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Comparative Study
. 2004 Jun;94(6):973-7.
doi: 10.2105/ajph.94.6.973.

Racial/ethnic disparities in preschool immunizations: United States, 1996-2001

Susan Y Chu  1 , Lawrence E Barker, Philip J Smith
Affiliations
Comparative Study

Racial/ethnic disparities in preschool immunizations: United States, 1996-2001

Susan Y Chu et al. Am J Public Health. 2004 Jun.

Abstract

Objectives: We examined current racial/ethnic differences in immunization coverage rates among US preschool children.

Methods: Using National Immunization Survey data from 1996 through 2001, we compared vaccination coverage rates between non-Hispanic White, non-Hispanic Black, Hispanic, and Asian preschool children.

Results: During the 6-year study period, the immunization coverage gap between White and Black children widened by an average of 1.1% each year, and the gap between White and Hispanic children widened by an average of 0.5% each year. The gap between White and Asian children narrowed by an average of 0.8% each year.

Conclusions: Racial/ethnic disparities in preschool immunization coverage rates have increased significantly among some groups; critical improvements in identifying, understanding, and addressing race/ethnicity-specific health care differences are needed to achieve the Healthy People 2010 goal of eliminating disparities.

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Figures

FIGURE 1—
FIGURE 1—
4:3:1:3:3 coverage: non-Hispanic Whites vs non-Hispanic Blacks. Note. 4:3:1:3:3 = 4 or more doses of diphtheria and tetanus toxoids and (acellular) pertussis vaccine; 3 or more doses of poliovirus vaccine; 1 or more doses of measles-containing vaccine; 3 or more doses of Haemophilus influenzae type b vaccine; and 3 or more doses of hepatitis B vaccine. Dashed lines are 95% confidence intervals for the regression line. β = 1.14; 95% CI = 0.46, 1.83; P = .01.
FIGURE 2—
FIGURE 2—
4:3:1:3:3 coverage: non-Hispanic Whites vs Hispanics. Note. 4:3:1:3:3 = 4 or more doses of diphtheria and tetanus toxoids and (acellular) pertussis vaccine; 3 or more doses of poliovirus vaccine; 1 or more doses of measles-containing vaccine; 3 or more doses of Haemophilus influenzae type b vaccine; and 3 or more doses of hepatitis B vaccine. Dashed lines are 95% confidence intervals for the regression line. β = 0.59; 95% CI = −0.36, 1.54; P = .14.
FIGURE 3—
FIGURE 3—
4:3:1:3:3 coverage: non-Hispanic Whites vs Asians. Note. 4:3:1:3:3 = 4 or more doses of diphtheria and tetanus toxoids and (acellular) pertussis vaccine; 3 or more doses of poliovirus vaccine; 1 or more doses of measles-containing vaccine; 3 or more doses of Haemophilus influenzae type b vaccine; and 3 or more doses of hepatitis B vaccine. Dashed lines are 95% confidence intervals for the regression line. β = −0.80; 95% CI = −1.64, 0.04; P = .06.
See this image and copyright information in PMC

Comment in

  • Disparities in immunizations.
    Barker LE, Chu SY, Smith PJ. Barker LE, et al. Am J Public Health. 2004 Jun;94(6):906. doi: 10.2105/ajph.94.6.906. Am J Public Health. 2004. PMID: 15249284 Free PMC article. No abstract available.

References

    1. Luman ET, Barker LE, Simpson DM, Rodewald LE, Szilagyi PG, Zhao Z. National, state, and urban-area vaccination-coverage levels among children aged 19–35 months, United States, 1999. Am J Prev Med. 2001;20(suppl 4):88–153. - PubMed
    1. Centers for Disease Control and Prevention. Vaccination coverage by race/ethnicity and poverty level among children aged 19–35 months—United States, 1997. MMWR Morb Mortal Wkly Rep. 1998;47:956–959. - PubMed
    1. Herrera GA, Zhao Z, Klevens RM. Variation in vaccination coverage among children of Hispanic ancestry. Am J Prev Med. 2001;20(suppl 1):69–74. - PubMed
    1. Wood DL, Sherbourne CD, Halfon N, et al. Factors related to immunization status among inner-city Latino and African American preschoolers. Pediatrics. 1995;96:295–301. - PubMed
    1. Kenyon TA, Matuck MA, Stroh G. Persistent low immunization coverage among inner-city preschool children despite access to free vaccine. Pediatrics. 1998;101:612–616. - PubMed

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