Neighborhood Poverty Characteristics of Pertussis Cases among Young Children in San Bernadino County, CA, in 2010-2011.

Background: The burden of most infectious diseases falls heavily on persons living in neighborhoods of lower socioeconomic status. This study examined the distribution of pertussis among children ages 0-5 years by neighborhood poverty categories and ethnicity in San Bernardino County, California, du...

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Publicado en:Californian Journal of Health Promotion Vol. 13; no. 3; pp. 46 - 55
Autores principales: Napoli, James, Mouttapa, Michele, Davis, Stacey
Formato: research tables/charts Journal Article
Publicado: California State University, Fullerton 2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2015
      vid: 13
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      pub: California State University, Fullerton
      place: Fullerton, California
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        atl: Neighborhood Poverty Characteristics of Pertussis Cases among Young Children in San Bernadino County, CA, in 2010-2011.
      aug:
        au:
          Napoli, James
          Mouttapa, Michele
          Davis, Stacey
        affil: Department of Health Science, California State University, Fullerton
      sug:
        subj:
          Socioeconomic Factors
          Poverty
          Whooping Cough
          Population Surveillance
          Pertussis Vaccine
          Child, Preschool
          Odds Ratio
          Data Analysis
          Study Design
          California
          Prospective Studies
          Data Collection
          Case Studies
          Child
          Surveys
          Child, Preschool: 2-5 years
          Child: 6-12 years
      ab: Background: The burden of most infectious diseases falls heavily on persons living in neighborhoods of lower socioeconomic status. This study examined the distribution of pertussis among children ages 0-5 years by neighborhood poverty categories and ethnicity in San Bernardino County, California, during an epidemic in 2010-2011. Methods: One hundred twenty-seven cases were identified and their residences were geocoded to determine the poverty rate of the census tract the residence was in. All residences were categorized as belonging to one of four poverty categories: 0-4.9% of residents (low poverty, reference group), 5-9.9% (medium low poverty), 10-19.9% (medium high poverty), and 20-100% (high poverty). Pertussis incidence rates were calculated for the four categories. Results: Pertussis incidence rates did not significantly vary among the poverty categories. Furthermore the ethnic distribution of pertussis cases did not significantly vary among the poverty categories. Conclusions: The usual socioeconomic disparity found for childhood infectious diseases was not found for pertussis incidence. This may be due to the fact that childhood pertussis vaccinations are state-mandated and publicly-funded, therefore more accessible to children of all neighborhoods. To further reduce pertussis incidence, health education efforts might include the elimination of personal belief exemptions from vaccinations, as was done in California.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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