Affiliation:
1. From the Centers for Disease Control and Prevention, National Immunization Program, Atlanta, Georgia
Abstract
Objective. To compare coverage estimates of foreign-born children 19 to 35 months old with those of US-born children of the same age group.
Methods. The National Immunization Survey is a multistage, random-digit dialing survey designed to measure vaccination coverage estimates of US children 19 to 35 months old. Data from 1999–2000 were combined to permit comparison of vaccination coverage among foreign- and US-born children.
Results. Foreign-born and US-born children 19 to 35 months of age had comparable 3:3:1 series coverage (3 or more doses of diphtheria and tetanus toxoids and pertussis vaccine [DTP/DTaP/DT], 3 or more doses of poliovirus vaccine, and 1 or more doses of measles-containing vaccine), the standard in most countries. However, coverage for a US standard, 4:3:1:3 series (4 or more doses of DTP/DTaP/DT, 3 or more doses of poliovirus vaccine, 1 or more doses of measles-containing vaccine, and an adequate number of Haemophlius influenzae type b [Hib] doses based on age at first dose) was lower among foreign-born children because of markedly lower Hib cover and marginally lower DTP/DTaP/DT coverage. In addition, hepatitis B coverage was markedly lower in foreign-born children.
Conclusion. Lower vaccination coverage among foreign-born children, especially against Hib and hepatitis B, is of concern because foreign-born children often live in households and communities characterized by more intense exposure to these diseases, and many originate from countries with much higher prevalence rates of these diseases than the United States. The differences in Hib and hepatitis B coverage suggest a need for increased culturally competent public health immunization interventions to increase coverage among foreign-born children.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology, and Child Health
Reference10 articles.
1. Centers for Disease Control and Prevention. National Center for Infectious Diseases. Travelers’ Health. International adoptions. Available at: http://www.cdc.gov/travel/other/adoption.htm. Accessed January 23, 2002
2. Illegal Immigration Reform and Immigrant Responsibility Act of 1996, Pub L No. 10–208, 110 Stat 3009;341 (9) (2)
3. Smith PJ, Battaglia MP, Huggins VJ, et al. Overview of the sampling design and statistical methods used in the National Immunization Survey. Am J Prev Med.2001;20(suppl 4):17–24
4. Zell ER, Ezzati-Rice TM, Battaglia MP, Wright RA. National Immunization Survey: the methodology of a vaccination surveillance system. Public Health Rep.2000;115:65–77
5. Epidemiology and Prevention of Vaccine-Preventable Diseases. 5th ed. Appendix A. Atlanta, GA: US Department of Health and Human Services; 1999
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