IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2013.301418_9.html
   My bibliography  Save this article

Effect of vaccination coordinators on socioeconomic disparities in immunization among the 2006 Connecticut birth cohort

Author

Listed:
  • Kattan, J.A.
  • Kudish, K.S.
  • Cadwell, B.L.
  • Soto, K.
  • Hadler, J.L.

Abstract

Objectives: We examined socioeconomic status (SES) disparities and the influence of state Immunization Action Plan-funded vaccination coordinators located in low-SES areas of Connecticut on childhood vaccination up-to-date (UTD) status at age 24 months. Methods: We examined predictors of underimmunization among the 2006 birth cohort (n= 34 568) in the state's Immunization Information System, including individual demographic and SES data, census tract SES data, and residence in an area with a vaccination coordinator. We conducted multilevel logistic regression analyses. Results: Overall, 81% of children were UTD. Differences by race/ethnicity and census tract SES were typically under 5%. Not being UTD at age 7 months was the strongest predictor of underimmunization at age 24 months. Among children who were not UTD at age 7 months, only Medicaid enrollment (adjusted odds ratio [AOR] = 0.6; 95% confidence interval [CI] = 0.5, 0.7) and residence in an area with a vaccination coordinator (AOR = 0.7; 95% CI = 0.6, 0.9) significantly decreased the odds of subsequent underimmunization. Conclusions: SES disparities associated with underimmunization at age 24 months were limited. Efforts focused on vaccinating infants born in low SES circumstances can minimize disparities.

Suggested Citation

  • Kattan, J.A. & Kudish, K.S. & Cadwell, B.L. & Soto, K. & Hadler, J.L., 2014. "Effect of vaccination coordinators on socioeconomic disparities in immunization among the 2006 Connecticut birth cohort," American Journal of Public Health, American Public Health Association, vol. 104(1), pages 74-81.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301418_9
    DOI: 10.2105/AJPH.2013.301418
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2013.301418
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2013.301418?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301418_9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.