Dallo Florence J, Brown Kyrah, Obembe Adebola, Kindratt Tiffany B
School of Health Sciences, Oakland University, Rochester, MI, USA.
Public Health Program, Department of Kinesiology, University of Texas at Arlington, 500 West Nedderman Drive, Arlington, TX, 75019-0259, USA.
J Racial Ethn Health Disparities. 2025 Sep 2. doi: 10.1007/s40615-025-02613-4.
Estimates for childhood influenza vaccine are unavailable for Middle Eastern and North African (MENA) populations in the USA because they are masked under the White category. The objective of this study was to estimate the prevalence and odds of childhood influenza vaccine coverage among foreign-born MENA compared to US-born White and foreign-born White, Black, Hispanic, and Asian children.
We analyzed 2005-2018 National Health Interview Survey data. Least squares means was used to calculate the age- and sex-adjusted prevalence. Logistic regression was used to estimate the association between the independent variable, nativity and race/ethnicity, and the dependent variable, influenza vaccine coverage.
The prevalence of receiving an influenza vaccine was 35% for both foreign-born MENA and US-born White and 26% for foreign-born White children. In multivariable logistic regression models, foreign-born MENA were not statistically different than US-born White children.
Future research should include US-born MENA children and better understand attitudes, beliefs, and behaviors around vaccine coverage.
由于美国中东和北非（MENA）人群的数据被归入白人类别，因此无法获得该人群儿童流感疫苗接种率的估计数据。本研究的目的是估计出生在国外的中东和北非儿童与美国出生的白人以及出生在国外的白人、黑人、西班牙裔和亚裔儿童相比，儿童流感疫苗接种的普及率和几率。
我们分析了2005 - 2018年全国健康访谈调查数据。采用最小二乘法均值计算年龄和性别调整后的普及率。使用逻辑回归来估计自变量（出生地和种族/族裔）与因变量（流感疫苗接种率）之间的关联。
出生在国外的中东和北非儿童以及美国出生的白人儿童的流感疫苗接种普及率均为35%，出生在国外的白人儿童为26%。在多变量逻辑回归模型中，出生在国外的中东和北非儿童与美国出生的白人儿童在统计学上没有差异。
未来的研究应纳入美国出生的中东和北非儿童，并更好地了解围绕疫苗接种的态度、信念和行为。
