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Trends in childhood measles vaccination highlight socioeconomic inequalities in Vietnam

Author

Listed:
  • Vu Duy Kien

    (Hanoi School of Public Health
    Umeå University)

  • Hoang Minh

    (Hanoi School of Public Health)

  • Kim Bao Giang

    (Hanoi Medical University)

  • Vu Quynh Mai

    (Hanoi School of Public Health)

  • Ngo Tri Tuan

    (Hanoi Medical University)

  • Mikkel B. Quam

    (Umeå University)

Abstract

Objectives To describe trends in measles vaccine coverage rates and their association with socioeconomic characteristics among children from age 12 to 23 months in Vietnam from the year 2000 to 2014. Methods Data were drawn from the Vietnam Multiple Indicator Cluster Surveys in years 2000, 2006, 2011, and 2014. Concentration indices were used to determine the magnitude of socioeconomic inequalities in measles vaccine coverage. Associations between measles vaccine coverage and relevant social factors were assessed using logistic regression. Results Socioeconomic inequalities in measles vaccine coverage rates decreased during 2000–2014. Children belonging to ethnic minority groups, having mothers with lower education, and belonging to the poorest group were less likely to receive measles vaccine; although, their vaccine coverage rates did increase with time. Measles vaccine coverage declined among children of mothers with more education and belonging to the wealthiest socioeconomic group. Conclusions Understanding the social factors influencing adherence to recommend childhood vaccination protocols is essential. Attempts to regain and retain herd immunity must be guided by an understanding of these social factors if they are to succeed.

Suggested Citation

  • Vu Duy Kien & Hoang Minh & Kim Bao Giang & Vu Quynh Mai & Ngo Tri Tuan & Mikkel B. Quam, 2017. "Trends in childhood measles vaccination highlight socioeconomic inequalities in Vietnam," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 41-49, February.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:1:d:10.1007_s00038-016-0899-4
    DOI: 10.1007/s00038-016-0899-4
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    References listed on IDEAS

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    1. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    2. Daniel Cobos Muñoz & Laura Monzón Llamas & Xavier Bosch-Capblanch, 2015. "Exposing concerns about vaccination in low- and middle-income countries: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(7), pages 767-780, November.
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    Cited by:

    1. Stéphanie Baggio & Laurent Gétaz, 2019. "Current gaps in vaccination coverage: a need to improve prevention and care," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 311-312, April.

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