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Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study

BACKGROUND: Despite provision of free childhood vaccinations, less than half of all Ugandan infants are fully vaccinated. This study compares women with some secondary schooling to those with only primary schooling with regard to their infants' vaccination status. METHODS: A community-based pro...

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Autores principales: Nankabirwa, Victoria, Tylleskär, Thorkild, Tumwine, James K, Sommerfelt, Halvor
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3019133/
https://www.ncbi.nlm.nih.gov/pubmed/21159193
http://dx.doi.org/10.1186/1471-2431-10-92
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author Nankabirwa, Victoria
Tylleskär, Thorkild
Tumwine, James K
Sommerfelt, Halvor
author_facet Nankabirwa, Victoria
Tylleskär, Thorkild
Tumwine, James K
Sommerfelt, Halvor
author_sort Nankabirwa, Victoria
collection PubMed
description BACKGROUND: Despite provision of free childhood vaccinations, less than half of all Ugandan infants are fully vaccinated. This study compares women with some secondary schooling to those with only primary schooling with regard to their infants' vaccination status. METHODS: A community-based prospective cohort study conducted between January 2006 and May 2008 in which 696 pregnant women were followed up to 24 weeks post partum. Information was collected on the mothers' education and vaccination status of the infants. RESULTS: At 24 weeks, the following vaccinations had been received: bacille Calmette-Guérin (BCG): 92%; polio-1: 91%; Diphteria-Pertussis-Tetanus-Hepatitis B-Haemophilus Influenza b (DPT-HB-Hib) 3 and polio-3: 63%. About 51% of the infants were fully vaccinated (i.e., had received all the scheduled vaccinations: BCG, polio 0, polio 1, DPT-HB-Hib1, polio 2, DPT-HB-Hib 2, polio 3 and DPT-HB-Hib 3). Only 46% of the infants whose mothers' had 5-7 years of primary education had been fully vaccinated compared to 65% of the infants whose mothers' had some secondary education. Infants whose mothers had some secondary education were less likely to miss the DPT-HB-Hib-2 vaccine (RR: 0.5, 95% CI: 0.3, 0.8), Polio-2 (RR: 0.4, 95%CI: 0.3, 0.7), polio-3 (RR: 0.5, 95%CI: 0.4, 0.7) and DPT-HB-Hib-3 (RR: 0.5, 95%CI: 0.4, 0.7). Other factors showing some association with a reduced risk of missed vaccinations were delivery at a health facility (RR = 0.8; 95%CI: 0.7, 1.0) and use of a mosquito net (RR: 0.8; 95%CI: 0.7, 1.0). CONCLUSION: Infants whose mothers had a secondary education were at least 50% less likely to miss scheduled vaccinations compared to those whose mothers only had primary education. Strategies for childhood vaccinations should specifically target women with low formal education.
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spelling pubmed-30191332011-01-12 Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study Nankabirwa, Victoria Tylleskär, Thorkild Tumwine, James K Sommerfelt, Halvor BMC Pediatr Research Article BACKGROUND: Despite provision of free childhood vaccinations, less than half of all Ugandan infants are fully vaccinated. This study compares women with some secondary schooling to those with only primary schooling with regard to their infants' vaccination status. METHODS: A community-based prospective cohort study conducted between January 2006 and May 2008 in which 696 pregnant women were followed up to 24 weeks post partum. Information was collected on the mothers' education and vaccination status of the infants. RESULTS: At 24 weeks, the following vaccinations had been received: bacille Calmette-Guérin (BCG): 92%; polio-1: 91%; Diphteria-Pertussis-Tetanus-Hepatitis B-Haemophilus Influenza b (DPT-HB-Hib) 3 and polio-3: 63%. About 51% of the infants were fully vaccinated (i.e., had received all the scheduled vaccinations: BCG, polio 0, polio 1, DPT-HB-Hib1, polio 2, DPT-HB-Hib 2, polio 3 and DPT-HB-Hib 3). Only 46% of the infants whose mothers' had 5-7 years of primary education had been fully vaccinated compared to 65% of the infants whose mothers' had some secondary education. Infants whose mothers had some secondary education were less likely to miss the DPT-HB-Hib-2 vaccine (RR: 0.5, 95% CI: 0.3, 0.8), Polio-2 (RR: 0.4, 95%CI: 0.3, 0.7), polio-3 (RR: 0.5, 95%CI: 0.4, 0.7) and DPT-HB-Hib-3 (RR: 0.5, 95%CI: 0.4, 0.7). Other factors showing some association with a reduced risk of missed vaccinations were delivery at a health facility (RR = 0.8; 95%CI: 0.7, 1.0) and use of a mosquito net (RR: 0.8; 95%CI: 0.7, 1.0). CONCLUSION: Infants whose mothers had a secondary education were at least 50% less likely to miss scheduled vaccinations compared to those whose mothers only had primary education. Strategies for childhood vaccinations should specifically target women with low formal education. BioMed Central 2010-12-15 /pmc/articles/PMC3019133/ /pubmed/21159193 http://dx.doi.org/10.1186/1471-2431-10-92 Text en Copyright ©2010 Nankabirwa et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nankabirwa, Victoria
Tylleskär, Thorkild
Tumwine, James K
Sommerfelt, Halvor
Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
title Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
title_full Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
title_fullStr Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
title_full_unstemmed Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
title_short Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
title_sort maternal education is associated with vaccination status of infants less than 6 months in eastern uganda: a cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3019133/
https://www.ncbi.nlm.nih.gov/pubmed/21159193
http://dx.doi.org/10.1186/1471-2431-10-92
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