Susmita Pati|Kristen A. Feemster|Zeinab Mohamad|Alex Fiks|Robert W. Grundmeier|Avital Cnaan
Maternal Health Literacy and Late Initiation of Immunizations Among an Inner-City Birth Cohort
Children's Hospital of Philadelphia|University of Pennsylvania|Children's Hospital of Philadelphia|University of Pennsylvania|Children's Hospital of Philadelphia|Children's National
determine maternal health literacy influences early infant immunization status longitudinal prospective cohort study 506 medicaideligible motherinfant dyads immunization status age 3 7 months assessed relation maternal health literacy measured birth using test functional health literacy adults short version multivariable logistic regression quantified effect maternal health literacy immunization status adjusting relevant covariates cohort consists primarily africanamerican 87 single 87 mothers mean age 234 years health literacy inadequate marginal among 24 mothers immunizations uptodate among 73 infants age 3 months 43 7 months maternal health literacy significantly associated immunization status either 3 7 months multivariable analysis compared infants delayed immunizations 3 months infants uptodate immunizations 3 months 113 times 95ci 60213 likely uptodate 7 months strong predictors uptodate immunization status 3 months maternal education high school graduate beyond attending hospitalaffiliated clinic though maternal health literacy associated immunization status cohort later immunization status strongly predicted immunization status 3 months results support importance intervening early age ensure infants fully protected vaccine preventable diseases