{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T14:43:05Z","timestamp":1747492985459},"reference-count":12,"publisher":"American Public Health Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:p> Objectives. We determined the effect of diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) and measles, mumps, rubella (MMR) vaccine shortages on timeliness of the third dose of DTaP (DTaP3), the fourth dose of DTaP (DTaP4), and the first dose of MMR (MMR1) among subgroups of preschool children. <\/jats:p><jats:p> Methods. Data from the 2001 and 2002 National Immunization Surveys were analyzed. Children age-eligible to receive DTaP3, DTaP4, or MMR1 during the shortages were considered subject to the shortage, and those not age-eligible were not subject to the shortage; timeliness of vaccinations was compared. <\/jats:p><jats:p> Results. Among children vaccinated only at public clinics, children residing outside metropolitan statistical areas, and children in the Southern Census Region, those age-eligible to receive DTaP4 during the shortage were less likely to be vaccinated by 19 months of age than children not subject to the shortage. <\/jats:p><jats:p> Conclusions. There was notable disparity in the effects of the recent vaccine shortages; children vaccinated only in public clinics, in rural areas, or in the Southern United States were differentially affected by the shortages. <\/jats:p>","DOI":"10.2105\/ajph.2004.053306","type":"journal-article","created":{"date-parts":[[2006,3,1]],"date-time":"2006-03-01T02:58:25Z","timestamp":1141181905000},"page":"691-696","source":"Crossref","is-referenced-by-count":17,"title":["Differential Effects of the DTaP and MMR Vaccine Shortages on Timeliness of Childhood Vaccination Coverage"],"prefix":"10.2105","volume":"96","author":[{"given":"Tammy A.","family":"Santibanez","sequence":"first","affiliation":[{"name":"The authors are with the Centers for Disease Control and Prevention, Atlanta, Ga."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne M.","family":"Santoli","sequence":"additional","affiliation":[{"name":"The authors are with the Centers for Disease Control and Prevention, Atlanta, Ga."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence E.","family":"Barker","sequence":"additional","affiliation":[{"name":"The authors are with the Centers for Disease Control and Prevention, Atlanta, Ga."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"R1","unstructured":"Update on the supply of tetanus and diphtheria toxoids and of diphtheria and tetanus toxoids and acellular pertussis vaccine. MMWR Morb Mortal Wkly Rep. 2001;50:189\u2013190."},{"key":"R2","unstructured":"Update: supply of diphtheria and tetanus toxoids and acellular pertussis vaccine. MMWR Morb Mortal Wkly Rep. 2002;50:1159."},{"key":"R3","unstructured":"Updated recommendations on the use of pneumococcal conjugate vaccine in a setting of vaccine shortage\u2013Advisory Committee on Immunization Practices. MMWR Morb Mortal Wkly Rep. 2001;50:1140\u20131142."},{"key":"R4","unstructured":"Shortage of varicella and measles, mumps and rubella vaccines and interim recommendations from the Advisory Committee on Immunization Practices. MMWR Morb Mortal Wkly Rep. 2002;51:190\u2013197."},{"key":"R5","unstructured":"Impact of vaccine shortage on diphtheria and tetanus toxoids and acellular pertussis vaccine coverage rates among children aged 24 months\u2014Puerto Rico, 2002. MMWR Morb Mortal Wkly Rep. 2002;51:667\u2013668."},{"key":"R6","unstructured":"National, state, and urban area vaccination coverage levels among children aged 19\u201335 months\u2014United States, 2001. MMWR Morb Mortal Wkly Rep. 2002; 51:664\u2013666."},{"key":"R7","unstructured":"National, state, and urban area vaccination coverage levels among children aged 19\u201335 months\u2014United States, 2002. MMWR Morb Mortal Wkly Rep. 2003; 52(31):728\u2013732."},{"key":"R9","unstructured":"Estimated influenza vaccination coverage among adults and children\u2014United States, September 1, 2004\u2013January 31, 2005. MMWR Morb Mortal Wkly Rep. 2005;54:304\u2013307."},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(01)00299-9"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.5.575"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2003.09.010"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(99)00118-X"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2004.053306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T22:28:25Z","timestamp":1652135305000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2004.053306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,4]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2006,4]]}},"alternative-id":["10.2105\/AJPH.2004.053306"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2004.053306","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,4]]}}}