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Association of age-appropriate vaccination status at 24 months with all-cause hospitalizations: A retrospective
Wakana Maki1, Shotaro Aso2, Sachiko Ono3
1Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Insights
Childhood vaccinations may not significantly reduce overall hospitalizations by age two. This study found no significant difference in all-cause hospitalizations for age-appropriately vaccinated children compared to unvaccinated peers.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- Childhood vaccinations offer protection against infectious diseases and may have broader health benefits.
- Vaccination visits provide opportunities to monitor and promote children's overall health.
- This study investigated the association between vaccination status and all-cause hospitalization in young children.
Purpose of the Study:
- To determine if age-appropriate vaccination status at 24 months is associated with a reduced incidence of all-cause hospitalization.
- To explore potential nonspecific health benefits of childhood immunizations beyond disease prevention.
Main Methods:
- A retrospective cohort study utilized vaccine records and healthcare claims from a Japanese city.
- Children born between April 2014 and December 2020 were analyzed.
- Age-appropriate vaccination was defined by completion of national immunization program vaccines by 24 months. A Cox regression model compared hospitalization rates between vaccinated and unvaccinated groups, adjusting for covariates.
Main Results:
- The study included 2,492 children, with 1,689 considered age-appropriately vaccinated.
- No statistically significant difference in all-cause hospitalizations was observed between the age-appropriately vaccinated and unvaccinated groups (aHR, 0.93; 95% CI, 0.69-1.3; P=0.65).
Conclusions:
- The findings suggest that the impact of age-appropriate vaccinations on the overall health of children, as measured by all-cause hospitalization, may be minimal.
- Further research could explore other health outcomes potentially influenced by vaccination schedules.
Background:
Childhood vaccinations can be effective for preventing not only infectious diseases but also other diseases and traumas. This is because vaccines may have nonspecific immunological effects. Additionally, visits for vaccinations may benefit doctors in promoting the overall health of children. We assessed whether vaccination status at 24 months was associated with the incidence of all-cause hospitalization.
Methods:
This retrospective cohort study used the vaccine records and healthcare claims from a Japanese city. We included children born between April 2014 and December 2020. Children who took all the following vaccine doses covered by the national immunization program at 24 months of age were defined as having an age-appropriate vaccination status: four doses of Hemophilus influenza type b, four of 13-valent pneumococcal conjugate, four of diphtheria, tetanus, acellular pertussis, and inactivated polio, three of hepatitis B virus, one of Bacille de Calmette et Guérin, one of measles and rubella, and one of varicella-zoster virus. A Cox regression model compared all-cause hospitalizations between children with and without age-appropriate vaccination, adjusting for sex, birth year, and comorbidities.
Results:
We identified 2,492 children: 1,689 were age-appropriate vaccinated, and 803 were not. There was no significant difference in all-cause hospitalizations (adjusted hazard ratio, 0.93; 95% confidence interval, 0.69 to 1.3; P = 0.65).
Conclusions:
The effect of age-appropriate vaccinations on the overall health of children may be small.
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