Vaccination coverage among foreign-born and U.S.-born adolescents in the United States: Successes and gaps – National Immunization Survey-Teen, 2012–2014

Details

• Alternative Title:
  Vaccine
• Personal Author:
  Healy, Jessica ; Rodriguez-Lainz, Alfonso ; Elam-Evans, Laurie D. ; Hill, Holly A. ; Reagan-Steiner, Sarah ; Yankey, David
• Description:
  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.
  
  
• Subjects:
  Article Communicable Disease Control Female Health Knowledge, Attitudes, Practice Health Surveys History, 21st Century Humans Immunization Programs Male Prevalence Public Health Surveillance Socioeconomic Factors Vaccination Coverage

  More +
• Source:
  Vaccine. 36(13):1743-1750.
• Pubmed ID:
  29483032
• Pubmed Central ID:
  PMC6251305
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  36
• Issue:
  13
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c1672da06a318eed121716e107f1b3588d558c41bff0cabd519f03b0524540e6
• Download URL:
  https://stacks.cdc.gov/view/cdc/60796/cdc_60796_DS1.pdf
• File Type:
  [PDF - 361.29 KB ]