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A Socioecological Exploration of County-level Toddler Immunization Completion

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서명/저자사항A Socioecological Exploration of County-level Toddler Immunization Completion.
개인저자McFadden, SarahAnn Marie.
단체저자명University of Washington. Nursing.
발행사항[S.l.]: University of Washington., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항100 p.
기본자료 저록Dissertations Abstracts International 81-03B.
Dissertation Abstract International
ISBN9781085695015
학위논문주기Thesis (Ph.D.)--University of Washington, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
Advisor: Bekemeier, Betty.
이용제한사항This item must not be sold to any third party vendors.This item must not be added to any third party search indexes.
요약There 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.
일반주제명Nursing.
Immunization.
언어영어
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