@article{f97f227b950846a4a5f6550ec96f3f85,
title = "Missed routine pediatric care and vaccinations in US children during the first year of the COVID-19 pandemic",
abstract = "The 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.",
author = "Teasdale, {Chloe A.} and Borrell, {Luisa N.} and Yanhan Shen and Spencer Kimball and Rebecca Zimba and Sarah Kulkarni and Madhura Rane and Rinke, {Michael L.} and Fleary, {Sasha A.} and Denis Nash",
note = "Funding Information: This study was funded by the CUNY Institute for Implementation Science in Population Health , New York, NY, USA. Author contributions: Chloe Teasdale: conceptualization, study methodology including survey instrument, data analysis and manuscript drafting; Yanhan Shen and Rebecca Zimba: data analysis, visualization and manuscript review; Luisa Borrell and Denis Nash: study methodology, survey instrument design, data review, and manuscript writing and editing; Spencer Kimball: sampling methodology, data procurement and cleaning, and manuscript review; Michael Rinke, Madhura Rane, Sarah Kulkarni and Sasha Fleary: survey instrument design and manuscript writing and editing review. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. Funding Information: This study was funded by the CUNY Institute for Implementation Science in Population Health, New York, NY, USA. Author contributions: Chloe Teasdale: conceptualization, study methodology including survey instrument, data analysis and manuscript drafting; Yanhan Shen and Rebecca Zimba: data analysis, visualization and manuscript review; Luisa Borrell and Denis Nash: study methodology, survey instrument design, data review, and manuscript writing and editing; Spencer Kimball: sampling methodology, data procurement and cleaning, and manuscript review; Michael Rinke, Madhura Rane, Sarah Kulkarni and Sasha Fleary: survey instrument design and manuscript writing and editing review. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. This study was funded by the CUNY Institute for Implementation Science in Population Health, New York, NY, USA. The study was internally funded by the researchers' institution. Chloe Teasdale: conceptualization, investgation, methodology, formal analysis, supervision, writing-original draft; Yanhan Shen and Rebecca Zimba: formal analysis, visualization and writing-review; Luisa Borrell and Denis Nash: methodology, resources, and writing-review; Spencer Kimball: methodology, data curation and writing-review; Michael Rinke, Madhura Rane, Sarah Kulkarni and Sasha Fleary: methodology and writing-review. Publisher Copyright: {\textcopyright} 2022 Elsevier Inc.",
year = "2022",
month = may,
doi = "10.1016/j.ypmed.2022.107025",
language = "English (US)",
volume = "158",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",
}
