Association between time-appropriate vaccinations in early childhood and individual and community-level factors in Japan

[Nihon kōshū eisei zasshi] Japanese journal of public health
Eri OsawaZentaro Yamagata

Abstract

Objective Recently, in Japan, the compulsory vaccinations administered during early childhood have been becoming increasingly varied. As a result, the vaccination schedule has become complicated. In this study, we aimed to identify the association of time-appropriate vaccination during early childhood (dependent variable) with individual-level factors including socioeconomic status and having a family doctor. We also studied the association of time-appropriate vaccination with community-level factors including the number of pediatricians in a community.Methods Multilevel logistic regression models were used for analysis. Time-appropriate BCG, DPT, and measles vaccinations were the dependent variables. Individual-level data were obtained through a survey of parents of 18-month-old children as part of the final evaluation of "Healthy Parents and Children 21"; community-level data were obtained through a survey of municipalities as part of the aforementioned final evaluation as well as through a national survey. There were 23,583 parents in 430 municipalities who were eligible for analysis.Results Time-appropriate vaccination of infants was carried out by 88.3% of parents. The results of the multilevel logistic regression showed t...Continue Reading

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