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

• Published in: Journal of immigrant and minority health Vol. 19; no. 4; pp. 779 - 789
• Main Authors: Varan, Aiden K., Rodriguez-Lainz, Alfonso, Hill, Holly A., Elam-Evans, Laurie D., Yankey, David, Li, Qian
• Format: Journal Article
• Language: English
• Published: New York Springer Science + Business Media 01.08.2017; Springer US; Springer Nature B.V
• Subjects: Access control; Blood diseases; Child, Preschool; Children; Combined vaccines; Communicable Disease: Risk, Prevention, Diagnosis, and Care; Comparative Law; Demographics; Diphtheria; Dosage; Emigrants and Immigrants - statistics & numerical data; Ethnicity; Health Care Surveys; Healthcare Disparities - ethnology; Hepatitis; Hepatitis A; Hepatitis B; Humans; Immunization; Infant; International & Foreign Law; Kindergarten students; Measles; Medicine; Medicine & Public Health; Minority & ethnic groups; Multivariable control; Original Paper; Pertussis; Poverty; Private International Law; Public Health; Race; Rotavirus; Sociodemographics; Socioeconomic Factors; Sociology; Telephone Surveys; Tetanus; Toxoids; United States; Vaccination Coverage - statistics & numerical data; Vaccines; Varicella; Viruses; Whooping cough; Widening; United States > US; Immunization; Disparities; Vaccine coverage; Foreign-born children
• ISSN: 1557-1912; 1557-1920
• DOI: 10.1007/s10903-016-0465-4

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.