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    Tuesday, July 06, 2004

    The Great Divide: Barriers to vaccination in infants and children appear to be overwhelmingly due to money - too much money:

    ....17,000 children or 0.3 percent were not vaccinated at all, Smith's team wrote in Tuesday's issue of the journal Pediatrics

    ...Unvaccinated children tended to be white, to have a mother who was married and had a college degree, to live in a ... city."

    ...Among parents of unvaccinated children, 47.5 percent expressed concerns regarding safety.....

    ...And those who refuse vaccines often do not trust doctors.

    "Among parents of unvaccinated children, 70.9 percent said that a doctor was not influential in shaping their vaccination decisions for their children.


    They also come from families with annual incomes over $75,000 and tend to be clustered in certain counties of certain states:

    The largest numbers of unvaccinated children lived in counties in California, Illinois, New York, Washington, Pennsylvania, Texas, Oklahoma, Colorado, Utah, and Michigan.

    What are they trying to do? Turn their communities into little Nigerias?

    I've broached this subject before, and in more depth (not to mention more seriousness.) But, the other interesting observation from the study is that the undervaccinated - that is kids who have just some of their shots, tend to be from
    the opposite end of the economic spectrum. What's more, they're missing their shots even though their parents feel immunizations are important. My patients in this situation tell me that they have trouble getting off work to bring the kids in for their well child checks (and shots.) That doesn't really fly in my practice since I have evening hours, but that's the excuse I hear. (And yes, I know that I could be giving them their shots at sick visits, but a lot of them either haven't been sick or their parents refuse the vaccinations when the kids are ill.)
     

    posted by Sydney on 7/06/2004 06:02:00 PM 0 comments

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