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Preventive medicine · May 2022
Missed routine pediatric care and vaccinations in US children during the first year of the COVID-19 pandemic.
- Chloe A Teasdale, Luisa N Borrell, Yanhan Shen, Spencer Kimball, Rebecca Zimba, Sarah Kulkarni, Madhura Rane, Michael L Rinke, Sasha A Fleary, and Denis Nash.
- Department of Epidemiology and Biostatistics, City University of New York (CUNY) Graduate School of Public Health and Health Policy (SPH), New York, NY, USA; Institute for Implementation Science in Population Health, CUNY, New York, NY, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. Electronic address: chloe.teasdale@sph.cuny.edu.
- Prev Med. 2022 May 1; 158: 107025107025.
AbstractThe COVID-19 pandemic has decreased uptake of pediatric preventive care, including immunizations. We estimate the prevalence of missed pediatric routine medical visits and vaccinations over the first year of the COVID-19 pandemic. We conducted a cross-sectional online survey of 2074 US parents of children ≤12 years in March 2021 to measure the proportion of children who missed pediatric care and vaccinations over the first 12 months of the COVID-19 pandemic. Poisson regression models were fitted to estimate adjusted prevalence ratios (aPR). All analyses were weighted to represent the target population. Overall, 41.3% (95%CI 38.3-43.8) of parents reported their youngest child missed a routine medical visit due to the COVID-19 pandemic. Missed care was more common among children ≥2 years compared to <2 years (aPR 1.82; 95%CI 1.47-2.26) and Hispanics compared to non-Hispanic Whites (aPR 1.31; 95%CI 1.14-1.51). A third of parents (33.1%; 95%CI 30.7-35.5) reported their child had missed a vaccination. Compared to the 2019-20 flu season, pediatric influenza vaccination decreased in 2020-21 (51.3% vs. 62.2%; p < 0.0001). A high proportion of US children ≤12 years missed routine pediatric care during the COVID-19 pandemic. Catch-up efforts are needed to ensure continuity of preventive care for all children.Copyright © 2022 Elsevier Inc. All rights reserved.
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