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

消除美国种族和民族人口之间的健康差距是一项重大的公共卫生 进球。然而，近年来，黑人和白人儿童之间的免疫接种率存在差异。 一直在增加(朱等人)。通过这个项目，我们的目标是确定、实施和评估干预措施 这将在统计上显著减少免疫覆盖率的种族差异。 在19-35个月大的非西班牙裔黑人和西班牙裔儿童和非西班牙裔白人儿童之间 纽瓦克大都会，新泽西州。。 本RFA申请者最近与州和地方公共卫生合作所做的努力 当局和当地社区组织的合作，大大提高了免疫接种率 在新泽西州纽瓦克的黑人和西班牙裔学龄前儿童中。然而，周围的孩子们 社区并没有享受到类似的成功。 我们的具体目标是： 1.召集一个由曾参与下列活动的关键人士组成的专家委员会 在新泽西州纽瓦克，受影响的免疫接种率仔细检查这些活动并开发可扩展的模型 可以出口到新泽西州纽瓦克周围的地区。 2.在免疫接种差距最大的社区实施这一模式 19-35个月儿童的覆盖率和 3.开发和实施以电话为基础的免疫调查工具，以便 评估基线比率和确定区域，以实施干预模式，并每年进行 评估项目进展情况的调查。 提高儿童免疫接种率对于降低可预防疾病的发病率至关重要 并确保社区的健康。

eliminating health disparities among racial and ethnic poplations in the United Sitat.es 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 ommunities 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 areasto 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 ensuringfavorable health in the community.