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Arch Pediatr Adolesc Med. 1998;152:208-209.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We are writing in regard to the article by Zimmerman et al, "A National Survey to Understand Why Physicians Defer Childhood Immunizations."¹ In a similar survey performed at Raymond Blank Memorial Hospital for Children in Des Moines, Iowa, we found somewhat similar results.

The purpose of our study was to determine the closeness with which recommended immunization guidelines² were followed by Iowa physicians. A questionnaire, "Childhood Immunization Practices Survey," was sent to all general practitioners, family practice specialists, and pediatricians licensed in the state of Iowa. Physician respondents were characterized by specialty, years of practice, population of community where practice was located, and number of physicians in the practice group. The relationship of 3 of these variables (specialty, years of practice, and community size) to immunization practices was then investigated. Each community size (<5000, 5000-14999, 15000-49999, and 50000) was uniformly represented in this survey. A smaller proportion of the general . . . [Full Text of this Article]