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Elizabeth T. Luman, PhD, Lawrence E. Barker, PhD, Mary Mason McCauley, MTSC and Carolyn Drews-Botsch, PhD

Elizabeth T. Luman, Lawrence E. Barker, and Mary Mason McCauley are with the National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga. Elizabeth T. Luman and Carolyn Drews-Botsch are with the Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta.

Correspondence: Requests for reprints should be sent to Elizabeth T. Luman, PhD, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mail Stop E-62, Atlanta, GA 30333 (e-mail: ecl7{at}cdc.gov).

Objective. We examined the timeliness of vaccine administration among children aged 24 to 35 months for each state of the United States and the District of Columbia.

Methods. We analyzed the timeliness of vaccinations in the 2000–2002 National Immunization Survey. We used a modified Bonferroni adjustment to compare a reference state with all other states.

Results. Receipt of all vaccinations as recommended ranged from 2% (Mississippi) to 26% (Massachusetts), with western states having less timeliness than eastern states.

Conclusions. Vaccination coverage measures usually focus on the number of vaccinations accumulated by specified ages. Our analysis of timeliness of administration shows that children rarely receive all vaccinations as recommended. State health departments can use timeliness of vaccinations along with other measures to determine children’s susceptibility to vaccine-preventable diseases and to evaluate the quality of vaccination programs. States can use the modified Bonferroni comparison to appropriately compare their results with other states.

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