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Vaccination Coverage Disparities Between Foreign-Born and U.S.-Born Children Aged 19-35 Months, United States, 2010-2012.
- Source :
-
Journal of Immigrant & Minority Health . Aug2017, Vol. 19 Issue 4, p779-789. 11p. - Publication Year :
- 2017
-
Abstract
- Healthy People 2020 targets high vaccination coverage among children. Although reductions in coverage disparities by race/ethnicity have been described, data by nativity are limited. The National Immunization Survey is a random-digit-dialed telephone survey that estimates vaccination coverage among U.S. children aged 19-35 months. We assessed coverage among 52,441 children from pooled 2010-2012 data for individual vaccines and the combined 4:3:1:3*:3:1:4 series (which includes ≥4 doses of diphtheria, tetanus, and acellular pertussis vaccine/diphtheria and tetanus toxoids vaccine/diphtheria, tetanus toxoids, and pertussis vaccine, ≥3 doses of poliovirus vaccine, ≥1 dose of measles-containing vaccine, ≥3 or ≥4 doses of Haemophilus influenzae type b vaccine (depending on product type of vaccine; denoted as 3* in the series name), ≥3 doses of hepatitis B vaccine, ≥1 dose of varicella vaccine, and ≥4 doses of pneumococcal conjugate vaccine). Coverage estimates controlling for sociodemographic factors and multivariable logistic regression modeling for 4:3:1:3*:3:1:4 series completion are presented. Significantly lower coverage among foreign-born children was detected for DTaP, hepatitis A, hepatitis B, Hib, pneumococcal conjugate, and rotavirus vaccines, and for the combined series. Series completion disparities persisted after control for demographic, access-to-care, poverty, and language effects. Substantial and potentially widening disparities in vaccination coverage exist among foreign-born children. Improved immunization strategies targeting this population and continued vaccination coverage monitoring by nativity are needed. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHI-squared test
*COMPARATIVE studies
*CONFIDENCE intervals
*DPT vaccines
*HEALTH services accessibility
*HEALTH status indicators
*HAEMOPHILUS influenzae
*IMMIGRANTS
*IMMUNIZATION
*IMMUNIZATION of children
*HEALTH insurance
*INTERVIEWING
*RESEARCH methodology
*MEASLES vaccines
*MEDICAL protocols
*MULTIVARIATE analysis
*PNEUMOCOCCAL vaccines
*POLIOMYELITIS vaccines
*PROBABILITY theory
*RACE
*RESEARCH funding
*SURVEYS
*T-test (Statistics)
*TELEPHONES
*VACCINES
*LOGISTIC regression analysis
*CHICKENPOX vaccines
*DATA analysis software
*ROTAVIRUS vaccines
*CHILDREN
*VACCINATION
Subjects
Details
- Language :
- English
- ISSN :
- 15571912
- Volume :
- 19
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Immigrant & Minority Health
- Publication Type :
- Academic Journal
- Accession number :
- 124131319
- Full Text :
- https://doi.org/10.1007/s10903-016-0465-4