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Factors Related to Pertussis and Tetanus Vaccination Status Among Foreign-Born Adults Living in the United States

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Abstract

Pertussis is a common vaccine-preventable disease (VPD) worldwide. Its reported incidence has increased steadily in the United States, where it is endemic. Tetanus is a rare but potentially fatal VPD. Foreign-born adults have lower tetanus–diphtheria–pertussis (Tdap) and tetanus–diphtheria (Td) vaccination coverage than do U.S.-born adults. We studied the association of migration-related, socio-demographic, and access-to-care factors with Tdap and Td vaccination among foreign-born adults living in the United States. The 2012 and 2013 National Health Interview Survey data for foreign-born respondents were analyzed. Multivariable logistic regression was conducted to calculate prevalence ratios and 95% confidence intervals, and to identify variables independently associated with Tdap and Td vaccination among foreign-born adults. Tdap and Td vaccination status was available for 9316 and 12,363 individuals, respectively. Overall vaccination coverage was 9.1% for Tdap and 49.8% for Td. Younger age, higher education, having private health insurance (vs. public insurance or uninsured), having visited a doctor in the previous year, and region of residence were independently associated with Tdap and Td vaccination. Among those reporting a doctor visit, two-thirds had not received Tdap. This study provides further evidence of the need to enhance access to health care and immunization services and reduce missed opportunities for Tdap and Td vaccination for foreign-born adults in the United States. These findings apply to all foreign-born, irrespective of their birthplace, citizenship, language and years of residence in the United States. Addressing vaccination disparities among the foreign-born will help achieve national vaccination goals and protect all communities in the United States.

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References

  1. Black, R. E., Cousens, S., Johnson, H. L., et al. (2010). Global, regional, and national causes of child mortality in 2008: A systematic analysis. Lancet, 375(9730), 1969–1987.

    Article  PubMed  Google Scholar 

  2. Centers for Disease Control and Prevention. (2014). Pertussis surveillance and reporting -cases by year (1922–2013). Retrieved January 12, 2015, from http://www.cdc.gov/pertussis/surv-reporting/cases-by-year.html.

  3. Centers for Disease Control and Prevention. (2013). Notice to readers: Final 2012 reports of nationally notifiable infectious diseases. MMWR, 62(33), 669–682.

    Google Scholar 

  4. Centers for Disease Control and Prevention. (2014). Pertussis Outbreak Trends. Source: National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases. Retrieved January 10, 2015, from http://www.cdc.gov/pertussis/outbreaks/trends.html.

  5. California Department of Public Health. (2015). Pertussis summary report 2015-1-7. Retrieved January 16, 2015, fromhttp://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_Report_1-7-2015.pdf.

  6. Centers for Disease Control and Prevention. (2014). Notice to readers: Final 2013 reports of nationally notifiable infectious diseases. MMWR, 63(32), 702–715.

    Google Scholar 

  7. Wendelboe, A. M., Njamkepo, E., Bourillon, A., et al. (2007). Transmission of Bordetella pertussis to young infants. The Pediatric Infectious Disease Journal, 26(4), 293–299.

    Article  PubMed  Google Scholar 

  8. Wiley, K. E., Zuo, Y., Macartney, K. K., & Mcintyre, P. B. (2013). Sources of pertussis infection in young infants: A review of key evidence informing targeting of the cocoon strategy. Vaccine, 31(4), 618–625.

    Article  CAS  PubMed  Google Scholar 

  9. Perret, C., Viviani, T., Peña, A., Abarca, K., & Ferrés, M. (2011). Source of infection in young infants hospitalized with Bordetella pertussis. Revista Medica de Chile, 139(4), 448–454.

    Article  PubMed  Google Scholar 

  10. De greeff, S. C., Mooi, F. R., Westerhof, A., et al. (2010). Pertussis disease burden in the household: How to protect young infants. Clinical Infectious Diseases, 50(10), 1339–1345.

    Article  PubMed  Google Scholar 

  11. WHO vaccine-preventable diseases: Monitoring system. 2014 global summary. World Health Organization, 2014. http://apps.who.int/immunization_monitoring/globalsummary/countries?countrycriteria%5Bcountry%5D%5B%5D=USA.

  12. Tiwari, T., Clark, T. A., Messonnier, N.E., & Thomas, C. G. (2011). Tetanus surveillance—United States, 2001–2008. MMWR, 60(12), 365–369.

    Google Scholar 

  13. Kim, D. K., Bridges, C.B., Harriman, K. H. (2015). Advisory Committee on Immunization Practices recommended immunization schedule for adults aged 19 years or older: United States, 2015. Annals of internal medicine, 162, 214–223.

    Article  Google Scholar 

  14. Williams, W. W., Lu, P. J., O’halloran, A., et al. (2014). Noninfluenza vaccination coverage among adults—United States, 2012. MMWR, 63(5), 95–102.

    PubMed  Google Scholar 

  15. Williams, W. W., Lu, P. J., O’halloran, A., et al. (2015). Vaccination coverage among adults, excluding influenza vaccination—United States, 2013. MMWR, 64(4), 95–102.

    PubMed  Google Scholar 

  16. Lu, P. J., Rodriguez-Lainz, A., O’halloran, A., Greby, S., & Williams, W. W. (2014). Adult vaccination disparities among foreign-born populations in the U.S., 2012. American Journal of Preventive Medicine, 47(6), 722–733.

    Article  PubMed  Google Scholar 

  17. Miller, B. L., Ahmed, F., Lu, P. J., et al. (2010). Tetanus and pertussis vaccination coverage among adults aged ≥18 years—United States, 1999 and 2008. MMWR, 59(40), 1302–1306.

    Google Scholar 

  18. Lu, P.J., O’Halloran, A., Ding, H., Liang, J. L., Williams, W. W. (2015). National and state-specific td and tdap vaccination of adult populations. The American Journal of Preventive Medicine. doi:10.1016/j.amepre.2015.09.033.

  19. Table 1. Annual Estimates of the Resident Population for the United States, Regions, States, and Puerto Rico: April 1 2010 to July 1, 2014 (NST-EST2014-01) Source: U.S. Census Bureau, Population Division. Release Date: December 2014.

  20. Table 2. Projections of the Population by Nativity for the United States: 2015–2060 (NP2014-T2) Source: U.S. Census Bureau, Population Division. Release Date: December 2014.

  21. Quick Fact Beta Table. Source: U.S. Census Bureau. Foreign-born persons, percent, 2009–2013. Retrieved January 12, 2015, fromhttp://www.census.gov/quickfacts/table/PST045214/00.

  22. WHO vaccine-preventable diseases: Monitoring system. 2015 global summary. World Health Organization, 2015. http://apps.who.int/immunization_monitoring/globalsummary/schedules.

  23. Chiappini E, Stival A, Galli L, De Martino, M. (2013). Pertussis re-emergence in the post-vaccination era. BMC Infectious Diseases, 13:151. http://www.biomedcentral.com/1741-2334/13/151.

  24. Beltrán silva, S., Cervantes Apolinar, Y., Cherry, J. D., et al. (2011). Consensus on the clinical and microbiologic diagnosis of Bordetella pertussis, and infection prevention. Expert Group on Pertussis Vaccination. Salud publica de Mexico, 53(1), 57–65.

    Article  PubMed  Google Scholar 

  25. Suárez-Idueta, L., Herbas-Rocha, I., Gómez- Altamirano, C., & Richardson-López, V. (2012). Tos ferina, un problema vigente de salud pública en México: Planteamiento de la necesidad para introducir una nueva vacuna. Boletín médico del Hospital Infantil de México, 69(4), 314–20.

    Google Scholar 

  26. Centers for Disease Control and Prevention (CDC). National Health Interview Survey. Retrieved December 17, 2014, from http://www.cdc.gov/nchs/nhis/quest_data_related_1997_forward.htm.

  27. U.S. Census Bureau. Poverty thresholds. http://www.census.gov/hhes/www/poverty/data/threshld/.

  28. Shah, B., Barnwell, B., & Bieier, G. (2010). SUDAAN user’s manual, release 10.1. Research Triangle Park, NC: Research Triangle Institute.

    Google Scholar 

  29. Suryadevara, M., Bonville, C. A., Cibula, D. A., et al. (2014). Pertussis vaccine for adults: Knowledge, attitudes, and vaccine receipt among adults with children in the household. Vaccine, 32(51), 7000–7004.

    Article  PubMed  Google Scholar 

  30. Centers for Disease Control and Prevention. (1991). Diphtheria, tetanus, and pertussis: Recommendations for vaccine use and other preventive measures: Recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR. 40(No. RR-10), 1–28.

    Google Scholar 

  31. The Joint Commission, Mission. (2011). Tdap Vaccination Strategies for Adolescents and Adults, Including Health Care Personnel Strategies from Research and Practice. http://www.jointcommission.org/assets/1/6/Tdap_Monograpgh.pdf.

  32. Lu, P. J., Graitcer, S. B., O’Halloran, A., & Liang, J. L. (2014). Tetanus, diphtheria and acellular pertussis (Tdap) vaccination among healthcare personnel-United States, 2011. Vaccine, 32(5), 572–578.

    Article  PubMed  Google Scholar 

  33. Miller, B., Kretsinger, K., Euler, G., et al. (2011). Barriers to early uptake of tetanus, diphtheria and acellular pertussis vaccine (Tdap) among adults—United States, 2005–2007. Vaccine, 29(22), 3850–3856.

    Article  PubMed  Google Scholar 

  34. Lu, P. J., Euler, G. L., & Harpaz, R. (2011). Herpes zoster vaccination among adults aged 60 years and older, in the U.S., 2008. American Journal of Preventive Medicine, 40, e1–e6.

    Article  PubMed  Google Scholar 

  35. Lu, P. J., & Nuorti, J. P. (2010). Pneumococcal polysaccharide vaccination among adults aged 65 years and older, U.S., 1989–2008. American Journal of Preventive Medicine, 39, 287–295.

    Article  PubMed  Google Scholar 

  36. Madhavan, S. S., Rosenbluth, S. A., Amonkar, M., Fernandes, A., & Borker, R. (2003). Immunization predictors in rural adults under 65 years of age. Journal of Health Care for the Poor and Underserved, 14(1):100–21.

    Article  PubMed  Google Scholar 

  37. Housey, M., Zhang, F., Miller, C., et al (2014). Vaccination with tetanus, diphtheria, and acellular pertussis vaccine of pregnant women enrolled in Medicaid–Michigan, 2011–2013. MMWR, 63(38), 839–842.

    PubMed  Google Scholar 

  38. Singer, D. C., Davis, M. M., Gebremariam, A., & Clark, S. J. (2012). Underinsurance for recently recommended vaccines in private health plans. The Journal of Community Health, 37(6):1164–67.

    Article  PubMed  Google Scholar 

  39. O’Leary, S. T., Allison, M. A., Lindley, M. C., et al. (2014). Vaccine financing from the perspective of primary care physicians. Pediatrics, 133(3):367–74.

    Article  PubMed  PubMed Central  Google Scholar 

  40. U.S Department of Health and Human Services, The Affordable Care Act and Immunization. (2012). http://www.hhs.gov/healthcare/facts/factsheets/2010/09/The-Affordable-Care-Act-and-Immunization.html.

  41. Skowronski, D., Pielak, K., Remple, V., et al. (2004). Adult tetanus, diphtheria and pertussis immunization: Knowledge, beliefs, behavior and anticipated uptake. Vaccine, 23(3), 353–361.

    Article  PubMed  Google Scholar 

  42. Rolnick, S. J., Parker, E. D., Nordin, J. D., et al. (2013). Self-report compared to electronic medical record across eight adult vaccines: Do results vary by demographic factors? Vaccine, 31, 3928–3935.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Task Force on Community Preventive Services. (2015). Guide to Community Preventive Services. Increasing appropriate vaccination. Retrieved August 14, 2015, from http://www.thecommunityguide.org/vaccines/index.html.

  44. Health Care Financing Administration. (1999). Evidence report and evidence-based recommendations: Interventions that increase the utilization of medicare-funded preventive service for persons age 65 and older. Baltimore, MA: Health Care Financing Administration.

    Google Scholar 

  45. Table 3.1 Foreign-Born Population by Sex, Age, and World Region of Birth: 2013. Source: U.S. Census Bureau, Population Division. https://www.census.gov/population/foreign/data/cps2013.html.

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Author information

Authors and Affiliations

  1. Department of Global Health, University of Washington, 1510 San Juan Road, Seattle, WA, 98195, USA

    Liliana Sánchez-González

  2. Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA, 30333, USA

    Alfonso Rodriguez-Lainz

  3. Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA, 30333, USA

    Alissa O’Halloran, Peng-jun Lu & Walter W. Williams

  4. Department of Epidemiology, University of Washington, Box 357236, 1959 NE Pacific Street, Seattle, WA, 98195, USA

    Ali Rowhani-Rahbar & Peter M. Houck

  5. Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA, 30333, USA

    Jennifer L. Liang

  6. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA

    Stephane Verguet

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  1. Liliana Sánchez-González
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Correspondence to Liliana Sánchez-González.

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The authors certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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Sánchez-González, L., Rodriguez-Lainz, A., O’Halloran, A. et al. Factors Related to Pertussis and Tetanus Vaccination Status Among Foreign-Born Adults Living in the United States. J Community Health 42, 573–582 (2017). https://doi.org/10.1007/s10900-016-0290-7

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  • DOI: https://doi.org/10.1007/s10900-016-0290-7

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