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AJPH First Look, published online ahead of print Sep 17, 2008
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American Journal of Public Health, 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 1*, Matilde Irigoyen 1, Martha Sanchez 1, Melissa S. Stockwell 1, Miriam Mejia 2, Letty Guzman 2, Richard Ferreira 3, Oscar Pena 1, Shaofu Chen 1, Raquel Andres-Martinez 1

1 Columbia University
2 Alianza Dominicana, Inc
3 Harlem Congregations for Community Improvement, Inc.

* To whom correspondence should be addressed. E-mail: sef5{at}columbia.edu.


   Abstract

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. The coalition-led, community-based immunization program was effective in improving on-time childhood immunization coverage.

Key Words: Child and Adolescent Health, Community Health, Immunization/Vaccines, Hispanics/Latinos, Urban Health







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