A hierarchical analysis of social determinants of measles vaccination coverage in Austrian schoolchildren

European Journal of Public Health
Willibald J Stronegger, Wolfgang Freidl

Abstract

Numerous socio-economic and demographic factors have been identified as being associated with low vaccination coverage in children. However, the complex interrelation between these factors is not fully understood. We focused our study on the less well-established associations of familial resources for child care with vaccination coverage and their interrelationship with socio-demographic factors. This cross-sectional study (n = 2386) focuses on parental social status and on resources for child care as determinants of measles vaccination coverage of schoolchildren aged 6-13 years in Styria, Austria. In order to reveal the relationships among these factors, an analysis based on a conceptual hierarchical model was performed. The so-called graphical modelling approach was used for the multivariate analysis of the hierarchically structured determinants. The findings indicate that vaccination coverage is directly associated with a large number of children in the family (P < 0.0001) and directly as well as indirectly associated with a low level of education of the father (P < 0.001). All other included child-care resources are only indirectly associated with a low coverage, whereby the number of children acts as main mediating factor....Continue Reading

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Citations

Nov 20, 2014·The Cochrane Database of Systematic Reviews·Ingvil SaeterdalSusan Munabi-Babigumira
Jun 4, 2013·The Cochrane Database of Systematic Reviews·Jessica KaufmanPriscilla Robinson
Jan 31, 2019·Emerging Infectious Diseases·Alberto E Paniz-MondolfiJosé Oletta
Aug 12, 2020·BMC Public Health·Basant Kumar PandaNiyi Awofeso

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