title: Immunizations: a health disparity concerning African-American children and implications for community health.
abstract: Despite the remarkable achievements in vaccine development and delivery, a trend has emerged that suggests that African-American children from 19 to 35 months of age are falling below national goals. The purpose of this article is to present a framework for solving the problem of immunization health disparities among African-American children The framework presented is considered a problem-solving approach for addressing public health problems and disease prevention. The approach is based on a sequential series of steps: define the problem, describe the magnitude of the problem, identify the key determinants, suggest intervention and prevention strategies, and recommend implementation and evaluation strategies.
authors.affiliation: School of Nursing, University of Pennsylvania, Philadelphia 19104-6096, USA. colemanc@nursing.upenn.edu
authors.forename: Christopher Lance
authors.initials: CL
authors.lastname: Coleman
mesh_terms: D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D002675:Child, Preschool; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007115:Immunization Schedule; D007223:Infant; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012042:Registries; D017010:Reminder Systems; D012959:Socioeconomic Factors; D014481:United States