Variation in vaccination coverage among children of Hispanic ancestry
Variation in vaccination coverage among children of Hispanic ancestry
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DOI：
10.1016/s0749-3797(01)00277-x
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发表时间：
2001-05-01
影响因子：
5.5
通讯作者：
Klevens, RM
中科院分区：
文献类型：
--
作者：
Herrera, GA;Zhao, Z;Klevens, RM
西班牙裔儿童的估计疫苗接种覆盖率始终低于白色非西班牙裔儿童。“西班牙裔”定义了美国人口中高度异质的群体;然而，尚未研究按祖先群体划分的疫苗接种覆盖率。本研究探讨了西班牙裔儿童的祖先group.Methods：全国免疫调查（NIS）采用随机数字拨号样本的电话号码在每个州和28个城市地区的疫苗接种覆盖率的差异。国家免疫系统提供的疫苗接种覆盖率信息代表了美国所有的疫苗接种覆盖率。19至35个月的儿童。我们汇总了1996年至1999年的NIS数据，并选择了西班牙裔和白色非西班牙裔儿童进行分析。我们将西班牙裔儿童分为以下祖先群体：墨西哥人，中美洲人，波多黎各人，古巴人，南美洲人和多米尼加人。我们使用t检验来检测西班牙裔儿童之间的覆盖率差异，按组，相比之下，白色非西班牙裔儿童，按疫苗和疫苗系列4：3：1：3。结果：估计的疫苗接种覆盖率为80.1%（95%CI，79.6-80.6）的白色非西班牙裔儿童中的4：3：1：3。波多黎各人的估计覆盖率较低（175.8%; 95% CI，72.1-79.5），古巴人（73.1%; 95% CI，65.1-81.1），墨西哥人（71.7%; 95% CI，69.9-73.5）和中美洲（68.7%; 95% CI，62.0-75.4）儿童，南美儿童中更高（82.0%; 95% CI，75.5-88.5）和多米尼加（82.2%; 95% CI，75.5-88.5）儿童;然而，这些差异仅在波多黎各、墨西哥和中美洲儿童中具有统计学显著性。在生活贫困的儿童中，4：3：1：3的估计覆盖率在墨西哥人中较低，（68.0%; 95% CI，65.1-70.9），中美洲（69.7%; 95% CI，59.8-59.6）和南美（69.0%; 95%CI，50.9-87.1）儿童比非西班牙裔白色儿童（73.4%; 95%CI，71.6-75.2）;然而，这种差异仅在墨西哥儿童中具有显著性。波多黎各（72.9%; 95%CI，65.7-80.1）和多米尼加（80.2%; 95%CI，68.5-91.9）儿童的覆盖率相似或略高于生活在贫困之下的白色非西班牙裔儿童。有必要通过社区改善对西班牙裔美国人疫苗接种覆盖率的监测，如果发现疫苗接种不足，干预措施应与社区需求相匹配。
Estimated vaccination coverage of Hispanic children is consistently lower than that of white non-Hispanic children. "Hispanic ethnicity" defines a highly heterogeneous group of the U.S. population; however, vaccination coverage by ancestry group has not been studied. This study explores differences in vaccination coverage among Hispanic children by ancestry group.Methods: The National Immunization Survey (NIS) uses a random-digit-dial sample of telephone numbers in each state and in 28 urban areas. The NIS provides vaccination coverage information representative of all U,S. children aged 19 to 35 months. We pooled NIS data fr om 1996 through 1999 and selected Hispanic and white non-Hispanic children for analysis. We categorized Hispanic children into the following ancestry groups: Mexican, Central American, Puerto Rican, Cuban, South American, and Dominican. We used t tests to detect differences in coverage between children of Hispanic ancestry, by group, compared to white non-Hispanic children, by vaccine, and the vaccination series 4:3:1:3.Results: Estimated vaccination coverage with 4:3:1:3 was 80.1% (95% CI, 79.6-80.6) among white non-Hispanic children. Estimated coverage was lower among Puerto Rican 175.8%; 95% CI, 72.1-79.5), Cuban (73.1%; 95% CI, 65.1-81.1), Mexican (71.7%; 95% CI, 69.9-73.5), and Central American (68.7%; 95% CI, 62.0-75.4) children, and was higher among South American (82.0%; 95% CI, 75.5-88.5) and Dominican (82.2%; 95% CI, 75.5-88.5) children; however, these differences were only statistically significant for Puerto Rican, Mexican, and Central American children. Among children living in poverty, estimated coverage with 4:3:1:3 was lower among Mexican (68.0%; 95% CI, 65.1-70.9), Central American (69,7%; 95% CI, 59.8-59.6), and South American (69.0%; 95% CI, 50.9-87.1) children than among white non-Hispanic children (73.4%; 95% CI, 71.6-75.2); however, this difference was significant only among Mexican children. Coverage was similar or somewhat higher among Puerto Rican (72.9%; 95% CI, 65.7-80.1) and Dominican (80.2%; 95% CI, 68.5-91.9) children than white non-Hispanic children living below poverty.Conclusions: Findings from the NIS strongly suggest that estimated vaccination coverage among children of Hispanic ancestry varies by group. Improved monitoring of vaccination coverage among Hispanics by community is necessary, and where undervaccination is identified, interventions should be matched to community needs.