Buelow Victoria H, Van Hook Jennifer
Oregon Department of Human Services, Center for Health Statistics, 800 NE Oregon Street, Suite 225, Portland, OR 97232, USA.
J Immigr Minor Health. 2008 Feb;10(1):37-44. doi: 10.1007/s10903-007-9048-8.
This study examines the relationship between timely immunization series completion among children of immigrants and parental nativity, residential duration in the United States, and citizenship status. We analyzed data from the childhood immunization supplement of the 2000-2003 National Health Interview Surveys (NHIS). Combined 4:3:1:3:3 immunization series completion by 18 months of age served as the dependent variable. Nested logistic regression models were estimated to examine relationship between parental nativity and timely immunization completion. Although socio-economic and health care access partially explained parental nativity, citizenship, and residential duration differences in timely completion, having a foreign-born mother was associated with a 14% reduced odds of completing the combined series on time when compared to children with US-born mothers net of covariates. Children of non-citizen mothers who had resided in the country for less than 5 years were the least likely to complete immunizations on time. The elimination of disparities in timely immunization completion among children requires special attention to children of newly arrived and non-citizen immigrants.
本研究考察了移民子女及时完成免疫接种系列与父母出生地、在美国的居住时长以及公民身份之间的关系。我们分析了2000 - 2003年国家健康访谈调查（NHIS）儿童免疫接种补充调查的数据。以18个月大时完成4:3:1:3:3联合免疫接种系列作为因变量。采用嵌套逻辑回归模型来检验父母出生地与及时完成免疫接种之间的关系。尽管社会经济状况和医疗保健可及性在一定程度上解释了父母出生地、公民身份和居住时长在及时完成免疫接种方面的差异，但与母亲为美国出生的孩子相比，在考虑协变量后，母亲为外国出生的孩子按时完成联合免疫接种系列的几率降低了14%。母亲为非公民且在美国居住时间少于5年的孩子按时完成免疫接种的可能性最小。要消除儿童在及时完成免疫接种方面的差异，需要特别关注新移民和非公民移民的子女。
