Children born in 2020 and 2021 were less likely to be born in 2018 and 2019 than children born in 2018 and 2019, according to a study published in the Sept. 26 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly. In comparison, vaccination rates for almost all recommended childhood vaccines by 24 months of age were lower. Report.
Holly A. Hill, M.D., of the CDC in Atlanta, and colleagues used data from the National Immunization Survey to estimate the U.S. pediatric vaccine coverage for ages 24 months as recommended by the Advisory Committee on Immunization Practices. did. child.
Researchers found that children born in 2020 and 2021 had lower rates of nearly all vaccinations than children born in 2018 and 2019, with declines ranging from 1.3 to 7.8 percentage points. I discovered it. Such widespread declines in routine childhood vaccination coverage have not been seen in early birth cohorts.
Insurance coverage for children born in 2020-2021 varied by race/ethnicity, availability of health insurance, poverty status, urbanity, and jurisdiction. Vaccination rates for four of the 17 vaccine interventions were lower for non-Hispanic black or African American children, for Hispanic or Latino children, and for non-Hispanic American Indian or Alaska Native children. were lower compared to Hispanic-white children.
Those covered by Medicaid or other non-private insurance, uninsured children, children living below the federal poverty level, and children living in rural areas generally had lower coverage. There was wide variation in coverage across jurisdictions, particularly coverage of two or more doses of influenza vaccine.
“Addressing concerns about vaccine hesitancy and misinformation, as well as economic barriers and other access issues, are important to increasing vaccination rates and reducing disparities,” the authors wrote. are.
Further information: Hill HA et al. Declines in vaccination coverage every 24 months and inequalities in vaccination among children born in 2020 and 2021—National Immunization Survey – United States, 2021-2023. Mortality and Mortality Weekly Report (2024). DOI: dx.doi.org/10.15585/mmwr.mm7338a3
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