and understanding of medical information. Pediatrics, 102(2), e25.PubMedCrossRef Moon, R. Y., Cheng, T. L., Patel, K. M., Baumhaft, K., & Scheidt, P. C. (1998). Parental literacy level and understanding of medical information. Pediatrics, 102(2), e25.PubMedCrossRef
9.
Zurück zum Zitat Rosenthal, M. S., Socolar, R. R., DeWalt, D. A., Pignone, M., Garrett, J., & Margolis, P. A. (2007). Parents with low literacy report higher quality of parent–provider relationships in a residency clinic. Ambulatory Pediatrics, 7(1), 51–55.PubMedCrossRef Rosenthal, M. S., Socolar, R. R., DeWalt, D. A., Pignone, M., Garrett, J., & Margolis, P. A. (2007). Parents with low literacy report higher quality of parent–provider relationships in a residency clinic. Ambulatory Pediatrics, 7(1), 51–55.PubMedCrossRef
10.
Zurück zum Zitat Sanders, L. M., Thompson, V. T., & Wilkinson, J. D. (2007). Caregiver health literacy and the use of child health services. Pediatrics, 119(1), e86–e92.PubMedCrossRef Sanders, L. M., Thompson, V. T., & Wilkinson, J. D. (2007). Caregiver health literacy and the use of child health services. Pediatrics, 119(1), e86–e92.PubMedCrossRef
11.
Zurück zum Zitat Kaufman, H., Skipper, B., Small, L., Terry, T., & McGrew, M. (2001). Effect of literacy on breast-feeding outcomes. Southern Medical Journal, 94(3), 293–296.PubMed Kaufman, H., Skipper, B., Small, L., Terry, T., & McGrew, M. (2001). Effect of literacy on breast-feeding outcomes. Southern Medical Journal, 94(3), 293–296.PubMed
12.
Zurück zum Zitat Ross, L. A., Frier, B. M., Kelnar, C. J., & Deary, I. J. (2001). Child and parental mental ability and glycaemic control in children with Type 1 diabetes. Diabetic Medicine, 18(5), 364–369.PubMedCrossRef Ross, L. A., Frier, B. M., Kelnar, C. J., & Deary, I. J. (2001). Child and parental mental ability and glycaemic control in children with Type 1 diabetes. Diabetic Medicine, 18(5), 364–369.PubMedCrossRef
13.
Zurück zum Zitat Schillinger, D., Piette, J., Grumbach, K., et al. (2003). Closing the loop: Physician communication with diabetic patients who have low health literacy. Archives of Internal Medicine, 163(1), 83–90.PubMedCrossRef Schillinger, D., Piette, J., Grumbach, K., et al. (2003). Closing the loop: Physician communication with diabetic patients who have low health literacy. Archives of Internal Medicine, 163(1), 83–90.PubMedCrossRef
14.
Zurück zum Zitat Allred, N. J., Wooten, K. G., & Kong, Y. (2007). The association of health insurance and continuous primary care in the medical home on vaccination coverage for 19- to 35- month-old children. Pediatrics, 119(Supp 1), S4–S11.PubMedCrossRef Allred, N. J., Wooten, K. G., & Kong, Y. (2007). The association of health insurance and continuous primary care in the medical home on vaccination coverage for 19- to 35- month-old children. Pediatrics, 119(Supp 1), S4–S11.PubMedCrossRef
15.
Zurück zum Zitat Bardenheier, B. H., Yusuf, H. R., Rosenthal, J., et al. (2004). Factors associated with underimmunization at 3 months of age in four medically underserved areas. Public Health Reports, 119(5), 479–485.PubMedCrossRef Bardenheier, B. H., Yusuf, H. R., Rosenthal, J., et al. (2004). Factors associated with underimmunization at 3 months of age in four medically underserved areas. Public Health Reports, 119(5), 479–485.PubMedCrossRef
16.
Zurück zum Zitat Bates, A. S., Fitzgerald, J. F., Dittus, R. S., & Wolinsky, F. D. (1994). Risk factors for underimmunization in poor urban infants. Journal of the American Medical Association, 272(14), 1105–1110.PubMedCrossRef Bates, A. S., Fitzgerald, J. F., Dittus, R. S., & Wolinsky, F. D. (1994). Risk factors for underimmunization in poor urban infants. Journal of the American Medical Association, 272(14), 1105–1110.PubMedCrossRef
17.
Zurück zum Zitat Bates, A. S., & Wolinsky, F. D. (1998). Personal, financial, and structural barriers to immunization in socioeconomically disadvantaged urban children. Pediatrics, 101(4 Pt 1), 591–596.PubMedCrossRef Bates, A. S., & Wolinsky, F. D. (1998). Personal, financial, and structural barriers to immunization in socioeconomically disadvantaged urban children. Pediatrics, 101(4 Pt 1), 591–596.PubMedCrossRef
18.
Zurück zum Zitat Fiks, A. G., Alessandrini, E. A., Luberti, A. A., Ostapenko, S., Zhang, X., & Silber, J. H. (2006). Identifying factors predicting immunization delay for children followed in an urban primary care network using an electronic health record. Pediatrics, 118(6), e1680–e1686.PubMedCrossRef Fiks, A. G., Alessandrini, E. A., Luberti, A. A., Ostapenko, S., Zhang, X., & Silber, J. H. (2006). Identifying factors predicting immunization delay for children followed in an urban primary care network using an electronic health record. Pediatrics, 118(6), e1680–e1686.PubMedCrossRef
19.
Zurück zum Zitat Luman, E. T., McCauley, M. M., Shefer, A., & Chu, S. Y. (2003). Maternal characteristics associated with vaccination of young children. Pediatrics, 111(5), 1215–1218.PubMed Luman, E. T., McCauley, M. M., Shefer, A., & Chu, S. Y. (2003). Maternal characteristics associated with vaccination of young children. Pediatrics, 111(5), 1215–1218.PubMed
20.
Zurück zum Zitat Ross, A., Kennedy, A. B., Holt, E., Guyer, B., Hou, W., & Hughart, N. (1998). Initiating the first DTP vaccination age-appropriately: A model for understanding vaccination coverage. Pediatrics, 101(6), 970–974.PubMedCrossRef Ross, A., Kennedy, A. B., Holt, E., Guyer, B., Hou, W., & Hughart, N. (1998). Initiating the first DTP vaccination age-appropriately: A model for understanding vaccination coverage. Pediatrics, 101(6), 970–974.PubMedCrossRef
21.
Zurück zum Zitat Wiecha, J., & Gann, P. (1994). Does maternal prenatal care use predict infant immunization delay? Family Medicine, 26(3), 172–178.PubMed Wiecha, J., & Gann, P. (1994). Does maternal prenatal care use predict infant immunization delay? Family Medicine, 26(3), 172–178.PubMed
22.
Zurück zum Zitat Nurss, J. R., Parker, R. M., Williams, M. V., & Baker, D. W. (2001). TOFHLA: Test of functional health literacy in adults (2nd ed.). Snow Camp, North Carolina: Peppercorn Books & Press. Nurss, J. R., Parker, R. M., Williams, M. V., & Baker, D. W. (2001). TOFHLA: Test of functional health literacy in adults (2nd ed.). Snow Camp, North Carolina: Peppercorn Books & Press.
23.
Zurück zum Zitat Centers for Disease Control. (2006). Notice to readers: Updated recommendations of the Advisory Committee on Immunization Practices (ACIP) for the control and elimination of mumps. MMWR Morbidity and mortality weekly report, 55(22), 629–630 Centers for Disease Control. (2006). Notice to readers: Updated recommendations of the Advisory Committee on Immunization Practices (ACIP) for the control and elimination of mumps. MMWR Morbidity and mortality weekly report, 55(22), 629–630
24.
Zurück zum Zitat Kolasa, M. S., Chilkatowsky, A. P., Clarke, K. R., & Lutz, J. P. (2006). How complete are immunization registries? The Philadelphia story. Ambulatory Pediatrics, 6(1), 21–24.PubMedCrossRef Kolasa, M. S., Chilkatowsky, A. P., Clarke, K. R., & Lutz, J. P. (2006). How complete are immunization registries? The Philadelphia story. Ambulatory Pediatrics, 6(1), 21–24.PubMedCrossRef
25.
Zurück zum Zitat Chaves, S. S., Zhang, J., Civen, R., et al. (2008). Varicella disease among vaccinated persons: Clinical and epidemiological characteristics, 1997–2005. Journal of Infectious Diseases, 197(Suppl 2), S127–S131.PubMedCrossRef Chaves, S. S., Zhang, J., Civen, R., et al. (2008). Varicella disease among vaccinated persons: Clinical and epidemiological characteristics, 1997–2005. Journal of Infectious Diseases, 197(Suppl 2), S127–S131.PubMedCrossRef
26.
Zurück zum Zitat Feemster, K. A., Spain, C. V., Eberhart, M., Pati, S., & Watson, B. (2009). Identifying infants at increased risk for late initiation of immunizations: Maternal and provider characteristics. Public Health Reports, 124(1), 42–53.PubMed Feemster, K. A., Spain, C. V., Eberhart, M., Pati, S., & Watson, B. (2009). Identifying infants at increased risk for late initiation of immunizations: Maternal and provider characteristics. Public Health Reports, 124(1), 42–53.PubMed
27.
Zurück zum Zitat Kolasa, M. S., Chilkatowsky, A. P., Stevenson, J. M., et al. (2003). Do laws bring children in child care centers up to date for immunizations? Ambulatory Pediatrics, 3(3), 154–157.PubMedCrossRef Kolasa, M. S., Chilkatowsky, A. P., Stevenson, J. M., et al. (2003). Do laws bring children in child care centers up to date for immunizations? Ambulatory Pediatrics, 3(3), 154–157.PubMedCrossRef
28.
Zurück zum Zitat Fairbrother, G., Hanson, K. L., Friedman, S., & Butts, G. C. (1999). The impact of physician bonuses, enhanced fees, and feedback on childhood immunization coverage rates. American Journal of Public Health, 89(2), 171–175.PubMedCrossRef Fairbrother, G., Hanson, K. L., Friedman, S., & Butts, G. C. (1999). The impact of physician bonuses, enhanced fees, and feedback on childhood immunization coverage rates. American Journal of Public Health, 89(2), 171–175.PubMedCrossRef
29.
Zurück zum Zitat Fairbrother, G., Siegel, M. J., Friedman, S., Kory, P. D., & Butts, G. C. (2001). Impact of financial incentives on documented immunization rates in the inner city: Results of a randomized controlled trial. Ambulatory Pediatrics, 1(4), 206–212.PubMedCrossRef Fairbrother, G., Siegel, M. J., Friedman, S., Kory, P. D., & Butts, G. C. (2001). Impact of financial incentives on documented immunization rates in the inner city: Results of a randomized controlled trial. Ambulatory Pediatrics, 1(4), 206–212.PubMedCrossRef
30.
Zurück zum Zitat Brenner, R. A., Simons-Morton, B. G., Bhaskar, B., Das, A., & Clemens, J. D. (2001). Prevalence and predictors of immunization among inner-city infants: A birth cohort study. Pediatrics, 108(3), 661–670.PubMedCrossRef Brenner, R. A., Simons-Morton, B. G., Bhaskar, B., Das, A., & Clemens, J. D. (2001). Prevalence and predictors of immunization among inner-city infants: A birth cohort study. Pediatrics, 108(3), 661–670.PubMedCrossRef
31.
Zurück zum Zitat Wood, D., Donald-Sherbourne, C., Halfon, N., et al. (1995). Factors related to immunization status among inner-city Latino and African-American preschoolers. Pediatrics, 96(2), 295–301.PubMed Wood, D., Donald-Sherbourne, C., Halfon, N., et al. (1995). Factors related to immunization status among inner-city Latino and African-American preschoolers. Pediatrics, 96(2), 295–301.PubMed
32.
Zurück zum Zitat Fiks, A. G., Grundmeier, R. W., Biggs, L. M., Localio, A. R., & Alessandrini, E. A. (2007). Impact of clinical alerts within an electronic health record on routine childhood immunization in an urban pediatric population. Pediatrics, 120(4), 707–714.PubMedCrossRef Fiks, A. G., Grundmeier, R. W., Biggs, L. M., Localio, A. R., & Alessandrini, E. A. (2007). Impact of clinical alerts within an electronic health record on routine childhood immunization in an urban pediatric population. Pediatrics, 120(4), 707–714.PubMedCrossRef
Metadaten
Titel
Maternal Health Literacy and Late Initiation of Immunizations Among an Inner-City Birth Cohort
verfasst von
Susmita Pati
Kristen A. Feemster
Zeinab Mohamad
Alex Fiks
Robert Grundmeier
Avital Cnaan
Publikationsdatum
01.04.2011
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 3/2011
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-010-0580-0

Weitere Artikel der Ausgabe 3/2011

Maternal and Child Health Journal 3/2011 Zur Ausgabe