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Trends in vaccination coverage disparities among children, United States, 2001-2010
1National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, United States. zaz0@cdc.gov
Introduction:
One of two overarching goals of the Healthy People 2010 initiative was to eliminate health disparities. We evaluate trends in children vaccination coverage disparities by socio-demographic characteristics in the United States from 2001 through 2010.
Methods:
Disparities in vaccination coverage for the 4:3:1:3:3:1 vaccine series was assessed with National Immunization Survey (NIS) 2001-2010 data. The disparities between two categories of population were independently evaluated yearly from 2001 through 2010.
Results:
In 2001, 10 out of 12 disparities were significant (P-value <0.05). Six disparities were reduced from statistically significant in 2001 to not significant in 2010. Across 2001-2010, 8 disparities narrowed significantly; the average change in disparities per year were negative and ranged from -0.30% to -0.64% (P-value <0.05).
Conclusions:
Significant success has been achieved in reducing disparities in vaccination coverage for young children among most of the major socio-demographic subpopulations in the United States by 2010.
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