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Showing content from http://www.ncbi.nlm.nih.gov/pubmed/37362397 below:

Disrupted Routine Medical Visits in Children and Adolescents During the COVID-19 Pandemic, January-June 2021

. 2023 Jun 8;2(4):100119. doi: 10.1016/j.focus.2023.100119. Online ahead of print. Disrupted Routine Medical Visits in Children and Adolescents During the COVID-19 Pandemic, January-June 2021

Affiliations

¹ Project Imhotep, Morehouse College, 830 Westview Dr SW, Atlanta, GA 30314 United States.
² Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Immunization Services Division, 1600 Clifton Rd, NE Mailstop H24-4, Atlanta, GA 30333 United States.
³ Leidos Health, 2295 Parklake Dr NE, Atlanta, GA 30345 United States.

PMID: 37362397
PMCID: PMC10247587
DOI: 10.1016/j.focus.2023.100119

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Disrupted Routine Medical Visits in Children and Adolescents During the COVID-19 Pandemic, January-June 2021

Samira M Badeh et al. AJPM Focus. 2023.

. 2023 Jun 8;2(4):100119. doi: 10.1016/j.focus.2023.100119. Online ahead of print. Affiliations

¹ Project Imhotep, Morehouse College, 830 Westview Dr SW, Atlanta, GA 30314 United States.
² Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Immunization Services Division, 1600 Clifton Rd, NE Mailstop H24-4, Atlanta, GA 30333 United States.
³ Leidos Health, 2295 Parklake Dr NE, Atlanta, GA 30345 United States.

PMID: 37362397
PMCID: PMC10247587
DOI: 10.1016/j.focus.2023.100119

Item in Clipboard

Abstract

Introduction: Recent studies have indicated the coronavirus disease 2019 (COVID-19) pandemic has disrupted routine vaccinations. This study describes the prevalence and characteristics of children and adolescents experiencing disrupted routine vaccination and other medical visits in the United States between January and June 2021.

Methods: The National Immunization Surveys were the source of data for this cross-sectional analysis (n= 86,893). Parents/guardians of children aged 6 months through 17 years were identified through random digit dialing of cellular phone numbers and interviewed. Disrupted visits were assessed by asking, "In the last two months, was a medical check-up, well child visit, or vaccination appointment for the child delayed, missed, or not scheduled for any reason?" Respondents answering yes were asked "Was it because of COVID-19?" Sociodemographic characteristics of children/adolescents with (1) COVID-19-related missed visits and (2) non-COVID-19-related missed visits were examined. Statistical differences within demographic subgroups were determined using t-tests, with p<0.05 considered statistically significant. Linear regression models were used to examine trends in disrupted visits over time.

Results: An estimated 7.9% of children/adolescents had a missed visit attributed to COVID-19; 5.2% had a missed visit that was not COVID-19-related. Among children/adolescents with a COVID-19-related missed visit, a higher percentage were of minority race or ethnicity, lived below the poverty level, had a mother without a college degree, and lived in the western United States. There was a significant decline in COVID-19-related missed visits over time.

Conclusion: COVID-19 disrupted routine vaccination or other medical visits inequitably. Catch-up immunizations are essential for achieving adequate vaccination of all children/adolescents.

Keywords: Adolescent vaccination; COVID-19; Childhood vaccination; Disrupted medical visit; National Immunization Survey.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures
Figure 1

Distribution of COVID-19–related missed visits…

Figure 1

Distribution of COVID-19–related missed visits by state/territory of residence, NIS, U.S., January–June 2021.

Figure 1

Distribution of COVID-19–related missed visits by state/territory of residence, NIS, U.S., January–June 2021.

Figure 2

COVID-19–related and non-COVID-19–related missed vaccination…

Figure 2

COVID-19–related and non-COVID-19–related missed vaccination and other medical visits among children and adolescents,…

Figure 2

COVID-19–related and non-COVID-19–related missed vaccination and other medical visits among children and adolescents, January–June 2021, NIS, U.S. *Linear relationship between data collection month and percentage of children/adolescents with missed visits was estimated with weighted linear regression analysis using the inverse of the estimated variance of each point estimate to construct the weights. The p-values evaluate whether the slope of the linear regression lines differ from zero.