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Determinants of partial or no primary immunisations

L J Jessop1, C C Kelleher, C Murrin

  • 1School of Public Health and Population Science, Woodview House, University College Dublin, Belfield, Dublin 4, Ireland. cecily.kelleher@ucd.ie

Archives of Disease in Childhood
|June 3, 2010
PubMed

Insights

Maternal factors like alternative practitioner visits and lower psychological quality of life scores, along with socioeconomic status and rural location, significantly impact children

Area of Science:

  • Pediatric Health
  • Public Health
  • Epidemiology

Background:

  • Primary immunizations are crucial for child health and disease prevention.
  • Understanding factors influencing immunization uptake is vital for public health strategies.
  • Previous research has identified various socioeconomic and demographic predictors of vaccination status.

Purpose of the Study:

  • To investigate factors associated with full, partial, or no primary immunizations in children.
  • To identify specific maternal, socioeconomic, and geographical determinants of immunization coverage.

Main Methods:

  • Cross-generational cohort study conducted in urban and rural Ireland (2001-2003) with 5-year follow-up.
  • Linked primary care and hospital records for 749 children with immunization data.
  • Statistical analysis using adjusted relative risk ratios and odds ratios.

Main Results:

  • High uptake of primary immunizations (92.8% full, 4.9% partial, 2.3% none).
  • No immunization significantly associated with maternal alternative practitioner visits (RR 3.69), means-tested medical services eligibility (RR 8.11), low WHO-QOL psychological score (RR 8.82), and rural western Ireland (RR 3.64).
  • Premature birth was linked to partial immunization (OR 4.63).

Conclusions:

  • Specific maternal characteristics, socioeconomic factors, and geographical location are significant predictors of incomplete primary immunization.
  • Targeted interventions are needed to address disparities and improve full immunization uptake.
  • Findings can inform public health campaigns to enhance childhood vaccination rates.
Abstract

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