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Paternal education status significantly influences infants’ measles vaccination uptake, independent of maternal education status
Authors: Anu Rammohan, Niyi Awofeso, and Renae C Fernandez
Source: BMC Public Health, 12:336; DOI: http://www.biomedcentral.com/1471-2458/12/336
Topic(s): Child health
Education
Immunization
Country: Asia
  India
  Indonesia
  Pakistan
Africa
  Ethiopia
  Nigeria
  Democratic Republic of the Congo (DRC)
More than one region
  Multiple Regions
Published: MAY 2012
Abstract: Background Despite increased funding of measles vaccination programs by national governments and international aid agencies, structural factors encumber attainment of childhood measles immunisation to levels which may guarantee herd immunity. One of such factors is parental education status. Research on the links between parental education and vaccination has typically focused on the influence of maternal education status. This study aims to demonstrate the independent influence of paternal education status on measles immunisation. Methods Comparable nationally representative survey data were obtained from six countries with the highest numbers of children missing the measles vaccine in 2008. Logistic regression analysis was applied to examine the influence of paternal education on uptake of the first dose of measles vaccination, independent of maternal education, whilst controlling for confounding factors such as respondent’s age, urban/rural residence, province/state of residence, religion, wealth and occupation. Results The results of the analysis show that even if a mother is illiterate, having a father with an education of Secondary (high school) schooling and above is statistically significant and positively correlated with the likelihood of a child being vaccinated for measles, in the six countries analysed. Paternal education of secondary or higher level was significantly and independently correlated with measles immunisation uptake after controlling for all potential confounders. Conclusions The influence of paternal education status on measles immunisation uptake was investigated and found to be statistically significant in six nations with the biggest gaps in measles immunisation coverage in 2008. This study underscores the imperative of utilising both maternal and paternal education as screening variables to identify children at risk of missing measles vaccination prospectively.
Web: https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-12-336?site=bmcpublichealth.biomedcentral.com