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A hierarchical analysis of social determinants of measles vaccination coverage in Austrian schoolchildren

Willibald J Stronegger1, Wolfgang Freidl

  • 1Institute of Social Medicine and Epidemiology Medical University of Graz, Universitätsstrasse 6/I, Graz, Austria. willibald.stronegger@medunigraz.at

European Journal of Public Health
|December 2, 2009
PubMed

Insights

Vaccination coverage is lower in families with many children and fathers with low education. These factors, along with childcare resources, influence childhood immunization rates.

Area of Science:

  • Pediatric Health
  • Public Health Policy
  • Sociology of Health

Background:

  • Socio-economic and demographic factors are linked to low childhood vaccination coverage.
  • The intricate relationships between these factors remain unclear.
  • This study investigates familial resources for childcare and their connection to vaccination rates and socio-demographic influences.

Purpose of the Study:

  • To examine the association between parental social status, childcare resources, and measles vaccination coverage in schoolchildren.
  • To explore the interrelationships among these determinants using a hierarchical model.

Main Methods:

  • Cross-sectional study of 2386 schoolchildren aged 6-13 years in Styria, Austria.
  • Utilized a conceptual hierarchical model to analyze determinants of vaccination coverage.
  • Employed graphical modeling for multivariate analysis of hierarchically structured data.

Main Results:

  • High number of children in the family showed a direct association with lower vaccination coverage (P < 0.0001).
  • Low paternal education was directly and indirectly associated with reduced vaccination coverage (P < 0.001).
  • Other childcare resources indirectly impacted coverage, with family size being a key mediator.

Conclusions:

  • Vaccination programs should target families with numerous children and parents of lower educational backgrounds.
  • A focused approach on specific high-risk groups may be more effective than population-wide strategies.
Abstract

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