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Progress in coverage with hepatitis B vaccine among US children, 1994- 1997

H.R. Yusuf, V.G. Coronado, F.A. Averhoff, E.F. Maes, L.E. Rodewald, M.P. Battaglia and F.J. Mahoney

American Journal of Public Health, 1999, vol. 89, issue 11, 1684-1689

Abstract: Objectives. This study was done to assess progress in hepatitis B vaccination of children from 1994 through 1997. Methods. We used data from the National Immunization Survey (NIS), a random-digit-dialed telephone survey that includes a mail survey to verify vaccination providers' records. The NIS is conducted in 78 geographic areas (50 states and 28 selected urban areas) in the United States. Results. A total of 32 433 household interviews were completed in the 1997 NIS. An estimated 83.7% of children aged 19 to 35 months received 3 or more doses of hepatitis B vaccine. Coverage with 3 doses was greater (86.7%) among children in states that had day care entry requirements for hepatitis B vaccination than among children in states without such requirements (83.0%) and was greater among children from families with incomes at or above the poverty level (85.0%) than among children below the poverty level (80.6%). Hepatitis B vaccination of children increased from 1994 through 1996, from 41% to 84%, but coverage reached a constant level of 84% to 85% in 1996/97. Conclusion. Although substantial progress has been made in fully vaccinating children against hepatitis B, greater efforts are needed to ensure that all infants receive 3 doses of hepatitis B vaccine.

Date: 1999
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