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Ethnicity and immunization coverage among schools in Israel
Maayan Yitshak-Sade1,2, Nadav Davidovitch3, Lena Novack4
1a Faculty of Health Sciences , Ben-Gurion University of the Negev , Beer-Sheva , Israel.
Ethnicity & Health
|August 26, 2015
Summary
Ethnic disparities impact school-based vaccination rates in Israel. Bedouin schools show significantly lower immunization coverage, suggesting accessibility issues, not vaccine refusal, are the primary concern for these children.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Global immunization rates are declining, particularly among school-aged children.
- Ethnic disparities in childhood vaccination coverage are a growing concern worldwide.
- Understanding these disparities is crucial for public health interventions.
Purpose of the Study:
- To investigate the influence of ethnicity on school-based vaccination rates in Israel.
- To identify specific ethnic groups with lower immunization coverage.
- To inform targeted public health strategies for improving vaccine accessibility.
Main Methods:
- Utilized Ministry of Health data for immunization coverage in 3736 Israeli schools (2009-2011).
- Employed negative binomial regression to analyze the association between school ethnicity and vaccination rates.
- Controlled for relevant school characteristics in the analysis.
Main Results:
- Bedouin schools exhibited the lowest immunization coverage across grades in 2011.
- Vaccination coverage in first and second grades was significantly higher in Jewish schools compared to Bedouin schools.
- While Bedouin schools showed lower rates in 2011, Arab and Druze schools had higher vaccination likelihood in prior years.
Conclusions:
- Lower vaccination rates in Bedouin schools are likely due to accessibility challenges, not vaccine refusal.
- Identifying at-risk subpopulations is essential for effective public health policy.
- This research highlights the need for tailored interventions to address ethnic disparities in childhood immunizations.
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