Vaccination Coverage Disparities Between Foreign-Born and U.S.-Born Children Aged 19-35 Months, United States, 2010-2012.

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.

• Authors: Aiden K Varan, Alfonso Rodriguez-Lainz, Holly A Hill, Laurie D Elam-Evans, David Yankey, Qian Li
• Journal: Journal of immigrant and minority health (J Immigr Minor Health) Vol. 19 Issue 4 Pg. 779-789 (08 2017) ISSN: 1557-1920 [Electronic] United States
• PMID: 27480159 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)

Topics

• Child, Preschool
• Emigrants and Immigrants (statistics & numerical data)
• Health Care Surveys
• Healthcare Disparities (ethnology)
• Humans
• Infant
• Socioeconomic Factors
• United States
• Vaccination Coverage (statistics & numerical data)