title: Rotavirus vaccination rate disparities seen among infants with acute gastroenteritis in Georgia.
abstract: Rotavirus (RV) is one of the most common diarrheal diseases affecting children less than 5 years of age. RV vaccines have greatly reduced this burden in the United States. The purpose of this study was to determine possible disparities and socio-economic differences in RV vaccination rates.
  
  
  
  Children with acute gastroenteritis were enrolled. Stool was tested for presence of rotavirus using an enzyme immunoassay kit. Vaccination records were abstracted from the state immunization registry and healthcare providers to examine complete and incomplete vaccination status. Cases were identified as children receiving a complete RV dose series and controls were identified as children with incomplete RV doses. A logistic regression model was used to determine disparities seen amongst children with incomplete vaccination status.
  
  
  
  Racial differences between Black and white infants for RV vaccination rates were not significant when controlling for covariates (OR 1.15, 95% CI 0.74-1.78); however ethnicity (p-value .0230), age at onset of illness (p-value .0004), birth year (p-value < .0001), and DTaP vaccination status (p-value < .0001) were all significant in determining vaccination status for children.
  
  
  
  Racial disparities and socio-economic differences are not determinants in rotavirus vaccination rates; however, age and ethnicity have an effect on RV vaccine status.
authors.affiliation: a Departments of Pediatrics and Microbiology/Biochemistry/Immunology , Morehouse School of Medicine , Atlanta , GA , USA.|f Postgraduate Medical Institute Clinical Trials Unit , Anglia Ruskin University , Chelmsford , UK.
authors.forename: Trisha C
authors.initials: TC
authors.lastname: Parker
authors.affiliation: b Pediatric Emergency Medicine Associates , Atlanta , GA , USA.
authors.forename: Anaam
authors.initials: A
authors.lastname: Mohammed
authors.affiliation: c Department of Biostatistics and Bioinformatics , Rollins School of Public Health, Emory University , Atlanta , GA , USA.
authors.forename: Traci
authors.initials: T
authors.lastname: Leong
authors.affiliation: e Children's Healthcare of Atlanta , Atlanta , GA , USA.
authors.forename: Shelley
authors.initials: S
authors.lastname: Mays
authors.affiliation: d Departments of Pediatrics and Medicine , Emory University , Atlanta , GA , USA.|e Children's Healthcare of Atlanta , Atlanta , GA , USA.
authors.forename: Shabnam
authors.initials: S
authors.lastname: Jain
authors.affiliation: a Departments of Pediatrics and Microbiology/Biochemistry/Immunology , Morehouse School of Medicine , Atlanta , GA , USA.
authors.forename: Victoria
authors.initials: V
authors.lastname: Churchill
authors.affiliation: a Departments of Pediatrics and Microbiology/Biochemistry/Immunology , Morehouse School of Medicine , Atlanta , GA , USA.
authors.forename: Fatima
authors.initials: F
authors.lastname: Ali
authors.affiliation: a Departments of Pediatrics and Microbiology/Biochemistry/Immunology , Morehouse School of Medicine , Atlanta , GA , USA.|d Departments of Pediatrics and Medicine , Emory University , Atlanta , GA , USA.
authors.forename: Lilly C
authors.initials: LC
authors.lastname: Immergluck
mesh_terms: D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology* / Q000517:prevention & control*; D005845:Georgia; D054624:Health Status Disparities; D006801:Humans; D007223:Infant; D008297:Male; D012400:Rotavirus Infections / Q000453:epidemiology* / Q000517:prevention & control; D022243:Rotavirus Vaccines / Q000008:administration & dosage* / Q000276:immunology; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000379:methods*
chemical_list: D022243:Rotavirus Vaccines
keywords: Rotavirus; disparities; gastroenteritis; health inequities; immunization; rotavirus vaccine