Cited by 110Asthma and respiratory diseasesVaccine Coverage and HesitancyPharmacovigilance and Adverse Drug Reactions

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Childhood vaccinations and risk of asthma

DESTEFANO, FRANK, GU, DAVID, KRAMARZ, PIOTR, TRUMAN, BENEDICT I., IADEMARCO, MICHAEL F., MULLOOLY, JOHN P., JACKSON, LISA A., DAVIS, ROBERT L., BLACK, STEVEN B., SHINEFIELD, HENRY R., MARCY, S. MICHAEL, WARD, JOEL I., CHEN, ROBERT T.·2002·The Pediatric Infectious Disease Journal

DOI 10.1097/00006454-200206000-00004

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Abstract

BACKGROUND: A few previous studies have suggested that childhood vaccines, particularly whole cell pertussis vaccine, may increase the risk of asthma. We evaluated the suggested association between childhood vaccinations and risk of asthma. METHODS: Cohort study involving 167,240 children who were enrolled in 4 large health maintenance organizations during 1991 to 1997, with follow-up from birth until at least 18 months to a maximum of 6 years of age. Vaccinations were ascertained through computerized immunization tracking systems, and onset of asthma was identified through computerized data on medical care encounters and medication dispensings. RESULTS: In the study 18,407 children (11.0%) developed asthma, with a median age at onset of 11 months. The relative risks (95% confidence intervals) of asthma were: 0.92 (0.83 to 1.02) for diphtheria, tetanus and whole cell pertussis vaccine; 1.09 (0.9 to 1.23) for oral polio vaccine; 0.97 (0.91 to 1.04) for measles, mumps and rubella (MMR) vaccine; 1.18 (1.02 to 1.36) for Haemophilus influenzae type b (Hib); and 1.20 (1.13 to 1.27) for hepatitis B vaccine. The Hib result was not consistent across health maintenance organizations. In a subanalysis restricted to children who had at least 2 medical care encounters during their first year, the relative risks decreased to 1.07 (0.71 to 1.60) for Hib and 1.09 (0.88 to 1.34) for hepatitis B vaccine. CONCLUSION: There is no association between diphtheria, tetanus and whole cell pertussis vaccine, oral polio vaccine or measles, mumps and rubella vaccine and the risk of asthma. The weak associations for Hib and hepatitis B vaccines seem to be at least partially accounted for by health care utilization or information bias.

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Authors: DESTEFANO, F., GU, D., KRAMARZ, P., TRUMAN, B. I., IADEMARCO, M. F., MULLOOLY, J. P., JACKSON, L. A., DAVIS, R. L., BLACK, S. B., SHINEFIELD, H. R., MARCY, S. M., WARD, J. I., & CHEN, R. T.
Affiliations: Centers for Disease Control and Prevention (US)
ORCID: KRAMARZ, PIOTR
TRUMAN, BENEDICT I.
IADEMARCO, MICHAEL F.
JACKSON, LISA A.
DAVIS, ROBERT L.
BLACK, STEVEN B.
WARD, JOEL I.
CHEN, ROBERT T.
Venue: The Pediatric Infectious Disease Journal
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2002-06
Volume: 21
Issue: 6
Pages: 498-504
ISSN: 0891-3668 (ISSN-L)
DOI: 10.1097/00006454-200206000-00004
OpenAlex: W2090329806
Cited by: 109
References: 40
Citations by year: 2026: 1 · 2025: 1 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 2
FWCI: 6.59
Type: journal article
Language: en
Open access: closed
Locations: The Pediatric Infectious Disease Journal (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
Social Sciences › Health › Vaccine Coverage and Hesitancy
Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
Keywords: childhood immunization, asthma risk, whole-cell pertussis vaccine, DTP vaccine, oral polio vaccine, MMR vaccine, Haemophilus influenzae type b vaccine, hepatitis B vaccine, vaccine safety, health maintenance organizations
MeSH terms: Asthma, Child, Female, Humans, Infant, Infant, Newborn, Male, Poliovirus Vaccine, Oral, Risk Factors, Viral Vaccines, Cohort Studies, Diphtheria-Tetanus-Pertussis Vaccine, Incidence, Measles-Mumps-Rubella Vaccine

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