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Author Notes:

Trisha C Parker trishabchan@gmail.com

We would like to thank Dr. Margaret Cortese, Ms. Slavica Mijatovic-Rustemapasic, Dr. Jacqueline Tate, and Dr. Michael D. Bowen at the Centers for Disease Control and Prevention.

We would like to thank Dr. Monica Farley and staff of Georgia’s Emerging Infections Program.

We would like to thank Ms. Elham Laghaie, Dr. Saadia Khizer, and Mr. Kevin Thornton, Emergency staff at Scottish Rite Children’s Hospital, Egleston Children’s Hospital, and Hughes Spalding Children’s Hospital, and the Clinical Microbiology staff of Children’s Healthcare of Atlanta (especially, Mr. Charles Ash, Dr. Robert Jerris and Ms. Theresa Stanley).

No potential conflict of interest was reported by the authors.

Subjects:

Research Funding:

This work was funded through Centers for Disease Control and Prevention-Emerging Infections Program grants U01CI0000307–05 and U0I000312B; Georgia Emerging Infections Program Cooperative Agreement U50CK000196; PHS Grant UL1 RR025008 from the Clinical and Translational Science Award program, National Institute of Health, as part of the Atlanta Clinical and Translational Science Institute; Grant Number 2R25RR017694–06A1; and Grant Number G12-RR03034, a component of the National Institutes of Health.

Keywords:

  • Social Sciences
  • Science & Technology
  • Life Sciences & Biomedicine
  • Ethnic Studies
  • Public, Environmental & Occupational Health
  • Rotavirus
  • gastroenteritis
  • immunization
  • rotavirus vaccine
  • disparities
  • health inequities
  • UNITED-STATES
  • IMMUNIZATION
  • CHILDREN
  • HOSPITALIZATIONS
  • COMPLETION
  • MEDICAID
  • DIARRHEA
  • SERIES

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

Tools:

Journal Title:

Ethnicity and Health

Volume:

Volume 22, Number 6

Publisher:

, Pages 585-595

Type of Work:

Article | Post-print: After Peer Review

Abstract:

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.

Copyright information:

© 2016 Informa UK Limited, trading as Taylor & Francis Group.

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