COVID-19 and Routine Childhood and Adolescent Immunizations: Evidence from Louisiana Medicaid.
COVID-19 and Routine Childhood and Adolescent Immunizations: Evidence from Louisiana Medicaid.
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DOI:
10.1016/j.vaccine.2021.12.022
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发表时间:
2022-02-07
期刊:
影响因子:
5.5
通讯作者:
Callison K
中科院分区:
文献类型:
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作者:
Walker B;Anderson A;Stoecker C;Shao Y;LaVeist TA;Callison K
The COVID-19 pandemic disrupted routine vaccinations for children and adolescents. However, it remains unclear whether the impact has been different for children and adolescents from low-income families. To address this, we compared monthly routine vaccination use per 1000 vaccine-eligible children and adolescents enrolled in Louisiana Medicaid in the years before (2017–2019) and during the COVID-19 pandemic (2020). Compared to the 2017–2019 average vaccination rates, we found a 28% reduction in measles, mumps, and rubella (MMR), a 35% reduction in human papillomavirus (HPV), and a 30% reduction in tetanus, diphtheria, pertussis (Tdap) vaccinations in 2020. Vaccine uptake was lower in April 2020 after the declaration of a state of emergency and in late summer when back-to-school vaccinations ordinarily occur. We found little evidence of recovery in later months. Our findings suggest that a substantial number of disadvantaged children may experience longer periods of vulnerability to preventable infections because of missed vaccinations.
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DOI:
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发表时间:
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DOI:
10.15585/mmwr.mm6942a1
发表时间:
2020-10-23
期刊:
MMWR. Morbidity and mortality weekly report
影响因子:
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