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Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India

There is little research on state-level differences in child health outcomes in India. The aim of this study was to identify state-level characteristics that relate to childhood immunizations. Most state-level characteristics came from the 2011 Indian Census. Individual-level data and other state-le...

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Autores principales: Shrivastwa, Nijika, Wagner, Abram L., Boulton, Matthew L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466023/
https://www.ncbi.nlm.nih.gov/pubmed/30813481
http://dx.doi.org/10.3390/vaccines7010024
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author Shrivastwa, Nijika
Wagner, Abram L.
Boulton, Matthew L.
author_facet Shrivastwa, Nijika
Wagner, Abram L.
Boulton, Matthew L.
author_sort Shrivastwa, Nijika
collection PubMed
description There is little research on state-level differences in child health outcomes in India. The aim of this study was to identify state-level characteristics that relate to childhood immunizations. Most state-level characteristics came from the 2011 Indian Census. Individual-level data and other state-level characteristics were obtained from the 2007–2008 District Level Household and Facility Survey. Predictors of full vaccination were assessed with logistic regression models. Among 86,882 children 12–36 months, 53.2% were fully vaccinated. Children living in bigger households (≥7 members), born in non-institutional settings, and female had lower odds of complete vaccination. Individuals living in states in the mid-range of poverty had lower odds of full vaccination compared to those in lower or higher poverty states (3rd vs. 1st quintile: odds ratio [OR]: 0.36, 95% confidence interval [CI]: 0.30, 0.42). Greater average population per primary health center was associated with decreased odds of full vaccination (5th vs. 1st quintile: OR: 0.37, 95% CI: 0.30, 0.47). Vaccination coverage in India can be explained by a complex interplay of individual- and state-level factors. Solutions to increasing vaccination must be multisectoral and acknowledge the cultural and socio-economic diversity that influences an individual child’s vaccination coverage along with within-state disparities.
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spelling pubmed-64660232019-04-18 Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India Shrivastwa, Nijika Wagner, Abram L. Boulton, Matthew L. Vaccines (Basel) Article There is little research on state-level differences in child health outcomes in India. The aim of this study was to identify state-level characteristics that relate to childhood immunizations. Most state-level characteristics came from the 2011 Indian Census. Individual-level data and other state-level characteristics were obtained from the 2007–2008 District Level Household and Facility Survey. Predictors of full vaccination were assessed with logistic regression models. Among 86,882 children 12–36 months, 53.2% were fully vaccinated. Children living in bigger households (≥7 members), born in non-institutional settings, and female had lower odds of complete vaccination. Individuals living in states in the mid-range of poverty had lower odds of full vaccination compared to those in lower or higher poverty states (3rd vs. 1st quintile: odds ratio [OR]: 0.36, 95% confidence interval [CI]: 0.30, 0.42). Greater average population per primary health center was associated with decreased odds of full vaccination (5th vs. 1st quintile: OR: 0.37, 95% CI: 0.30, 0.47). Vaccination coverage in India can be explained by a complex interplay of individual- and state-level factors. Solutions to increasing vaccination must be multisectoral and acknowledge the cultural and socio-economic diversity that influences an individual child’s vaccination coverage along with within-state disparities. MDPI 2019-02-24 /pmc/articles/PMC6466023/ /pubmed/30813481 http://dx.doi.org/10.3390/vaccines7010024 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Shrivastwa, Nijika
Wagner, Abram L.
Boulton, Matthew L.
Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India
title Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India
title_full Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India
title_fullStr Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India
title_full_unstemmed Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India
title_short Analysis of State-Specific Differences in Childhood Vaccination Coverage in Rural India
title_sort analysis of state-specific differences in childhood vaccination coverage in rural india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466023/
https://www.ncbi.nlm.nih.gov/pubmed/30813481
http://dx.doi.org/10.3390/vaccines7010024
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