scholarly journals Estimating the Number of Measles-Susceptible Children and Adolescents in the United States Using Data From the National Immunization Survey–Teen (NIS-Teen)

2016 ◽  
Vol 184 (2) ◽  
pp. 148-156 ◽  
Author(s):  
Robert A. Bednarczyk ◽  
Walter A. Orenstein ◽  
Saad B. Omer
Keyword(s):  
United States ◽  
Children And Adolescents ◽  
The United States ◽  
National Immunization ◽  
Using Data ◽  
National Immunization Survey

scholarly journals Comparison of social inequality in HPV vaccination among teenagers with parental reports and healthcare providers’ records in the 2019 National Immunization Survey-Teen.

2021 ◽  
Author(s):  
Bongkyoo Choi ◽  
Sol Seo Choi
Keyword(s):  
United States ◽  
Social Inequality ◽  
Family Income ◽  
Information Source ◽  
Hpv Vaccination ◽  
The United States ◽  
Poverty Level ◽  
National Immunization ◽  
Parental Reports ◽  
National Immunization Survey

Background: Relatively little is known and inconclusive about social inequality in human papillomavirus (HPV) vaccination among teenagers in the United States. This study aims to investigate whether there is a social disparity in HPV vaccination among teenagers and if so, whether it can differ by the source of teen vaccination information (parental reports and provider records). 
Methods: We used the data from the 2019 National Immunization Survey-Teen (NIS-Teen; 42,668 teenagers, aged 13-17) including parental reported vaccination status. Among them, 18,877 teenagers had adequate provider reported vaccination records. Two socioeconomic status (SES) measures were used: mother’s education and annual family income. Multivariate logistic analyses were conducted. 
Results: False negatives of parental reports against provider records were more than two times higher (p < 0.001) in low SES teens than in high SES teens. In both SES measures, the proportion of HPV unvaccinated teenagers were lowest in the highest SES level in analyses with parental reports. However, it was the opposite in analyses with provider records. Interestingly, regardless of vaccination information source, the HPV unvaccinated rate was highest in the middle SES teens (>12 years, non-college graduates; and above poverty level, but not > $75K). 
Conclusion: A significant social inequality in HPV vaccination among teenagers exists in the United States. The pattern of social inequality in HPV vaccination can be distorted when only parent reported vaccination information is used.

scholarly journals Vaccination coverage among foreign-born and U.S.-born adolescents in the United States: Successes and gaps – National Immunization Survey-Teen, 2012–2014

Vaccine ◽  
2018 ◽  
Vol 36 (13) ◽  
pp. 1743-1750 ◽  
Author(s):  
Jessica Healy ◽  
Alfonso Rodriguez-Lainz ◽  
Laurie D. Elam-Evans ◽  
Holly A. Hill ◽  
Sarah Reagan-Steiner ◽  
...  
Keyword(s):  
United States ◽  
Vaccination Coverage ◽  
The United States ◽  
Foreign Born ◽  
National Immunization ◽  
National Immunization Survey

scholarly journals Prevalence, Magnitude, and Genotype Distribution of Urinary Cytomegalovirus (CMV) Shedding Among CMV-Seropositive Children and Adolescents in the United States

2019 ◽  
Vol 6 (7) ◽  
Author(s):  
Jodie L White ◽  
Eshan U Patel ◽  
Alison G Abraham ◽  
Mary Kate Grabowski ◽  
Ravit Arav-Boger ◽  
...  
Keyword(s):  
United States ◽  
Children And Adolescents ◽  
Vaccine Development ◽  
The United States ◽  
Genotype Distribution ◽  
Viral Loads ◽  
Glycoprotein H ◽  
Nationally Representative ◽  
Using Data ◽  
General Populations

Abstract Background There are limited nationally representative data on correlates of cytomegalovirus (CMV) shedding among children and adolescents. In addition, the genotype distribution of CMV infections has not been well characterized among general populations in the United States Methods This study characterized urinary CMV shedding among CMV immunoglobulin G-positive 6- to 19-year-olds in the US household population using data from the 1999–2004 National Health and Nutrition Examination Survey (NHANES). Multivariable Poisson regression was used to estimate adjusted prevalence ratios (aPR) and corresponding 95% confidence intervals (CIs). Analyses were weighted and multiple imputation was performed to handle missing data (with the exception of CMV genotypes). Results Prevalence of urinary CMV shedding was significantly lower among 9- to 11-year-olds (20.6%; aPR = 0.61; 95% CI, 0.44–0.83) and 12- to 19-year-olds (7.0%; aPR = 0.21; 95% CI, 0.14–0.30) compared with 6- to 8-year-olds (34.4%). Among CMV shedders, the youngest age group also had the highest urinary CMV viral loads. The prevalence of urinary CMV shedding among obese individuals was significantly lower compared with lean individuals (aPR = 0.68; 95% CI, 0.47–0.99). Among CMV shedders, glycoprotein B (gB)1 (51%) was the most prevalent gB variant, followed by gB2 (29%), gB3 (21%), and gB4 (13%); glycoprotein H (gH)2 (60%) was more prevalent than gH1 (48%). Multiple (≥2) gB (14%) and multiple gH (7%) infections were detected among CMV shedders. Conclusions This study underscores the importance of young children even above the age of 5 years as a potential source of CMV transmission. The detection of multiple CMV strains among CMV shedders may have implications for the transmission of viral diversity as well as vaccine development.

Prevalence of Breastfeeding in the United States: The 2001 National Immunization Survey

PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_1) ◽  
pp. 1198-1201 ◽  
Author(s):  
Ruowei Li ◽  
Zhen Zhao ◽  
Ali Mokdad ◽  
Lawrence Barker ◽  
Laurence Grummer-Strawn
Keyword(s):  
United States ◽  
Mail Survey ◽  
The United States ◽  
Breastfeeding Initiation ◽  
National Goal ◽  
The Third ◽  
National Immunization ◽  
Current Prevalence ◽  
Households With Children ◽  
National Immunization Survey

Objective. To address key gaps in the annual monitoring of breastfeeding prevalence in the United States, 3 breastfeeding questions concerning the initiation, duration, and exclusivity of breastfeeding were added to the rotating modules of the National Immunization Survey (NIS) beginning in the third quarter of 2001. The present study examines the current prevalence of breastfeeding in the United States using NIS data from this initial quarter. Methods. The NIS is a random-digit-dialing survey of households with children aged 19 to 35 months, followed by a mail survey of the eligible children’s vaccination providers to validate the child’s vaccination information. In the third quarter of 2001, a randomly selected subset of households interviewed in the NIS (N = 896) were asked questions about breastfeeding. Results. Almost two thirds (65.1%) of children had ever been breastfed. At 6 and 12 months, 27.0% and 12.3%, respectively, were receiving some breast milk. Non-Hispanic blacks had the lowest rates of breastfeeding initiation and continuation. Exclusive breastfeeding rates were low in the United States with only 7.9% at 6 months. Conclusions. Although breastfeeding initiation is near the national goal of 75%, breastfeeding continuation lags behind the national goals of 50% and 25% at 6 and 12 months, respectively. Strenuous public health efforts are needed to improve breastfeeding practices among blacks.

scholarly journals Human Papillomavirus Vaccination Before 13 and 15 Years of Age: Analysis of National Immunization Survey Teen Data

2019 ◽  
Vol 220 (5) ◽  
pp. 730-734 ◽  
Author(s):  
Robert A Bednarczyk ◽  
Mallory K Ellingson ◽  
Saad B Omer
Keyword(s):  
United States ◽  
Human Papillomavirus ◽  
Sexual Activity ◽  
Advisory Committee ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
The United States ◽  
Human Papillomavirus Vaccination ◽  
National Immunization ◽  
National Immunization Survey

Abstract Human papillomavirus (HPV) vaccination is suboptimally used in the United States. Vaccination before the 13th birthday is recommended by the Advisory Committee on Immunization Practices and vaccination before the 15th birthday requires only 2 doses. We estimated the proportion of adolescents up to date for HPV vaccine using provider-verified vaccination data from the 2016 National Immunization Survey-Teen. Only 16% of US adolescents completed HPV vaccination before turning 13, and 35% completed HPV vaccination before turning 15. With sexual activity initiation increasing throughout adolescence and higher immunogenicity for younger vaccinees, vaccination before the 13th birthday can provide better protection against HPV-related cancers.

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