{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T16:49:24Z","timestamp":1761929364914,"version":"3.40.5"},"reference-count":34,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,5,1]]},"abstract":"<jats:p>OBJECTIVE. The goal was to determine whether disparities in childhood immunization coverage exist between American Indian\/Alaska Native children and non-Hispanic white children.<\/jats:p>\n               <jats:p>METHODS. We compared immunization coverage with the 4 diphtheria-tetanus-pertussis, 3 poliovirus, 1 measles-mumps-rubella, 3 Haemophilus influenza type b, and 3 hepatitis B(4:3:1:3:3) series and its individual vaccine components (\u22654 doses of diphtheria, tetanus, and pertussis vaccine; \u22653 doses of oral or inactivated polio vaccine; \u22651 dose of measles, mumps, and rubella vaccine; \u22653 doses of Haemophilus influenzae type b vaccine; and \u22653 doses of hepatitis B vaccine) between American Indian\/Alaska Native children and non-Hispanic white children from 2000 to 2005, using data from the National Immunization Survey.<\/jats:p>\n               <jats:p>RESULTS. Although immunization coverage increased for both populations from 2001 to 2004, American Indian\/Alaska Native children had significantly lower immunization coverage, compared with non-Hispanic white children, over that time period. In 2005, coverage continued to increase for American Indian\/Alaska Native children but decreased for non-Hispanic white children, and no statistically significant disparity in 4:3:1:3:3 coverage was evident in that year.<\/jats:p>\n               <jats:p>CONCLUSIONS. Disparities in immunization coverage for American Indian\/Alaska Native children have been present, but unrecognized, since 2001. The absence of a disparity in coverage in 2005 is encouraging but is tempered by the fact that coverage for non-Hispanic white children decreased in that year.<\/jats:p>","DOI":"10.1542\/peds.2007-1794","type":"journal-article","created":{"date-parts":[[2008,5,1]],"date-time":"2008-05-01T14:30:12Z","timestamp":1209652212000},"page":"938-944","source":"Crossref","is-referenced-by-count":11,"title":["Underimmunization of American Indian and Alaska Native Children"],"prefix":"10.1542","volume":"121","author":[{"given":"Amy V.","family":"Groom","sequence":"first","affiliation":[{"name":"Immunization Services Division, National Center for Immunization and Respiratory Diseases"},{"name":"Office of Minority Health and Health Disparities, Office of Strategy and Innovation, Office of the Director, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Washington","sequence":"additional","affiliation":[{"name":"Immunization Services Division, National Center for Immunization and Respiratory Diseases"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip J.","family":"Smith","sequence":"additional","affiliation":[{"name":"Immunization Services Division, National Center for Immunization and Respiratory Diseases"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph T.","family":"Bryan","sequence":"additional","affiliation":[{"name":"Office of Minority Health and Health Disparities, Office of Strategy and Innovation, Office of the Director, Centers for Disease Control and Prevention, Atlanta, Georgia"},{"name":"Division of Epidemiology and Disease Prevention, Office of Public Health Support, Indian Health Service, Albuquerque, New Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2008,5,1]]},"reference":[{"key":"2021120908252820600_R1","unstructured":"Indian Health Service. 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