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- Title
Effect of Vaccination Coordinators on Socioeconomic Disparities in Immunization Among the 2006 Connecticut Birth Cohort.
- Authors
Kattan, Jessica A.; Kudish, Kathy S.; Cadwell, Betsy L.; Soto, Kristen; Hadler, James L.
- Abstract
Objectives. We examined socioeconomic status (SES) disparities and the influence of state Immunization Action Plan-funded vaccination coordinators located in low-SES areas of Connecticut on childhood vaccination up-to-date (UTD) status at age 24 months. Methods. We examined predictors of underimmunization among the 2006 birth cohort (n = 34 568) in the state's Immunization Information System, including individual demographic and SES data, census tract SES data, and residence in an area with a vaccination coordinator. We conducted multilevel logistic regression analyses. Results. Overall, 81% of children were UTD. Differences by race/ethnicity and census tract SES were typically under 5%. Not being UTD at age 7 months was the strongest predictor of underimmunization at age 24 months. Among children who were not UTD at age 7 months, only Medicaid enrollment (adjusted odds ratio [AOR] = 0.6; 95% confidence interval [CI] = 0.5, 0.7) and residence in an area with a vaccination coordinator (AOR = 0.7; 95% CI = 0.6, 0.9) significantly decreased the odds of subsequent underimmunization. Conclusions. SES disparities associated with underimmunization at age 24 months were limited. Efforts focused on vaccinating infants born in low SES circumstances can minimize disparities.
- Subjects
CONNECTICUT; MEDICAID statistics; MEDICAID; COMMUNITY health workers; CONFIDENCE intervals; EPIDEMIOLOGY; HEALTH services accessibility; HEALTH status indicators; IMMUNIZATION; LONGITUDINAL method; EVALUATION of medical care; MEDICAL protocols; STATISTICS; DATA analysis; MULTIPLE regression analysis; RESIDENTIAL patterns; SECONDARY analysis; SOCIOECONOMIC factors; PREDICTIVE validity; STATISTICAL models; DESCRIPTIVE statistics; CHILDREN; HISTORY
- Publication
American Journal of Public Health, 2014, Vol 104, Issue 1, pe74
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301418