title: Measuring inequalities in immunization in Wales and the impact of interventions.
abstract: We reviewed uptake of childhood immunization in Wales by quintile of deprivation and found that uptake was significantly lower in residents in the most socio-economically deprived areas compared with the least deprived. Differences were greater in older children. Services generally met best practice recommended by the National Institute for Health and Care Excellence; however, follow up of children who had not responded to invitations to attend routine immunization sessions needed more consistent implementation. Over a three year period to 2014-15 the difference in uptake between upper and lower quintiles at the fourth birthday reduced from 8.9% to 6.7%.
authors.affiliation: a Vaccine Preventable Disease Programme and Communicable Disease Surveillance Centre, Public Health Wales, Temple of Peace and Health , Cardiff , Wales , UK.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Roberts
authors.affiliation: a Vaccine Preventable Disease Programme and Communicable Disease Surveillance Centre, Public Health Wales, Temple of Peace and Health , Cardiff , Wales , UK.
authors.forename: Anne
authors.initials: A
authors.lastname: McGowan
authors.affiliation: a Vaccine Preventable Disease Programme and Communicable Disease Surveillance Centre, Public Health Wales, Temple of Peace and Health , Cardiff , Wales , UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Cottrell
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D017589:Immunization Programs; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012959:Socioeconomic Factors; D014852:Wales
keywords: Wales; children; deprivation; immunisation; inequalities