Author ORCID Identifier

0009-0000-5785-6553

Date of Award

Spring 5-1-2024

Degree Type

Capstone Project

Degree Name

Master of Public Health (MPH)

Department

Public Health

First Advisor

Alexander Kirpich

Second Advisor

Wendy Avila Rodriguez

Abstract

Declining vaccination rates due to factors like hesitancy and access issues during the coronavirus disease 2019 (COVID-19) pandemic, have spurred outbreaks of preventable diseases like measles and pertussis. This capstone analyzes vaccination coverage for MMR-only, DTaP-only, and Varicella-only shots among children from 2016 to 2022, focusing on racial disparities. Data from the National Immunization Surveys (NIS) informed the analysis, encompassing 118,323 children. Odds ratios from a multivariable logistic regression were used to perform this analysis, and statistical significance was determined using a 95% confidence interval (CI). Black children had lower odds of MMR and Varicella vaccination compared to White children (OR: 0.81 and 0.84), while children of Other + Multiple race showed similar trends (OR: 0.94 for both vaccines). For DTaP, Black children had lower odds (OR: 0.84), whereas no significant difference was found for Other + Multiple race children (OR: 0.98). Yearly analysis showed a 3% increase in odds for MMR and Varicella vaccination but there was a 7% decrease in the odds of receiving a DTaP vaccine. DTaP coverage fluctuated across racial groups. Overall, while MMR and Varicella coverage remained stable or increased, DTaP rates varied among White, Black and Other + Multiple race children.

DOI

https://doi.org/10.57709/36975316

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