Reduction of Disparities in Childhood Immunization Rates: Essex County, NJ

描述(由申请人提供)：消除美国种族和民族人口之间的健康差距是一个主要的公共卫生目标。然而，近年来，黑人和白人儿童之间的免疫接种率差异一直在增加(Chu等人)。通过这个项目，我们的目标是确定、实施和评估干预措施，这些干预措施将在统计上显著减少新泽西州纽瓦克大都市19-35个月的非西班牙裔黑人和西班牙裔儿童与非西班牙裔白人儿童之间的免疫接种覆盖率水平的种族差异。。该RFA的申请者最近与州和地方公共卫生当局以及当地社区组织合作，使新泽西州纽瓦克市黑人和拉美裔学龄前儿童的免疫接种率显著提高。然而，周边社区的儿童并没有享受到类似的成功。我们的具体目标是：1.召集一个由参与影响新泽西州纽瓦克免疫接种率的活动的关键个人组成的专家委员会，仔细审查这些活动，并开发一个可出口到新泽西州纽瓦克周围地区的可扩展模式。提高儿童免疫接种率对于减少可预防疾病的发病率和确保社区的良好健康至关重要。

DESCRIPTION (provided by applicant): Eliminating health disparities among racial and ethnic populations in the United States is a major public health goal. However, in recent years, disparities in immunization rates between black and white children have been increasing (Chu et al). Through this project we aim to identify, implement and evaluate interventions that will result in a statistically significant reduction in racial disparities in immunization coverage levels between non-Hispanic black and Hispanic children 19-35 months of age and non-Hispanic white children in metropolitan Newark, New Jersey. . Recent efforts on the part of the applicants of this RFA, in collaboration with state and local public health authorities and local community organizations, have resulted in significant increases in immunization rates among black and Hispanic preschool children in Newark, New Jersey. However, children in surrounding communities have not enjoyed similar success. Our specific aims are: 1. to convene an expert committee of key individuals who have been involved in activities that have impacted immunization rates in Newark, NJ, carefully examine those activities and develop a scalable model that can be exported to areas surrounding Newark, NJ. 2. Implement the model in those communities that demonstrate the greatest disparity in immunization coverage rates in children 19-35 months and 3. Develop and implement a telephone -based immunization survey instrument which would facilitate evaluation of baseline rates and identify areas to implement the intervention model, as well as conduct yearly surveys to evaluate the project's progress. Increasing childhood immunization rates is essential in decreasing the incidence of preventable diseases and ensuring favorable health in the community.