Comparing vaccination coverage of American Indian children with White children in North Dakota.

Abstract:

OBJECTIVES:The objective of this study was to compare immunization rates of American Indian (AI) and White children in North Dakota and identify disparities in immunization rates by race. STUDY DESIGN:The study design was to assess immunization coverage rates by race using immunization information system (IIS) data. METHODS:Data from the North Dakota Immunization Information System (NDIIS) for children aged 19-35 months during quarter four of 2014, 2015, 2016, 2017 and 2018 were used to assess and compare immunization coverage rates for AI and White children. NDIIS data were also analyzed for timeliness of vaccine administration, Vaccines for Children (VFC) status, and the number of doses still needed to be considered up to date (UTD) with routinely recommended immunizations. RESULTS:In quarter four of 2018 (Q4 2018), only 60% of AI children were UTD with the complete 4:3:1:3:3:1:4 vaccine series compared with 74.5% of White children of the same age. Fewer VFC-eligible AI children (59.1%) are UTD than VFC-eligible White children (68.7%). AI children were also more likely to be delayed at each immunization milestone, leading to fewer AI children to be UTD by 19 to 35 months of age. CONCLUSIONS:This study shows that there is a racial disparity in immunization coverage rates between AI and White children in North Dakota. Public health and private healthcare providers should work to identify and address barriers to vaccination and should implement strategies to increase immunization rates for AI children.

journal_name

Public Health

journal_title

Public health

authors

Woinarowicz M,Howell M

doi

10.1016/j.puhe.2020.06.050

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

78-82

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(20)30288-2

journal_volume

186

pub_type

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