Racial/Ethnic Disparities in Preschool Immunizations: United States, 19962001
Susan Y. Chu, PhD, MSPH,
Lawrence E. Barker, PhD and
Philip J. Smith, PhD
The authors are with the National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga.
Correspondence: Requests for reprints should be sent to Susan Y. Chu, PhD, MSPH, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mail Stop E-5, Atlanta, GA 30333 (e-mail: syc1{at}cdc.gov).
Objectives. We examined current racial/ethnic differences inimmunization coverage rates among US preschool children.
Methods. Using National Immunization Survey data from 1996 through2001, we compared vaccination coverage rates between non-HispanicWhite, non-Hispanic Black, Hispanic, and Asian preschool children.
Results. During the 6-year study period, the immunization coveragegap between White and Black children widened by an average of1.1% each year, and the gap between White and Hispanic childrenwidened by an average of 0.5% each year. The gap between Whiteand Asian children narrowed by an average of 0.8% each year.
Conclusions. Racial/ethnic disparities in preschool immunizationcoverage rates have increased significantly among some groups;critical improvements in identifying, understanding, and addressingrace/ethnicity-specific health care differences are needed toachieve the Healthy People 2010 goal of eliminating disparities.
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