Childhood immunisations in Northland, New Zealand: declining care and the journey through the immunisation pathway

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dc.contributor.author Rumball-Smith, J en
dc.contributor.author Kenealy, Timothy en
dc.date.accessioned 2017-05-18T04:05:11Z en
dc.date.issued 2016-07-15 en
dc.identifier.citation New Zealand Medical Journal 129(1438):15-21 15 Jul 2016 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/32937 en
dc.description.abstract In a region with high rates of immunisation refusal, we examine whether refusing an immunisation at 6 weeks (the first scheduled immunisation) predicts the pattern for subsequent scheduled immunisations, and the characteristics of those who declined these immunisations.We used data from the National Immunisation Register to identify 11,972 children born between 1 January 2009 and 31 December 2013 (inclusive), and who had their first immunisation (due at 6 weeks age) in Northland, New Zealand. At each immunisation event, individual vaccines are recorded as being delivered or declined. This cohort was 'followed' to determine which of these children received or declined the scheduled 3-month and 5-month immunisations.Immunisation providers delivered a full immunisation programme to 10,828/11,927 (90%) of the cohort. Caregivers of 897 (7%) of children declined the 6-week vaccination. Of this group, 872 (97%) also declined the 3-month and 850 (95%) declined the 5-month immunisations, constituting 872/962 (91%) and 850/923 (92%) of all declined immunisations, respectively. In the decline group, there was variability with primary care practice, and differences according to ethnic group and deprivation profile.Increasing Northland's immunisation coverage may require primary care providers to more actively engage with declining caregivers prior to the 3-month and 5-month vaccinations. Immunisation information and decision-making programmes targeted at parents and providers in the antenatal and prenatal period may also be of benefit, in addition to considering regulatory and incentive strategies. en
dc.format.medium Electronic en
dc.language eng en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Vaccination en
dc.subject Registries en
dc.subject Cohort Studies en
dc.subject Poverty Areas en
dc.subject Child en
dc.subject Child, Preschool en
dc.subject Infant en
dc.subject Oceanic Ancestry Group en
dc.subject Immunization Programs en
dc.subject Primary Health Care en
dc.subject New Zealand en
dc.subject Vaccination Refusal en
dc.title Childhood immunisations in Northland, New Zealand: declining care and the journey through the immunisation pathway en
dc.type Journal Article en
pubs.issue 1438 en
pubs.begin-page 15 en
pubs.volume 129 en
dc.description.version VoR - Version of Record en
dc.rights.holder Copyright: New Zealand Medical Association en
dc.identifier.pmid 27447131 en
pubs.end-page 21 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 603765 en
pubs.org-id Faculty of Medical & Hlth Sci en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2017-05-18 en
pubs.dimensions-id 27447131 en


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