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Vaccination coverage among foreign-born and U.S.-born adolescents in the United States: Successes and gaps - National Immunization Survey-Teen, 2012-2014.
Vaccine. 2018 03 20; 36(13):1743-1750.V

Abstract

BACKGROUND

An overall increase has been reported in vaccination rates among adolescents during the past decade. Studies of vaccination coverage have shown disparities when comparing foreign-born and U.S.-born populations among children and adults; however, limited information is available concerning potential disparities in adolescents.

METHODS

The National Immunization Survey-Teen is a random-digit-dialed telephone survey of caregivers of adolescents aged 13-17 years, followed by a mail survey to vaccination providers that is used to estimate vaccination coverage among the U.S. population of adolescents. Using the National Immunization Survey-Teen data, we assessed vaccination coverage during 2012-2014 among adolescents for routinely recommended vaccines for this age group (≥1 dose tetanus and diphtheria toxoids and acellular pertussis [Tdap] vaccine, ≥1 dose quadrivalent meningococcal conjugate [MenACWY] vaccine, ≥3 doses human papillomavirus [HPV] vaccine) and for routine childhood vaccination catch-up doses (≥2 doses measles, mumps, and rubella [MMR] vaccine, ≥2 doses varicella vaccine, and ≥3 doses hepatitis B [HepB] vaccine). Vaccination coverage prevalence and vaccination prevalence ratios were estimated.

RESULTS

Of the 58,090 respondents included, 3.3% were foreign-born adolescents. Significant differences were observed between foreign-born and U.S.-born adolescents for insurance status, income-to-poverty ratio, education, interview language, and household size. Foreign-born adolescents had significantly lower unadjusted vaccination coverage for HepB (89% vs. 93%), and higher coverage for the recommended ≥3 doses of HPV vaccine among males, compared with U.S.-born adolescents (22% vs. 14%). Adjustment for demographic and socioeconomic factors accounted for the disparity in HPV but not HepB vaccination coverage.

CONCLUSIONS

We report comparable unadjusted vaccination coverage among foreign-born and U.S.-born adolescents for Tdap, MenACWY, MMR, ≥2 varicella. Although coverage was high for HepB vaccine, it was significantly lower among foreign-born adolescents, compared with U.S.-born adolescents. HPV and ≥2-dose varicella vaccination coverage were low among both groups.

Authors+Show Affiliations

Centers for Disease Control and Prevention, Division of Scientific Education and Professional Development, Epidemic Intelligence Service, USA; Centers for Disease Control and Prevention, Division of Global Migration and Quarantine, San Diego, CA, USA; County of San Diego Health and Human Services Agency, San Diego, CA, USA. Electronic address: jhealy@cdc.gov.Centers for Disease Control and Prevention, Division of Global Migration and Quarantine, San Diego, CA, USA.Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, GA, USA.Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, GA, USA.Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Atlanta, GA, USA.Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, GA, USA.

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

29483032

Citation

Healy, Jessica, et al. "Vaccination Coverage Among Foreign-born and U.S.-born Adolescents in the United States: Successes and Gaps - National Immunization Survey-Teen, 2012-2014." Vaccine, vol. 36, no. 13, 2018, pp. 1743-1750.
Healy J, Rodriguez-Lainz A, Elam-Evans LD, et al. Vaccination coverage among foreign-born and U.S.-born adolescents in the United States: Successes and gaps - National Immunization Survey-Teen, 2012-2014. Vaccine. 2018;36(13):1743-1750.
Healy, J., Rodriguez-Lainz, A., Elam-Evans, L. D., Hill, H. A., Reagan-Steiner, S., & Yankey, D. (2018). Vaccination coverage among foreign-born and U.S.-born adolescents in the United States: Successes and gaps - National Immunization Survey-Teen, 2012-2014. Vaccine, 36(13), 1743-1750. https://doi.org/10.1016/j.vaccine.2018.02.052
Healy J, et al. Vaccination Coverage Among Foreign-born and U.S.-born Adolescents in the United States: Successes and Gaps - National Immunization Survey-Teen, 2012-2014. Vaccine. 2018 03 20;36(13):1743-1750. PubMed PMID: 29483032.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vaccination coverage among foreign-born and U.S.-born adolescents in the United States: Successes and gaps - National Immunization Survey-Teen, 2012-2014. AU - Healy,Jessica, AU - Rodriguez-Lainz,Alfonso, AU - Elam-Evans,Laurie D, AU - Hill,Holly A, AU - Reagan-Steiner,Sarah, AU - Yankey,David, Y1 - 2018/02/23/ PY - 2017/12/02/received PY - 2018/02/13/revised PY - 2018/02/14/accepted PY - 2018/2/28/pubmed PY - 2018/9/8/medline PY - 2018/2/28/entrez KW - Adolescent KW - Foreign-born KW - Human papillomavirus KW - Immunization KW - Teen KW - Vaccination SP - 1743 EP - 1750 JF - Vaccine JO - Vaccine VL - 36 IS - 13 N2 - BACKGROUND: An overall increase has been reported in vaccination rates among adolescents during the past decade. Studies of vaccination coverage have shown disparities when comparing foreign-born and U.S.-born populations among children and adults; however, limited information is available concerning potential disparities in adolescents. METHODS: The National Immunization Survey-Teen is a random-digit-dialed telephone survey of caregivers of adolescents aged 13-17 years, followed by a mail survey to vaccination providers that is used to estimate vaccination coverage among the U.S. population of adolescents. Using the National Immunization Survey-Teen data, we assessed vaccination coverage during 2012-2014 among adolescents for routinely recommended vaccines for this age group (≥1 dose tetanus and diphtheria toxoids and acellular pertussis [Tdap] vaccine, ≥1 dose quadrivalent meningococcal conjugate [MenACWY] vaccine, ≥3 doses human papillomavirus [HPV] vaccine) and for routine childhood vaccination catch-up doses (≥2 doses measles, mumps, and rubella [MMR] vaccine, ≥2 doses varicella vaccine, and ≥3 doses hepatitis B [HepB] vaccine). Vaccination coverage prevalence and vaccination prevalence ratios were estimated. RESULTS: Of the 58,090 respondents included, 3.3% were foreign-born adolescents. Significant differences were observed between foreign-born and U.S.-born adolescents for insurance status, income-to-poverty ratio, education, interview language, and household size. Foreign-born adolescents had significantly lower unadjusted vaccination coverage for HepB (89% vs. 93%), and higher coverage for the recommended ≥3 doses of HPV vaccine among males, compared with U.S.-born adolescents (22% vs. 14%). Adjustment for demographic and socioeconomic factors accounted for the disparity in HPV but not HepB vaccination coverage. CONCLUSIONS: We report comparable unadjusted vaccination coverage among foreign-born and U.S.-born adolescents for Tdap, MenACWY, MMR, ≥2 varicella. Although coverage was high for HepB vaccine, it was significantly lower among foreign-born adolescents, compared with U.S.-born adolescents. HPV and ≥2-dose varicella vaccination coverage were low among both groups. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/29483032/Vaccination_coverage_among_foreign_born_and_U_S__born_adolescents_in_the_United_States:_Successes_and_gaps___National_Immunization_Survey_Teen_2012_2014_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(18)30239-1 DB - PRIME DP - Unbound Medicine ER -