Vaccine-preventable, hospitalizations among American Indian/Alaska Native children using the 2012 Kid's Inpatient Database

Vaccine. 2018 Feb 8;36(7):945-948. doi: 10.1016/j.vaccine.2017.02.051.

Abstract

Our aim was to assess the odds of hospitalization for a vaccine-preventable, infectious disease (VP-ID) in American Indian/Alaska Native (AI/AN) children compared to other racial and ethnic groups using the 2012 Kid's Inpatient Database (KID) The KID is a nationally representative sample, which allows for evaluation of VP-ID in a non-federal, non-Indian Health Service setting. In a cross-sectional analysis, we evaluated the association of race/ethnicity and a composite outcome of hospitalization due to vaccine-preventable infection using multivariate logistic regression. AI/AN children were more likely (OR=1.81, 95% CI=1.34, 2.45) to be admitted to the hospital in 2012 for a VP-ID compared to Non-Hispanic white children after adjusting for age, sex, chronic disease status, metropolitan location, and median household income. This disparity highlights the necessity for a more comprehensive understanding of immunization and infectious disease exposure among American Indian children, especially those not covered or evaluated by Indian Health Service.

Keywords: American Indian; Health disparities; Immunizations; Pediatric hospitalization; Vaccine-preventable infectious disease.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Age Factors
  • Alaska Natives*
  • Child
  • Child, Preschool
  • Communicable Disease Control / statistics & numerical data*
  • Cross-Sectional Studies
  • Databases, Factual
  • Female
  • Hospitalization* / statistics & numerical data
  • Humans
  • Indians, North American*
  • Infant
  • Infant, Newborn
  • Inpatients
  • Male
  • Odds Ratio
  • Outcome Assessment, Health Care
  • Public Health Surveillance
  • Socioeconomic Factors
  • United States / epidemiology
  • United States / ethnology
  • United States Indian Health Service / statistics & numerical data*
  • Vaccines* / administration & dosage

Substances

  • Vaccines