Comparison of vaccine coverage levels from the National Immunization Survey and the Texas Retrospective Immunization

D G Bastis1, J F Jackson, R A Roche

  • 1Immunization Division, Texas Department of Health, Austin, Texas, USA.

Insights

This study compared National Immunization Survey (NIS) and Texas Retrospective Immunization Survey (TRIS) vaccine coverage. TRIS showed slightly lower vaccine coverage levels than NIS for children aged 19-35 months.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Vaccine coverage data is crucial for monitoring public health.
  • The National Immunization Survey (NIS) is a key source of national vaccination data.
  • State-specific surveys are needed to validate and supplement national data.

Purpose of the Study:

  • To compare vaccine coverage estimates between the National Immunization Survey (NIS) and the Texas Retrospective Immunization Survey (TRIS).
  • To assess the comparability of retrospective survey methods with established national survey procedures for immunization data.

Main Methods:

  • Calculated up-to-date vaccination rates for children aged 19-35 months as of October 1, 1994.
  • Compared rates for single vaccines and specific vaccine combinations (4-3-1 and 4-3-1-3).
  • Utilized weighted statewide data from TRIS and NIS for analysis.

Main Results:

  • TRIS reported weighted statewide up-to-date rates of 66% for 4-3-1 and 60% for 4-3-1-3.
  • NIS reported higher rates: 71% for 4-3-1 and 68% for 4-3-1-3.
  • The study found differences in coverage levels between the two surveys.

Conclusions:

  • Retrospective survey methods, like TRIS, can be adapted to yield results comparable to national surveys such as NIS.
  • Modifications to existing retrospective survey procedures may improve alignment with NIS findings.
  • This research supports the use of state-level retrospective surveys for vaccine coverage monitoring.

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