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. 2005 Jan;90(1):36–40. doi: 10.1136/adc.2003.047126

Vaccination rates in a multicultural population

M F van der Wal 1, A Diepenmaat 1, J Pel 1, R Hirasing 1
PMCID: PMC1720062  PMID: 15613508

Abstract

Aims: To establish whether there are social or cultural groups of children in Amsterdam with relatively low vaccination coverage for diphtheria, pertussis, tetanus, and poliomyelitis (DPTP), and for measles, mumps, and rubella (MMR).

Methods: All of the 57 382 children aged between 5 and 12 years and living in Amsterdam on 1 January 2003 were analysed with respect to vaccination and sociodemographic data collected routinely by the Department of Child Health Care. The State Vaccination Programme (SVP) guidelines were adhered to in order to determine vaccination status.

Results: The overall respective DPTP and MMR vaccination rates were 93.0% and 93.9%. No great differences in vaccination levels were found between depressed and affluent areas or between the children of Dutch and non-Dutch mothers. However, foreign children who had been born abroad (Surinam, Morocco, Turkey) were most likely not to have been fully vaccinated. Children who attended anthroposophical schools were also found to be considerably less frequently fully immunised than those at other types of schools.

Conclusions: Vaccination coverage for children domiciled in Amsterdam was very high. Nevertheless, there are groups where the vaccination level is relatively low and social contact is high.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker M. R., Bandaranayake R., Schweiger M. S. Differences in rate of uptake of immunisation among ethnic groups. Br Med J (Clin Res Ed) 1984 Apr 7;288(6423):1075–1078. doi: 10.1136/bmj.288.6423.1075. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bijkerk H., Bilkert-Mooiman M. A., Houtters H. J. De inentingstoestand bij aangegeven patiënten met mazelen tijdens de epidemie 1987/'88. Ned Tijdschr Geneeskd. 1989 Jan 7;133(1):29–32. [PubMed] [Google Scholar]
  3. Bijkerk H., Draaisma F. J., Landheer T., van Os M. Poliomyelitisepidemie in Staphorst. Ned Tijdschr Geneeskd. 1972 Apr 1;116(14):549–558. [PubMed] [Google Scholar]
  4. Bijkerk H., Draaisma F. J., van der Gugten A. C., van Os M. De poliomyelitis-epidemie in 1978. Ned Tijdschr Geneeskd. 1979 Sep 23;123(39):1700–1714. [PubMed] [Google Scholar]
  5. Coughlan Suzie, Connell Jeff, Cohen Bernard, Jin Li, Hall William W. Suboptimal measles-mumps-rubella vaccination coverage facilitates an imported measles outbreak in ireland. Clin Infect Dis. 2002 Jun 6;35(1):84–86. doi: 10.1086/340708. [DOI] [PubMed] [Google Scholar]
  6. Gangarosa E. J., Galazka A. M., Wolfe C. R., Phillips L. M., Gangarosa R. E., Miller E., Chen R. T. Impact of anti-vaccine movements on pertussis control: the untold story. Lancet. 1998 Jan 31;351(9099):356–361. doi: 10.1016/s0140-6736(97)04334-1. [DOI] [PubMed] [Google Scholar]
  7. Kenyon T. A., Izurieta H., Shulman S. T., Rosenfeld E., Miller M., Daum R., Strebel P. M. Large outbreak of pertussis among young children in Chicago, 1993: investigation of potential contributing factors and estimation of vaccine effectiveness. Pediatr Infect Dis J. 1996 Aug;15(8):655–661. doi: 10.1097/00006454-199608000-00004. [DOI] [PubMed] [Google Scholar]
  8. Kenyon T. A., Matuck M. A., Stroh G. Persistent low immunization coverage among inner-city preschool children despite access to free vaccine. Pediatrics. 1998 Apr;101(4 Pt 1):612–616. doi: 10.1542/peds.101.4.612. [DOI] [PubMed] [Google Scholar]
  9. LeBaron C. W., Chaney M., Baughman A. L., Dini E. F., Maes E., Dietz V., Bernier R. Impact of measurement and feedback on vaccination coverage in public clinics, 1988-1994. JAMA. 1997 Feb 26;277(8):631–635. [PubMed] [Google Scholar]
  10. Majeed F. A., Chaturvedi N., Reading R., Ben-Shlomo Y. Equity in the NHS. Monitoring and promoting equity in primary and secondary care. BMJ. 1994 May 28;308(6941):1426–1429. doi: 10.1136/bmj.308.6941.1426. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Markuzzi A., Schlipköter U., Weitkunat R., Meyer G. Masern-, Mumps- und Rötelnimpfstatus bei Münchner Schulanfängern. Soz Praventivmed. 1997;42(3):133–143. doi: 10.1007/BF01300564. [DOI] [PubMed] [Google Scholar]
  12. Oostvogel P. M., van Wijngaarden J. K., van der Avoort H. G., Mulders M. N., Conyn-van Spaendonck M. A., Rümke H. C., van Steenis G., van Loon A. M. Poliomyelitis outbreak in an unvaccinated community in The Netherlands, 1992-93. Lancet. 1994 Sep 3;344(8923):665–670. doi: 10.1016/s0140-6736(94)92091-5. [DOI] [PubMed] [Google Scholar]
  13. Scherer Almut, McLean Angela. Mathematical models of vaccination. Br Med Bull. 2002;62:187–199. doi: 10.1093/bmb/62.1.187. [DOI] [PubMed] [Google Scholar]
  14. van 't Spijker C., Rümke H. C. Beschermt een gewijzigd vaccinatieschema beter tegen mazelen? Ned Tijdschr Geneeskd. 1994 Nov 26;138(48):2400–2405. [PubMed] [Google Scholar]
  15. van der Wal M. F., Diepenmaat A. C., Pauw-Plomp H., van Weert-Waltman M. L. Hoge vaccinatiegraad van Amsterdamse kinderen. Ned Tijdschr Geneeskd. 2001 Jan 20;145(3):131–135. [PubMed] [Google Scholar]

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