Insight into barriers and action to improve immunization of children experiencing homelessness

Abstract

Gennaro et al assessed parental attitudes as well as barriers to receiving immunizations among young children experiencing homelessness in the Washington, DC area. The work represents an important contribution in a significantly under-researched area in the domain of childhood immunization. A strength of the study is inclusion of questions in the survey that go beyond sociodemographic characteristics and access, eg, concerns and attitudes about immunizations (Figure). The children's immunization records were used to assess and verify immunization status. Comparing survey results of parents whose children were and were not age-appropriately immunized, they found that attitudes and concerns about vaccines, and barriers to receipt, were not dissimilar between groups (nor were they different from concerns of parents not experiencing homelessness). Alas, it is not easy to accomplish the required visits for immunization for any parent living under these circumstances. An important difference between fully immunized and under-immunized, however, was found that is immediately actionable and likely would improve immunization status. Children who were enrolled in the Special Supplemental Nutritional Program for Women, Infants and Children (WIC) or in a licensed daycare were 3 times more likely to be up to date with immunizations. Both programs routinely assess immunization status. The overall rate of enrollment of children experiencing homelessness in either of these programs was low (approximately 50%) as was overall up-to-date status of immunizations (approximately 50%). Enrollment in government-regulated programs have substantial benefits, and enrollment should be addressed and encouraged whenever and wherever this especially vulnerable population comes into contact with any tentacle of our healthcare system. Article page 246 ▸ Parental Beliefs, Logistical Challenges, and Improvement Opportunities for Vaccination among Children Ages 19-35 Months Experiencing HomelessnessThe Journal of PediatricsVol. 236PreviewTo examine parental beliefs and logistical challenges to early childhood vaccination completion as well as opportunities to support improved vaccine uptake among families experiencing homelessness. Full-Text PDF