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.

PubMed

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.
Abstract

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