자료유형 | 학위논문 |
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서명/저자사항 | A Socioecological Exploration of County-level Toddler Immunization Completion. |
개인저자 | McFadden, SarahAnn Marie. |
단체저자명 | University of Washington. Nursing. |
발행사항 | [S.l.]: University of Washington., 2019. |
발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
형태사항 | 100 p. |
기본자료 저록 | Dissertations Abstracts International 81-03B. Dissertation Abstract International |
ISBN | 9781085695015 |
학위논문주기 | Thesis (Ph.D.)--University of Washington, 2019. |
일반주기 |
Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
Advisor: Bekemeier, Betty. |
이용제한사항 | This item must not be sold to any third party vendors.This item must not be added to any third party search indexes. |
요약 | There is wide variation among county-level toddler immunization completion, which ranges from 26% to more than 90%. The cause of this variation is unclear and reflects our limited understanding of the factors that affect toddler immunization. Aims. 1) Identify a theoretical framework to support the multifaceted nature of toddler immunization completion research. 2) Describe the characteristics of counties with high and low toddler immunization completion. 3) Explore relationships between county-level toddler immunization completion and immunization-related state policies. Methods. Theoretical arguments proposed by Rose (1985) were used to adapt the ecological systems theory for populations instead of individuals. A cross-sectional sample of 624 counties from 10 states was then used in a secondary data analysis exploring county-characteristics associated with toddler immunization completion. The same sample was then used to explore the association between county-level toddler immunization coverage and state policies. Results. 1) A socioecological framework was identified and modified. 2) There are county characteristics positively and negatively associated with county-level toddler immunization completion. 3) Counties in states that expanded Medicaid or had Democratic legislatures had lower toddler immunization completion. Conclusion. Complex, local-level characteristics have a relationship with variation in county-level toddler immunization completion. Understanding these relationships can help researchers, policy makers, and public health professionals take important actions that can help improve immunization rates. |
일반주제명 | Nursing. Immunization. |
언어 | 영어 |
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