Progress toward eliminating disparities in vaccination coverage among U.S. children, 2000-2008

American Journal of Preventive Medicine
Zhen Zhao, Elizabeth T Luman

Abstract

The goal year for the Healthy People 2010 initiative is approaching. This article aims to assess progress toward reaching the overarching goal of eliminating disparities in vaccination coverage among young children in the U.S. Coverage for the 4:3:1:3:3:1 vaccine series (at least four doses of diphtheria-tetanus-pertussis, three poliovirus, one measles-mumps-rubella, three hepatitis B, three Haemophilus influenzae type B, and one varicella vaccine) was assessed among 185,516 children in the 2000-2008 National Immunization Surveys. Observed and adjusted disparities in coverage were evaluated for various sociodemographic groups previously associated with vaccination coverage. Linear trends in disparities were assessed. In 2000, disparities among population segments were significant (p<0.05) for all sociodemographic factors assessed except provider participation in the Vaccines for Children program. By 2008, most disparities were smaller than those in 2000, and racial and urban/suburban/rural differences were reduced to levels below significance. Disparities between children living in suburban versus rural localities narrowed approximately 0.5% per year. Vaccination coverage increased substantially among children in all sociodemog...Continue Reading

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Citations

Apr 30, 2013·Travel Medicine and Infectious Disease·Colleen M McCormick, John S Czachor
Apr 5, 2012·BMC Ophthalmology·Claudia VelaEllen E Freeman
Sep 8, 2010·Pediatrics·Katherine A PoehlingUNKNOWN New Vaccine Surveillance Network
May 24, 2014·American Journal of Preventive Medicine·Joshua L ClaytonMatthew L Boulton
Dec 1, 2012·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Jessica L PeckGeorge E S Reynolds
Dec 15, 2015·American Journal of Preventive Medicine·Mark DredzeKaren M Hilyard
Apr 8, 2015·Applied Clinical Informatics·S J ClarkK J Dombkowski
Aug 31, 2013·Preventive Medicine·Zhen Zhao, Trudy V Murphy
Oct 8, 2016·Current Problems in Pediatric and Adolescent Health Care·Charles ObergLeslie King-Schultz

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