Nicolich Katherine, Gerken Jacob, Mallahan Blaire, Ross David W, Zapata Isain
Division of Clinical Medicine and Surgery, Rocky Vista University, Parker, CO 80112, USA.
Department of Biomedical Sciences, Rocky Vista University, Parker, CO 80112, USA.
Vaccines (Basel). 2022 Sep 21;10(10):1579. doi: 10.3390/vaccines10101579.
The objective of this study was to evaluate the impact of selected sociodemographic factors on childhood vaccination hesitancy and to define their role according to specific exemptions. This population-based cohort study utilized vaccination rate and sociodemographic data from 1st to 12th grade from 2017 to 2021 for all school districts in Colorado. Data included immunization status and exemptions for each vaccine, race, ethnicity, and free and reduced meal status. Data were evaluated through dimensional analysis and Generalized Linear Mixed Models. School districts with a higher representation of White students had lower immunization rates and use more personal exemptions while school districts with larger Hispanic populations and higher proportions of free and reduced lunches had higher vaccination rates and used more religious exemptions. Black and Pacific Islander populations had higher rates of incomplete vaccination records while Asian American population displayed increased vaccination compliance. Colorado is a robust example of how socioeconomic and cultural differences are important factors with a direct influence on vaccination rates. Future childhood vaccination campaigns and legislation should consider complex socioeconomic and cultural factors.
本研究的目的是评估选定的社会人口学因素对儿童疫苗接种犹豫的影响，并根据特定豁免情况确定其作用。这项基于人群的队列研究利用了科罗拉多州所有学区2017年至2021年1年级至12年级的疫苗接种率和社会人口学数据。数据包括每种疫苗的免疫状况和豁免情况、种族、族裔以及免费和减价餐食状况。通过维度分析和广义线性混合模型对数据进行评估。白人学生占比更高的学区免疫率较低，且使用更多个人豁免；而西班牙裔人口较多且免费和减价午餐比例较高的学区疫苗接种率较高，且使用更多宗教豁免。黑人和太平洋岛民群体的疫苗接种记录不完整率较高，而亚裔美国人的疫苗接种依从性有所提高。科罗拉多州有力地证明了社会经济和文化差异是直接影响疫苗接种率的重要因素。未来的儿童疫苗接种运动和立法应考虑复杂的社会经济和文化因素。
