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Determinants of Childhood Immunization Uptake among Socio-Economically Disadvantaged Migrants in East China

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Listed:
  • Yu Hu

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Qian Li

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Enfu Chen

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Yaping Chen

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, Hangzhou 310051, China)

  • Xiaohua Qi

    (Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention, Hangzhou 310051, China)

Abstract

Objective : To determine the coverage of childhood immunization appropriate for age among socio-economically disadvantaged recent migrants living in East China and to identify the determinants of full immunization uptake among these migrant children. Methods : This is a cross-sectional survey of 1,426 migrant mothers with a child aged ≤24 months, who were interviewed with a pretested questionnaire. Various vaccines, migration history and some other social-demographic and income details were collected. Single-level logistic regression analyses were applied to identify the determinants of full immunization status. Results : Immunization coverage rates are lower among migrants and even lower among recent migrants. The likelihood of a child receiving full immunization rise with parents’ educational level and the frequency of mother’s utilization of health care. Higher household income also significantly increase the likelihood of full immunization, as dose post-natal visits by a health worker. Conclusions : Recent migrant status favours low immunization uptake, particularly in the vulnerability context of alienation and livelihood insecurity. Services must be delivered with a focus on recent migrants. Investments are needed in education, socio-economic development and secure livelihoods to improve and sustain equitable health care services.

Suggested Citation

  • Yu Hu & Qian Li & Enfu Chen & Yaping Chen & Xiaohua Qi, 2013. "Determinants of Childhood Immunization Uptake among Socio-Economically Disadvantaged Migrants in East China," IJERPH, MDPI, vol. 10(7), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:7:p:2845-2856:d:27049
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    References listed on IDEAS

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    1. World Bank, 2011. "World Development Report 2011 [Rapport sur le développement dans le monde 2011 : Conflits, sécurité et développement - Abrégé]," World Bank Publications - Books, The World Bank Group, number 4389.
    2. Brigit Obrist & Nelly Iteba & Christian Lengeler & Ahmed Makemba & Christopher Mshana & Rose Nathan & Sandra Alba & Angel Dillip & Manuel W Hetzel & Iddy Mayumana & Alexander Schulze & Hassan Mshinda, 2007. "Access to Health Care in Contexts of Livelihood Insecurity: A Framework for Analysis and Action," PLOS Medicine, Public Library of Science, vol. 4(10), pages 1-5, October.
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    Cited by:

    1. Yu Hu & Lingzhi Shen & Jing Guo & Shuyun Xie, 2014. "Public Health Workers and Vaccination Coverage in Eastern China: A Health Economic Analysis," IJERPH, MDPI, vol. 11(5), pages 1-12, May.
    2. Yu Hu & Yaping Chen & Ying Wang & Hui Liang, 2017. "Knowledge, Attitude and Practice of Pregnant Women towards Varicella and Their Children’s Varicella Vaccination: Evidence from Three Distrcits in Zhejiang Province, China," IJERPH, MDPI, vol. 14(10), pages 1-10, September.
    3. Yu Hu, 2015. "Does An Education Seminar Intervention Improve the Parents’ Knowledge on Vaccination? Evidence from Yiwu, East China," IJERPH, MDPI, vol. 12(4), pages 1-11, March.
    4. Yu Hu & Yaping Chen & Bing Zhang & Qian Li, 2016. "An Evaluation of Voluntary Varicella Vaccination Coverage in Zhejiang Province, East China," IJERPH, MDPI, vol. 13(6), pages 1-10, June.
    5. Yu Hu & Yaping Chen & Ying Wang & Hui Liang, 2018. "Hepatitis B Vaccination among 1999–2017 Birth Cohorts in Zhejiang Province: The Determinants Associated with Infant Coverage," IJERPH, MDPI, vol. 15(12), pages 1-11, December.

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