{"id":183,"date":"2023-08-22T20:01:31","date_gmt":"2023-08-22T20:01:31","guid":{"rendered":"https:\/\/www.merckvaccines.com\/tools-and-resources\/?page_id=183"},"modified":"2025-11-27T14:59:44","modified_gmt":"2025-11-27T14:59:44","slug":"sdoh-children","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-children\/","title":{"rendered":"SDOH & children"},"content":{"rendered":"\n
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The underserved suffer from undervaccination<\/h1><\/div>\n\n\n\n
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Specific SDOH impact vaccination rates for children up to age 24 months.1,2<\/sup><\/h2><\/div>\n<\/div>\n\n\n\n
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Before the pandemic, persistent disparities were observed in routine vaccination coverage by health insurance status, race and ethnicity, and poverty status.1,2<\/sup> These gaps remained steady or worsened during the COVID-19 pandemic.1-4<\/sup><\/p>\n\n\n\n

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According to the National Immunization Survey-Child data collected in 2023, for children born during 2020-2021, coverage by 24 months with most childhood vaccines was lower among uninsured who were Black, Hispanic, and American Indian or Alaska Native.1,2,a<\/sup><\/p>\n<\/div>\n\n\n\n

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Estimated vaccination coverage in infants and children born during 2020-2021 who received the combined 7-vaccination series by age 24 months according to the National Immunization Survey-Child, 2021\u201320231,a<\/sup>:<\/strong><\/h5><\/div>\n\n\n\n
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Fewer disparities were found by Metropolitan Statistical Area (MSA)2,a,c<\/sup>:<\/strong><\/h3><\/div>\n\n\n\n
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Estimated vaccination coverage by age 24 months among children born during 2020-2021 for the combined 7-vaccine series:<\/p>\n\n\n\n

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67.2 %<\/strong> (65.3\u201369.0) <\/strong>\u2014 MSA Principal City<\/strong> (N=12,780)<\/p>\n\n\n\n

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68.0%<\/strong> (66.1\u201369.8) \u2014 MSA Nonprincipal City<\/strong> (N=11,071)<\/p>\n\n\n\n

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62.2%<\/strong> (59.3\u201365.2) <\/strong>\u2014 Non-MSA<\/strong> (N=4,817)<\/p>\n<\/div>\n\n\n\n

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Wide variations also occurred in influenza vaccination coverage by state1<\/sup>:<\/strong><\/h3><\/div>\n\n\n\n
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Largest disparity for \u2265 2 doses of influenza vaccine, by age 24 months among children born during 2020-2021d<\/sup> with estimates ranging from:<\/mark><\/p>\n\n\n\n

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25.6%<\/strong> (20.7\u201331.3) <\/strong>\u2014 Mississippi <\/strong>(N=505)<\/p>\n\n\n\n

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-TO-<\/p>\n\n\n\n

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80.3%<\/strong> (75.4\u201384.8) \u2014 Rhode Island<\/strong> (N=542)<\/p>\n<\/div>\n<\/div>\n\n\n\n

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a<\/sup>NIS-Child uses random-digit-dialing to identify US households with children ages 19-35 months. A telephone survey is conducted with the parent or guardian who is most knowledgeable about the child\u2019s immunization history, and consent is requested to contact the child\u2019s vaccination providers. If consent is granted, a questionnaire is mailed to all the child\u2019s vaccine providers to obtain vaccination information, which is synthesized to create the child\u2019s comprehensive vaccination history. Data were collected for 28,688 children.1<\/sup><\/p>\n\n\n\n

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b<\/sup>Children\u2019s health insurance status was reported by parent or guardian. \u201cOther insurance\u201d includes the Children\u2019s Health Insurance Program, military insurance, coverage via the Indian Health Service, and any other type of health insurance not mentioned elsewhere.2<\/sup><\/p>\n\n\n\n

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c<\/sup>MSA status was determined based on household-reported city and county of residence and grouped into three categories: MSA principal city, MSA nonprincipal city, and non-MSA. MSA and principal city were as defined by the US Census Bureau (https:\/\/www.census.gov\/programs-surveys\/metro-micro.html). Non-MSA areas included urban populations not located within an MSA, as well as completely rural areas.1<\/sup><\/p>\n\n\n\n

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d<\/sup>Doses must be at least 24 days apart (4 weeks with a 4-day grace period); doses could have been received during two influenza seasons.1<\/sup><\/p>\n\n\n\n

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MSA, Metropolitan Statistical Area.<\/p>\n\n\n\n

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See how your state measures up.<\/h2><\/div>\n\n\n\n
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CHILDVAXVIEW (CDC)<\/span><\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n
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Are you a health care professional in a rural community?<\/h2><\/div>\n<\/div><\/div><\/div>\n\n\n\n
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