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Ecological and individual effects in childhood immunisation uptake: A multi-level approach

Author

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  • Jones, Kelvyn
  • Moon, Graham
  • Clegg, Andrew

Abstract

Analyses of childhood immunisation uptake have traditionally been conducted at either the ecological or the individual scale. In this paper the problems stemming from these distinct strategies are explored and the potential of a multi-level modelling approach taking simultaneous account of processes at both levels is discussed. This discussion is set in the context of a case-study of pertussis immunisation uptake using data gathered from routine child health surveillance and immunisation uptake monitoring. The role of multi-level modelling in medical geographic research is briefly evaluated.

Suggested Citation

  • Jones, Kelvyn & Moon, Graham & Clegg, Andrew, 1991. "Ecological and individual effects in childhood immunisation uptake: A multi-level approach," Social Science & Medicine, Elsevier, vol. 33(4), pages 501-508, January.
    • Handle: RePEc:eee:socmed:v:33:y:1991:i:4:p:501-508
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    Cited by:

    1. M L Senior & S J New & A C Gatrell & B J Francis, 1993. "Geographic Influences on the Uptake of Infant Immunisations: 2. Disaggregate Analyses," Environment and Planning A, , vol. 25(4), pages 467-479, April.
    2. Merlo, Juan & Viciana-Fernández, Francisco J. & Ramiro-Fariñas, Diego, 2012. "Bringing the individual back to small-area variation studies: A multilevel analysis of all-cause mortality in Andalusia, Spain," Social Science & Medicine, Elsevier, vol. 75(8), pages 1477-1487.

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