Findley S E, Irigoyen M, Schulman A
Columbia University, New York City, NY, USA.
Am J Public Health. 1999 Nov;89(11):1728-31. doi: 10.2105/ajph.89.11.1728.
The purpose of this study was to determine the impact of childhood moves and foreign birth on vaccination coverage among Latino children in New York City.
Vaccination coverage was assessed in a survey of 314 children younger than 5 years at 2 immunization clinics.
Forty-seven percent of the study children had moved abroad. After adjustment for health insurance, regular source of care, and country of birth, child moves had no independent effect on vaccination coverage. Foreign-born children had diphtheria-pertussis-tetanus, oral polio vaccine, and measles-mumps-rubella vaccination coverage rates similar to those of US-born children, but they were underimmunized in regard to Haemophilus influenzae type b and hepatitis B.
Foreign birth, but not childhood moves, is a barrier to vaccinations among low-income, urban Latino children.
本研究旨在确定童年时期的迁移和外国出生对纽约市拉丁裔儿童疫苗接种覆盖率的影响。
在两家免疫诊所对314名5岁以下儿童进行的一项调查中评估了疫苗接种覆盖率。
47%的研究儿童曾移居国外。在对医疗保险、常规医疗来源和出生国家进行调整后,儿童迁移对疫苗接种覆盖率没有独立影响。外国出生儿童的白喉-百日咳-破伤风、口服脊髓灰质炎疫苗和麻疹-腮腺炎-风疹疫苗接种覆盖率与美国出生儿童相似,但在b型流感嗜血杆菌和乙型肝炎疫苗接种方面存在免疫不足的情况。
外国出生而非童年时期的迁移是低收入城市拉丁裔儿童接种疫苗的一个障碍。