ARTICLE Progress in Timely Vaccination Coverage Among Children Living in Low-Income Households Philip J. Smith, PhD; Nidhi Jain, MD, MPH; John Stevenson, MS; Nancy Männikkö, PhD; Noelle-Angelique Molinari, PhD Objective: To evaluate progress in timely vaccination Results: Among low-income children, timely vaccina- coverage associated with low-income households. tion coverage increased significantly between consecu- tive birth cohorts by an estimated 0.5% for DTaP-DTP, Design: The US National Immunization Survey. 0.3% for polio, 0.6% for MMR, 1.2% for hepatitis B, and 5.3% for varicella vaccines but did not change signifi- Participants: Children aged 19 to 35 months living in cantly for the Hib vaccine. Disparities in timely cover- low-income households who were sampled between 1995 age for low- vs high-income children declined signifi- and 2007 (N = 232 318). Low-income households had an cantly between consecutive birth cohorts by an estimated annual income that was 133% or less of the federal pov- −0.3% for MMR, −0.3% for hepatitis B, and −0.5% for vari- erty level, and high-income households had an annual cella vaccines, did not change significantly for the polio income of 400% or more of the federal poverty level. vaccine, and increased significantly by 0.4% for the DTaP- DTP vaccine.
JAMA Pediatrics – American Medical Association
Published: May 1, 2009
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