Document Detail


Underimmunization of American Indian and Alaska Native children.
MedLine Citation:
PMID:  18450897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The goal was to determine whether disparities in childhood immunization coverage exist between American Indian/Alaska Native children and non-Hispanic white children. METHODS: We compared immunization coverage with the 4 diphtheria-tetanus-pertussis, 3 poliovirus, 1 measles-mumps-rubella, 3 Haemophilus influenza type b, and 3 hepatitis B(4:3:1:3:3) series and its individual vaccine components (> or = 4 doses of diphtheria, tetanus, and pertussis vaccine; > or = 3 doses of oral or inactivated polio vaccine; > or = 1 dose of measles, mumps, and rubella vaccine; > or = 3 doses of Haemophilus influenzae type b vaccine; and > or = 3 doses of hepatitis B vaccine) between American Indian/Alaska Native children and non-Hispanic white children from 2000 to 2005, using data from the National Immunization Survey. RESULTS: Although immunization coverage increased for both populations from 2001 to 2004, American Indian/Alaska Native children had significantly lower immunization coverage, compared with non-Hispanic white children, over that time period. In 2005, coverage continued to increase for American Indian/Alaska Native children but decreased for non-Hispanic white children, and no statistically significant disparity in 4:3:1:3:3 coverage was evident in that year. CONCLUSIONS: Disparities in immunization coverage for American Indian/Alaska Native children have been present, but unrecognized, since 2001. The absence of a disparity in coverage in 2005 is encouraging but is tempered by the fact that coverage for non-Hispanic white children decreased in that year.
Authors:
Amy V Groom; Michael L Washington; Philip J Smith; Ralph T Bryan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  121     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-02     Completed Date:  2008-06-04     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  938-44     Citation Subset:  AIM; IM    
Affiliation:
Immunization Services Division, National Center for Immunization and Respiratory, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. amy.groom@ihs.gov
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MeSH Terms
Descriptor/Qualifier:
Alaska
Bacterial Capsules
Child
Diphtheria-Tetanus-Pertussis Vaccine / administration & dosage
European Continental Ancestry Group / statistics & numerical data
Haemophilus Vaccines / administration & dosage
Hepatitis B Vaccines / administration & dosage
Humans
Immunization / statistics & numerical data*
Indians, North American / statistics & numerical data*
Inuits / statistics & numerical data*
Measles-Mumps-Rubella Vaccine / administration & dosage
Poliovirus Vaccine, Inactivated / administration & dosage
Polysaccharides, Bacterial / administration & dosage
United States
Chemical
Reg. No./Substance:
0/Bacterial Capsules; 0/Diphtheria-Tetanus-Pertussis Vaccine; 0/Haemophilus Vaccines; 0/Haemophilus influenzae type b polysaccharide vaccine; 0/Hepatitis B Vaccines; 0/Measles-Mumps-Rubella Vaccine; 0/Poliovirus Vaccine, Inactivated; 0/Polysaccharides, Bacterial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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