• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of pubhealthrepLink to Publisher's site
Public Health Rep. 1998 Nov-Dec; 113(6): 521–526.
PMCID: PMC1308435

Estimating vaccination coverage using parental recall, vaccination cards, and medical records.

Abstract

OBJECTIVE: To compare estimates based on vaccination cards, parental recall, and medical records of the percentages of children up-to-date on vaccinations for diphtheria, tetanus, and pertussis; polio; and measles, mumps, and rubella. METHOD: The authors analyzed parent interview and medical records data from the Baltimore Immunization Study for 525 2-year-olds born from August 1988 through March 1989 to mothers living in low-income Census tracts of the city of Baltimore. RESULTS: Only one-third of children had vaccination cards; based on medical records, these children had higher up-to-date coverage at 24 months of age than did children without cards. For individual vaccines, only two-thirds of parents could provide information to calculate coverage rates; however, almost all provided enough information to estimate coverage for the primary series. For each vaccine and the series, parental recall estimates were at least 17 percentage points higher than estimates from medical records. For children without vaccination cards whose parents could not provide coverage information, up-to-date rates based on medical records were consistently lower than for children with cards or with parents who provided coverage information. CONCLUSIONS: Population-based vaccine coverage surveys that rely on vaccination cards or parental recall or both may overestimate vaccination coverage.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (2.2M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Williams WO, Dajda R. Validation of sources of pertussis immunisation data. J Epidemiol Community Health. 1980 Dec;34(4):309–311. [PMC free article] [PubMed]
  • Guyer B, Hughart N, Holt E, Ross A, Stanton B, Keane V, Bonner N, Dwyer DM, Cwi JS. Immunization coverage and its relationship to preventive health care visits among inner-city children in Baltimore. Pediatrics. 1994 Jul;94(1):53–58. [PubMed]
  • Keane V, Stanton B, Horton L, Aronson R, Galbraith J, Hughart N. Perceptions of vaccine efficacy, illness, and health among inner-city parents. Clin Pediatr (Phila) 1993 Jan;32(1):2–7. [PubMed]
  • Hughart N, Guyer B, Stanton B, Strobino D, Holt E, Keane V, Ross A, Horton L. Do provider practices conform to the new pediatric immunization standards? Arch Pediatr Adolesc Med. 1994 Sep;148(9):930–935. [PubMed]
  • Frank RG, Dewa CS, Holt E, Hughart N, Strobino D, Guyer B. The demand for childhood immunizations: results from the Baltimore Immunization Study. Inquiry. 1995 Summer;32(2):164–173. [PubMed]
  • Holt E, Guyer B, Hughart N, Keane V, Vivier P, Ross A, Strobino D. The contribution of missed opportunities to childhood underimmunization in Baltimore. Pediatrics. 1996 Apr;97(4):474–480. [PubMed]
  • Strobino D, Keane V, Holt E, Hughart N, Guyer B. Parental attitudes do not explain underimmunization. Pediatrics. 1996 Dec;98(6 Pt 1):1076–1083. [PubMed]
  • Hughart N, Vivier P, Ross A, Strobino D, Holt E, Hou W, Guyer B. Are immunizations an incentive for well-child visits? Arch Pediatr Adolesc Med. 1997 Jul;151(7):690–695. [PubMed]
  • Hughart N, Guyer B, Stanton B, Strobino D, Holt E, Keane V, Ross A, Horton L. Do provider practices conform to the new pediatric immunization standards? Arch Pediatr Adolesc Med. 1994 Sep;148(9):930–935. [PubMed]
  • Ross A, Kennedy AB, Holt E, Guyer B, Hou W, Hughart N. Initiating the first DTP vaccination age-appropriately: a model for understanding vaccination coverage. Pediatrics. 1998 Jun;101(6):970–974. [PubMed]
  • Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159–174. [PubMed]
  • Goldstein KP, Kviz FJ, Daum RS. Accuracy of immunization histories provided by adults accompanying preschool children to a pediatric emergency department. JAMA. 1993 Nov 10;270(18):2190–2194. [PubMed]
  • Wood D, Donald-Sherbourne C, Halfon N, Tucker MB, Ortiz V, Hamlin JS, Duan N, Mazel RM, Grabowsky M, Brunell P, et al. Factors related to immunization status among inner-city Latino and African-American preschoolers. Pediatrics. 1995 Aug;96(2 Pt 1):295–301. [PubMed]
  • Orenstein WA, Atkinson W, Mason D, Bernier RH. Barriers to vaccinating preschool children. J Health Care Poor Underserved. 1990 Winter;1(3):315–330. [PubMed]

Articles from Public Health Reports are provided here courtesy of Association of Schools of Public Health

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles
  • Substance
    Substance
    PubChem Substance links