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- Title
Trends in Well-Child Visits and Routine Vaccination among Children of U.S. Military Members: An Evaluation of the COVID-19 Pandemic Effects.
- Authors
Sexton, Kyle; Susi, Apryl; Lee, Elizabeth; Hisle-Gorman, Elizabeth; Rajnik, Michael; Krishnamurthy, Jayasree; Nylund, Cade M.
- Abstract
The COVID-19 pandemic has drastically impacted administration of healthcare including well-child visits and routine vaccinations. The purpose of this study was to determine the impact of COVID-19 pandemic disruption on childhood health maintenance: well-child visits and scheduled vaccinations. We queried the TRICARE Management Activity's Military Health System (MHS) database for outpatient well-child visits and vaccinations for all children 0 to 23 months of age eligible for TRICARE healthcare. The median rate of well-child visits, during the COVID-19 period (March 2020–July 2021), was significantly declined for all demographic groups: all ages, parental military ranks, sex, and regions as compared to the pre-COVID-19 period (February 2019–February 2020). Similar to rates of well-child visits, the rate of vaccinations declined during the COVID-19 period as compared to the pre-COVID-19 period for all demographic groups, except children 12–23 months. Rates of well-child visits for military dependent children under 2 years of age were decreased during the 16 month COVID-19 period, with large increases seen in the first 2 months of the pandemic; the consequences of missed well-child visits and vaccination are unknown.
- Subjects
MILITARY Health System (U.S.); VACCINATION of children; COVID-19 pandemic; MILITARY dependents; CHILDREN of military personnel; MEDICAL care use; VETERANS
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 22, p6842
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11226842