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Vaccine Coverage for United States Infants at Milestone Ages: Missed Opportunities for Vaccination
Berhanu G Gebremeskel1, Dongmu Zhang2, Michelle G Goveia2
1School of Public Health, Rutgers University, Piscataway, and.
Insights
Infant vaccination coverage for rotavirus (RV) vaccines lagged after 7 months compared to other routine vaccines. Missed vaccination opportunities at well-child visits varied by infant age.
Area of Science:
- Pediatrics
- Vaccinology
- Public Health
Background:
- Vaccination is crucial for infant health, with timely administration of routine immunizations recommended.
- Rotavirus (RV) vaccination is a key component of infant immunization schedules.
- Assessing vaccine coverage and identifying gaps is essential for public health initiatives.
Purpose of the Study:
- To evaluate and compare vaccination coverage rates for rotavirus (RV), diphtheria-tetanus-acellular pertussis, and pneumococcal conjugate vaccines in US infants.
- To identify age-related patterns in vaccine coverage, particularly for RV vaccines.
- To examine missed vaccination opportunities during well-child visits.
Main Methods:
- Utilized a large US claims database for retrospective analysis.
- Tracked vaccination records for infants from birth through their first year.
- Analyzed coverage rates by vaccine type and infant age.
Main Results:
- Similar coverage rates were observed for RV, DTaP, and PCV vaccines until approximately 7 months of age.
- RV vaccine coverage showed a noticeable decline after 7 months compared to DTaP and PCV vaccines.
- Analysis revealed age-dependent variations in missed vaccination opportunities during routine well-child visits.
Conclusions:
- Rotavirus vaccine uptake may face unique challenges or delays compared to other routine infant vaccines.
- Targeted interventions addressing missed vaccination opportunities at specific ages could improve overall infant immunization rates.
- Continued monitoring of vaccine coverage is vital for ensuring timely protection against vaccine-preventable diseases in infants.
Abstract:
We used a claims database to assess coverage for rotavirus (RV), diphtheria-tetanus-acellular pertussis, and pneumococcal conjugate vaccines among infants in the United States. Similar coverage was seen until 7 months of age, after which RV coverage lagged. Missed opportunities for vaccination at well-child visits were found to vary by age.
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