Open Access Repository

Is childhood immunisation associated with atopic disease from age 7 to 32 years?


Downloads per month over past year

Nakajima, K, Dharmage, SC, Carlin, JB, Warton, CL, Jenkins, MA, Giles, GG, Abramson, MJ, Walters, EH and Hopper, JL 2007 , 'Is childhood immunisation associated with atopic disease from age 7 to 32 years?' , Thorax, vol. 62, no. 3 , pp. 270-275 , doi: 10.1136/thx.2006.062547.

[img] PDF
4241.pdf | Request a copy
Full text restricted


Background: There is ongoing conjecture over whether childhood immunisation leads to an increased risk of developing atopic diseases.

Objective: To examine associations between childhood immunisation and the risk of atopic disease.

Method: Immunisation histories of 8443 Tasmanian children born in 1961 obtained from school medical records were linked to the Tasmanian Asthma Study. Associations between immunisation status and atopic diseases were examined while adjusting for possible confounders using multiple logistic regression.

Results: Diphtheria immunisation was weakly associated with an increased risk of asthma by age 7 years (odds ratio (OR) 1.3, 95% confidence interval (CI) 1.1 to 1.7), but there was no evidence of any association for four other vaccinations studied. An increased risk of eczema by age 7 years was associated with immunisation against diphtheria (OR 1.5, 95% CI 1.1 to 2.1), tetanus (OR 1.5, 95% CI, 1.1 to 2.0), pertussis (OR 1.5, 95% CI 1.1 to 1.9) and polio (OR 1.4, 95% CI 1.0 to 1.9) but not small pox. Similar but slightly weaker patterns of association were observed between the risk of food allergies and immunisation against diphtheria (OR 1.5, 95% CI 1.0 to 2.1), pertussis (OR 1.4, 95% CI 1.1 to 1.9), polio (OR 1.4, 95% CI 1.00 to 2.1) and tetanus (OR 1.30 95% CI 0.99 to 1.70), but not with small pox. There was no evidence of associations between immunisation history and hay fever, or incidence of later-onset atopic outcomes.

Conclusions: The few effects seen in this study are small and age-dependent, and nearly all our findings support numerous previous studies of no effect of vaccines on asthma. Based on these findings, the fear of their child developing atopic disease should not deter parents from immunising their children, especially when weighed against the benefits.

Item Type: Article
Authors/Creators:Nakajima, K and Dharmage, SC and Carlin, JB and Warton, CL and Jenkins, MA and Giles, GG and Abramson, MJ and Walters, EH and Hopper, JL
Journal or Publication Title: Thorax
Publisher: BMJ Publishing Group
ISSN: 0040-6376
DOI / ID Number: 10.1136/thx.2006.062547
Additional Information:

Copyright © 2007 BMJ Publishing Group Ltd & British Thoracic Society

Item Statistics: View statistics for this item

Actions (login required)

Item Control Page Item Control Page