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PROS Polio Immunization Delivery Study (PIDS)

Practitioner Policies and Beliefs and Practice Immunization Rates


PROS Pearls:

* This study examined if the change from an all-OPV poliovirus vaccine schedule to an IPV-containing schedule has adversely affected the immunization status of young children in the United States.

*The immunization policies and beliefs of the practitioners were compared to practice immunization rates of children at 8 and 19 months of age. Special emphasis was placed on those policies recommended in the Standards for Pediatric Immunization Practices. Little association was found between many policies and beliefs.

*Accepting fewer contraindications for immunization, however, was associated with significantly higher practice immunization rates at both 8 and 19 moths of age.

*Similarly, practices in which IPV was recommended had higher immunization rates than those that had another poliovirus vaccine policy.

*Administering a higher number of vaccines at one visit was associated with higher practice immunization rates at 8 months, but not 19 months of age.


For the main part of the project, data were collected between March 1998 and December 1999; immunization information was obtained on over 13,000 children, aged 8 - 35 months, in 174 practices. Immunization data were abstracted from the medical records of children, 8- 35 months old, seen consecutively for any reason in the offices of practicing pediatricians who are members of the Pediatric Research in Office Settings (PROS) network of the American Academy of Pediatrics (AAP) or the National Medical Association (NMA). The PROS/NMA Polio Immunization Delivery Study (PIDS) was funded by the Centers for Disease Control and Prevention and the Health Resources and Services Administration Maternal and Child Health Bureau.

The citation and link to the manuscript follows below:

Taylor JA, Darden PM, Brooks DA, Hendricks JW, Baker AE, Wasserman RC. Practitioner policies and beliefs and practice immunization rates: A study from PROS and the National Medical Association. Pediatrics 2002; 109: 294-300.


Manuscript writing continues.




Core support for the PROS network is provided by a grant from the Health Resources and Services Administration Maternal and Child Health Bureau

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