Risk Factors for Delayed Immunization Against Measles, Mumps, and Rubella in Colorado Two-Year-Olds

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Abstract
Objectives. 1) To examine a wide range of potential risk factors for delayed childhood immunization against measles, mumps, and rubella and 2) to determine the parental response to proposed solutions regarding the problem of delayed childhood immunization. Design. A case-control study in which subjects had (controls) or had not (cases) received measles, mumps, and rubella vaccine (MMR) by 2 years of age. Parents of subjects were also surveyed to find out whether they thought selected proposals to improve immunization rates would be successful. Results. Maternal education of high school or less at the time of the child's birth, more than or equal to two moves between birth and age 2, maternal age Conclusions. Based on our findings of the importance of immunization knowledge and demographic characteristics as risk factors for delayed immunization, we suggest that a message (the recommended age for immunizations) and a target group for that message (families who move frequently, have older children, and are headed by younger parents) be evaluated as an intervention to improve immunization rates.

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