Introduction The Vaccines for Children (VFC) program was established in 1994 to provide recommended vaccines at no cost to eligible children and help ensure that all U.S. children are protected from life-threatening vaccine-preventable diseases. Methods CDC analyzed data from the 2012-2022 National Immunization Survey-Child (NIS-Child) to assess trends in vaccination coverage with ≥1 dose of measles, mumps, and rubella vaccine (MMR), 2-3 doses of rotavirus vaccine, and a combined 7-vaccine series, by VFC program eligibility status, and to examine differences in coverage among VFC-eligible children by sociodemographic characteristics. VFC eligibility was defined as meeting at least one of the following criteria: 1) American Indian or Alaska Native; 2) insured by Medicaid, Indian Health Service (IHS), or uninsured; or 3) ever received at least one vaccination at an IHS-operated center, Tribal health center, or urban Indian health care facility. Results Overall, approximately 52.2% of U.S. children were VFC eligible. Among VFC-eligible children born during 2011-2020, coverage by age 24 months was stable for ≥1 MMR dose (88.0%-89.9%) and the combined 7-vaccine series (61.4%-65.3%). Rotavirus vaccination coverage by age 8 months was 64.8%-71.1%, increasing by an average of 0.7 percentage points annually. Among all children born in 2020, coverage was 3.8 (≥1 MMR dose), 11.5 (2-3 doses of rotavirus vaccine), and 13.8 (combined 7-vaccine series) percentage points lower among VFC-eligible than among non-VFC-eligible children. Conclusions and implications for public health practice Although the VFC program has played a vital role in increasing and maintaining high levels of childhood vaccination coverage for 30 years, gaps remain. Enhanced efforts must ensure that parents and guardians of VFC-eligible children are aware of, have confidence in, and are able to obtain all recommended vaccines for their children.

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生命体征：儿童疫苗接种计划资格的儿童疫苗接种覆盖率的趋势和差异 - 国家免疫调查 - 儿童，美国，2012-2022 年。


简介 儿童疫苗 (VFC) 计划成立于 1994 年，旨在向符合条件的儿童免费提供推荐疫苗，并帮助确保所有美国儿童免受危及生命的疫苗可预防疾病的影响。方法 CDC 分析了 2012-2022 年国家儿童免疫调查 (NIS-Child) 的数据，以评估 ≥1 剂麻疹、腮腺炎和风疹疫苗 (MMR)、2-3 剂轮状病毒疫苗和根据 VFC 计划资格状态，组合 7 种疫苗系列，并按社会人口统计特征检查 VFC 合格儿童的覆盖率差异。 VFC 资格被定义为至少满足以下标准之一： 1) 美洲印第安人或阿拉斯加原住民； 2) 受 Medicaid、印度健康服务局 (IHS) 投保或未投保； 3) 曾经在 IHS 运营的中心、部落卫生中心或城市印第安卫生保健机构接受过至少一种疫苗接种。结果 总体而言，大约 52.2% 的美国儿童符合 VFC 资格。在 2011-2020 年期间出生的符合 VFC 资格的儿童中，24 个月大时≥1 MMR 剂量（88.0%-89.9%）和联合 7 种疫苗系列（61.4%-65.3%）的覆盖率保持稳定。 8个月龄轮状病毒疫苗接种覆盖率为64.8%-71.1%，年均增长0.7个百分点。在 2020 年出生的所有儿童中，符合 VFC 资格的儿童的覆盖率比不符合 VFC 的儿童低 3.8 个百分点（≥ 1 剂 MMR）、11.5 个百分点（2-3 剂轮状病毒疫苗）和 13.8 个百分点（联合 7 种疫苗系列）。符合资格的儿童。结论和对公共卫生实践的影响 尽管 30 年来，VFC 计划在提高和维持儿童疫苗接种高水平方面发挥了至关重要的作用，但差距仍然存在。 必须加强努力，确保符合 VFC 资格的儿童的父母和监护人了解、有信心并能够为他们的孩子获得所有推荐的疫苗。