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Clinical Pediatrics
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Visiting Multiple Sites for Immunization and Vaccine Coverage Levels of Preschool Children in 3 Urban Clinics: Potential Indicator of Record Scatter?

Christine L. M. Joseph, PhD

Henry Ford Health System, Department of Biostatistics and Research Epidemiology, 1 Ford Place, 3E, Detroit, Michigan 48202

Paul T. Giblin, PhD

Children's Hospital of Michigan, Detroit

Lee R. Kallenbach, PhD

Wayne State University, Detroit, Ml

Gordon Jacobsen, MS

Ronald M. Davis, MD

Henry Ford Health System, Detroit

Record scatter is a clinic-level impediment to accurately reporting immunization coverage levels but may be attributed to certain patient characteristics. We determine the association between visiting multiple sites for immunization and underimmunization among urban clinic patients. After collecting immunization histories for patients aged 3-35 months, caregivers were surveyed by telephone. 159/483 caregivers (32.9%) were interviewed. Visiting > 2 sites for immunizations was associated with underimmunization, adjusted Odds Ratio (95% Confidence Interval) =2.7 (1.2-6.5). An interruption in health insurance showed a trend toward association with visiting > 2 sites. Our results support the need for working registries, clinic outreach, and continued evaluation of both.

Clinical Pediatrics, Vol. 41, No. 4, 249-256 (2002)
DOI: 10.1177/000992280204100409
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