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Susan Y. Chu, PhD, MSPH, Lawrence E. Barker, PhD and Philip J. Smith, PhD

The authors are with the National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Susan Y. Chu, PhD, MSPH, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mail Stop E-5, Atlanta, GA 30333 (e-mail: syc1{at}cdc.gov).

Objectives. We examined current racial/ethnic differences in immunization coverage rates among US preschool children.

Methods. Using National Immunization Survey data from 1996 through 2001, we compared vaccination coverage rates between non-Hispanic White, non-Hispanic Black, Hispanic, and Asian preschool children.

Results. During the 6-year study period, the immunization coverage gap between White and Black children widened by an average of 1.1% each year, and the gap between White and Hispanic children widened by an average of 0.5% each year. The gap between White and Asian children narrowed by an average of 0.8% each year.

Conclusions. Racial/ethnic disparities in preschool immunization coverage rates have increased significantly among some groups; critical improvements in identifying, understanding, and addressing race/ethnicity-specific health care differences are needed to achieve the Healthy People 2010 goal of eliminating disparities.

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