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020 ▼a 9781085695015
035 ▼a (MiAaPQ)AAI13898370
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 247004
0820 ▼a 614
1001 ▼a McFadden, SarahAnn Marie.
24510 ▼a A Socioecological Exploration of County-level Toddler Immunization Completion.
260 ▼a [S.l.]: ▼b University of Washington., ▼c 2019.
260 1 ▼a Ann Arbor: ▼b ProQuest Dissertations & Theses, ▼c 2019.
300 ▼a 100 p.
500 ▼a Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
500 ▼a Advisor: Bekemeier, Betty.
5021 ▼a Thesis (Ph.D.)--University of Washington, 2019.
506 ▼a This item must not be sold to any third party vendors.
506 ▼a This item must not be added to any third party search indexes.
520 ▼a 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.
590 ▼a School code: 0250.
650 4 ▼a Nursing.
650 4 ▼a Immunization.
690 ▼a 0569
690 ▼a 0982
71020 ▼a University of Washington. ▼b Nursing.
7730 ▼t Dissertations Abstracts International ▼g 81-03B.
773 ▼t Dissertation Abstract International
790 ▼a 0250
791 ▼a Ph.D.
792 ▼a 2019
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T15491934 ▼n KERIS ▼z 이 자료의 원문은 한국교육학술정보원에서 제공합니다.
980 ▼a 202002 ▼f 2020
990 ▼a ***1008102
991 ▼a E-BOOK