Rotavirus vaccination rate disparities seen among infants with acute gastroenteritis in Georgia

Details

• Alternative Title:
  Ethn Health
• Personal Author:
  Parker, Trisha C. ; Mohammed, Anaam ; Leong, Traci ; Mays, Shelley ; Jain, Shabnam ; Churchill, Victoria ; Ali, Fatima ; Immergluck, Lilly C.
• Description:
  Objective:
  
  Rotavirus (RV) is one of the most common diarrheal diseases affecting children less than 5 years of age. RV vaccines have greatly reduced this burden in the United States. The purpose of this study was to determine possible disparities and socio-economic differences in RV vaccination rates.
  
  Design:
  
  Children with acute gastroenteritis were enrolled. Stool was tested for presence of rotavirus using an enzyme immunoassay kit. Vaccination records were abstracted from the state immunization registry and healthcare providers to examine complete and incomplete vaccination status. Cases were identified as children receiving a complete RV dose series and controls were identified as children with incomplete RV doses. A logistic regression model was used to determine disparities seen amongst children with incomplete vaccination status.
  
  Results:
  
  Racial differences between Black and white infants for RV vaccination rates were not significant when controlling for covariates (OR 1.15, 95% CI 0.74–1.78); however ethnicity (p-value .0230), age at onset of illness (p-value .0004), birth year (p-value < .0001), and DTaP vaccination status (p-value < .0001) were all significant in determining vaccination status for children.
  
  Conclusions:
  
  Racial disparities and socio-economic differences are not determinants in rotavirus vaccination rates; however, age and ethnicity have an effect on RV vaccine status.
  
  
• Subjects:
  Female Gastroenteritis Georgia Health Status Disparities Humans Infant Male Rotavirus Infections Rotavirus Vaccines Surveys And Questionnaires Vaccination

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• Keywords:
  Disparities Gastroenteritis Health Inequities Immunization Rotavirus Rotavirus Vaccine
• Source:
  Ethn Health. 22(6):585-595
• Pubmed ID:
  27741577
• Pubmed Central ID:
  PMC6314174
• Document Type:
  Journal Article
• Funding:
  U54 MD007588/MD/NIMHD NIH HHSUnited States/ ; R25 RR017694/RR/NCRR NIH HHSUnited States/ ; G12 RR003034/RR/NCRR NIH HHSUnited States/ ; K08 HS024338/HS/AHRQ HHSUnited States/ ; U50 CK000196/CK/NCEZID CDC HHSUnited States/ ; UL1 TR002378/TR/NCATS NIH HHSUnited States/ ; UL1 RR025008/RR/NCRR NIH HHSUnited States/ ; U01 CI000307/CI/NCPDCID CDC HHSUnited States/ ; G12 MD007602/MD/NIMHD NIH HHSUnited States/
• Volume:
  22
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5a1634b2c196e1a8b39dea653850513847c5009e7a42856381f4778b3d2fb469
• Download URL:
  https://stacks.cdc.gov/view/cdc/61684/cdc_61684_DS1.pdf
• File Type:
  [PDF - 239.50 KB ]