Immunizations: a health disparity concerning African-American children and implications for community health.
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.
Coleman
Christopher Lance
CL
School of Nursing, University of Pennsylvania, Philadelphia 19104-6096, USA. colemanc@nursing.upenn.edu
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