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Immunization levels among inner city children enrolled in subsidized childcare

Quimby E McCaskill1, William Livingood, Paula M Crawford

  • 1University of Florida College of Medicine Jacksonville, Jacksonville, FL 32209, USA.

Journal of Health Care for the Poor and Underserved
|May 13, 2008
PubMed

Insights

Immunization rates are low in subsidized child care, with only 73.3% of children up-to-date at 3 months. This population represents underserved inner-city preschoolers, highlighting a need for improved vaccination access.

Area of Science:

  • Pediatric Health
  • Public Health
  • Immunization Research

Background:

  • Subsidized child care centers serve a significant population of low-income urban children.
  • Assessing immunization coverage in this demographic is crucial for public health surveillance.
  • Previous data on vaccination rates within this specific population is limited.

Purpose of the Study:

  • To measure immunization rates among children enrolled in subsidized child care.
  • To determine if this population is representative of inner-city preschool children.
  • To identify potential gaps in vaccination coverage within an underserved community.

Main Methods:

  • A cohort of 156 children aged 0-60 months was identified across 14 inner-city subsidized child care centers.
  • Demographic and immunization data were collected for each child.
  • The geographic distribution (ZIP codes) of the study sample was compared to the 2000 Census data for similarly aged children below 150% of the poverty level.

Main Results:

  • The subsidized child care population was geographically representative of low-income children aged 0-5 in Jacksonville (correlation coefficient r=0.94).
  • Vaccination rates were suboptimal: 73.3% were up-to-date at 3 months and 44.2% at 12 months for the recommended vaccine series (3 DTaP, 2 HIB, 2 IPV, 3 Hep B).

Conclusions:

  • Children in subsidized child care are geographically representative of the broader low-income, inner-city preschool population.
  • This population is potentially underserved regarding immunizations.
  • Subsidized child care centers offer a valuable access point for reaching inner-city preschool children for health interventions.
Abstract

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