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AJPH First Look, published online ahead of print Sep 17, 2008
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November 2008, Vol 98, No. 11 | American Journal of Public Health 1959-1962
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.121046


RESEARCH AND PRACTICE

Effectiveness of a Community Coalition for Improving Child Vaccination Rates in New York City

Sally E. Findley, PhD, Matilde Irigoyen, MD, Martha Sanchez, MA, Melissa S. Stockwell, MD, Miriam Mejia, BA, Letty Guzman, BA, Richard Ferreira, MSW, Oscar Pena, JD, Shaofu Chen, MD, PhD and Raquel Andres-Martinez, PhD

Sally E. Findley, Martha Sanchez, and Raquel Andres-Martinez are with the Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY. At the time of the study, Matilde Irigoyen, Melissa S. Stockwell, Oscar Pena, and Shaofu Chen were with the Department of Pediatrics, College of Physicians and Surgeons, Columbia University, New York. Miriam Mejia and Letty Guzman are with Alianza Dominicana, Inc, New York, NY. Richard Ferreira is with Harlem Congregations for Community Improvement, New York.

Correspondence: Reprint requests should be sent to Sally E. Findley, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Ave, B-2, New York, NY 10032 (e-mail: sef5{at}columbia.edu).

We used a retrospective, matching, birth cohort design to evaluate a comprehensive, coalition-led childhood immunization program of outreach, education, and reminders in a Latino, urban community. After we controlled for Latino ethnicity and Medicaid, we found that children enrolled in the program were 53% more likely to be up-to-date (adjusted odds ratio = 1.53; 95% confidence interval = 1.33, 1.75) and to receive timely immunizations than were children in the control group (t = 3.91). The coalition-led, community-based immunization program was effective in improving on-time childhood immunization coverage.







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