Yaohua Gu, Wenwen Wu, Chan Kong, Qiaoqian Luo, Li Ran, Xiaodong Tan, Qing Zhang
Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study
The journals of gerontology. Series A, Biological sciences and medical sciences
adequate childhood vaccination rates crucial successful control infectious diseases nevertheless exemption requests lack health care access information barriers reduce vaccination adherence rates increase risk epidemics study aimed identify factors associated kindergarten vaccination adherence houston independent school district hisd study retrospective observational data analysis study used data 155 elementary schools hisd data sets included 1 elementary school profile reports 20152016 2 annual report immunization status 20162017 logistic regression used examine association vaccination adherence schools schools student demographic economic profile student behavior indicators teacher profile school rank binary variable measuring adequate vaccination adherence rates schools main outcome variable lower vaccination adherence among kindergarten students associated higher enrollment higher percentage african american students students english second language lower percentage giftedtalented students schools school characteristics found significantly associated kindergarten student vaccination adherence study ones historically associated socioeconomic determinants health socioeconomic privilege hence findings study suggest need development policies interventions help overcome barriers associated low socioeconomic status language marginalization order improve vaccination rates school districts include culturally appropriate polices health promotion patient navigation educational interventions overcome challenges faced socially economically vulnerable minorities immigrant communities order improve vaccination rates