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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2018

Open Access 01-12-2018 | Research

Rural-urban disparity in category II vaccination among children under five years of age: evidence from a survey in Shandong, China

Authors: Xinyi Zhang, Zerin Imam Syeda, Zhengyue Jing, Qiongqiong Xu, Long Sun, Lingzhong Xu, Chengchao Zhou

Published in: International Journal for Equity in Health | Issue 1/2018

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Abstract

Background

Compared with the Expanded Program on Immunization (EPI) vaccines, the coverage rate of the non-EPI vaccines is still low. The aim of this study is to explore the rural-urban disparity in category II vaccine and its determinants among children under 5 years old in China.

Methods

A cross-sectional study was conducted in 17 cities in Shandong province from August to October, 2013. A total of 1638 children were included in the analysis. Unadjusted and adjusted regression model were used to identify the rural-urban difference in vaccination of category II vaccine. Multivariate logistic regression models were employed to analyze the determinants associated with vaccination of category II vaccine in rural and urban areas respectively.

Results

The coverage rates of category II vaccine in rural and urban children were 81.5 and 69.4% respectively. Factors including age and satisfaction with vaccination services were associated with category II vaccination both in rural and urban children (Ρ < 0.05). It was also found that the households with four or less members are more likely to vaccinate category II vaccine in rural children.

Conclusions

There was a big difference between rural and urban children in the use of category II vaccine. The government should strengthen financial support and regulation for the category II vaccine. The identified at-risk factors, including age, satisfaction with the vaccination services, and family size should be taken into account when designing targeted vaccination policies for rural and urban children.
Literature
1.
Ganczak M, Dmytrzyk-Daniłów G, Karakiewicz B, et al. Determinants influencing self-paid vaccination coverage, in 0–5 years old polish children. Vaccine. 2013;31(48):5687–92.CrossRefPubMed
2.
Virot P. 10 facts on immunization (World Health Organization). 2012.
3.
4.
Ministry of Health. Expanding the national immunization plan and implement program. Chin Vaccin Immunization. 2007;4(2):183–4.
5.
State Council, P.R. China regulation on vaccine circulation and immunization management. Health policy: health policy and regulations, the State Council regulations, 2005.
6.
Centers for Disease Control and Prevention (CDC). Impact of vaccines universally recommended for children--United States, 1990-1998. MMWR Morb Mortal Wkly Rep. 1999;48(12):243.
7.
O'Brien KL, Wolfson LJ, Watt JP, et al. Burden of disease caused by Streptococcus pneumoniae in children younger than 5 years: global estimates. Lancet. 2009;374(9693):893–902.CrossRefPubMed
8.
Watt JP, Wolfson LJ, O'Brien KL, et al. Burden of disease caused by Haemophilus influenzae type b in children younger than 5 years: global estimates. Lancet. 2009;374(9693):903–11.CrossRefPubMed
9.
Liu G, Zhu L, Shen D, et al. PIH22 cost effectiveness of an infant pneumococcal conjugate vaccine program in China. Value Health. 2011;14(7):A401.CrossRef
10.
Fu Y, Liu G, Zhu L, et al. Cost-effectiveness analysis of seven-valent pneumococcal conjugate vaccine against pneumococcal disease. China Health Econ. 2013;32(1):49–52.
11.
Zhu L, Liu G, Li DM, et al. Cost - effectiveness analysis of seven - pneumococcal vaccine in children. China Health Econ. 2013;32(4):71–5.
12.
Zheng J, Cao L, Guo S, et al. Survey on the immunization status of category B vaccine among children aged 1 to 2 years in China. Chinese J Vaccin Immunization. 2012;18:233–7.
13.
Gustafson R, Skowronski DM. Disparities in varicella vaccine coverage in the absence of public funding. Vaccine. 2005;23(27):3519–25.CrossRefPubMed
14.
Liao S, Huang T, Huang Y, et al. Survey of the status of self-paid varicella vaccination among children one to six years of age in Taiwan. J Microbiol Immunol Infect. 2007;40(2):112–5.PubMed
15.
Manthiram K, Blood EA, Kuppuswamy V, et al. Predictors of optional immunization uptake in an urban south Indian population. Vaccine. 2014;32(27):3417–23.CrossRefPubMed
16.
Wang Z, Wang W, Guo W, et al. Survey on vaccination rate of second class vaccine and influencial factors in children in rural areas of nine counties in Henan province. J Microbiol Immunol. 2013;3:53–61.CrossRef
17.
Chang J, Hou Z, Yue D, et al. Factors related to self-paid vaccination and its related factors among children aged 0-3 years in China. Chin J Public Health. 2014;30(5):579–82.
18.
Jiang Y, Yin H, Shi YH, et al. Immunization status of extra EPI vaccines and its influencing factors among children aged 1-6 years in Chongqing. Chinese J Health Educ. 2013;29(7):605–7.
19.
Tang L. The analysis of class II vaccination inoculation rates for 0–2 year olds. Chinese J Clin. 2013;(5):43–5.
20.
21.
Zhang W, Zhang Y, Liu S, et al. Analysis of the current status of self-paid vaccination among children aged 1-5 in Shandong Province. J Mod Prev Med. 2016;10:048.
22.
Wang C, Zhu L, Li JJ, et al. Vaccination status and influencing factors of children under five years old in Shandong province. Chinese J Child Health Care. 2015;23(11):1178–80.
23.
Fang J, Xu L, Liu J. Analysis on vaccination status of 5 kinds of extra EPI vaccines in Jiangdong District. Mod Prev Med. 2012;39(17):4414–5.
24.
Chen Q, Gao Z, Chen W, et al. Analysis on the immunization status of category B vaccine among children aged 2 to 6 years in Tianjin. Mod Prev Med. 2014;41(014):2638–40.
25.
Wang Z. Study on inoculation state about the second type vaccines in Fengtai district of Beijing. Mod Prev Med. 2010;37(9):1662–3.
26.
Cui FQ, Gofin R. Immunization coverage and its determinants in children aged 12–23 months in Gansu, China. Vaccine. 2007;25(4):664–71.CrossRefPubMed
27.
Chang J. Parents’ willingness to pay and immunization service providers’ willingness to provide of self-paid vaccines in three provinces of China. Shandong University Doctoral Thesis, Jinan, Shandong University; 2014.
28.
Owais A, Hanif B, Siddiqui AR, et al. Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan. BMC Public Health. 2011;11(1):239.CrossRefPubMedPubMedCentral
29.
Wang LDL, Lam WWT, Wu JT, et al. Chinese immigrant parents’ vaccination decision making for children: a qualitative analysis. BMC Public Health. 2014;14(1):133.CrossRefPubMedPubMedCentral
30.
Allen JD, Coronado GD, Williams RS, et al. A systematic review of measures used in studies of human papillama virus (HPV) vaccine acceptability. Vaccine. 2010;28(24):4027–37.CrossRefPubMedPubMedCentral
31.
Marlow LAV, Waller J, Wardle J. Parental attitudes to pre-pubertal HPV vaccination. Vaccine. 2007;25(11):1945–52.CrossRefPubMed
32.
Ogilvie GS, Remple VP, Marra F, et al. Parental intention to have daughters receive the human papilloma virus vaccine. Can Med Assoc J. 2007;177(12):1506–12.CrossRef
33.
Samad L, Tate AR, Dezateux C, et al. Differences in risk factors for partial and no immunization in the first year of life: prospective cohort study. BMJ. 2006;332(7553):1312–3.CrossRefPubMedPubMedCentral
34.
Itimi K, Dienye PO, Ordinioha B. Community participation and childhood immunization coverage: a comparative study of rural and urban communities of Bayelsa state, south-South Nigeria. Niger Med J. 2012;53(1):21.CrossRefPubMedPubMedCentral
35.
Hou Z, Chang J, Yue D, et al. Determinants of willingness to pay for self-paid vaccines in China. Vaccine. 2014;32(35):4471–7.CrossRefPubMed
36.
Marshall H, Ryan P, Roberton D. Uptake of varicella vaccine—a cross sectional survey of parental attitudes to nationally recommended but unfunded varicella immunization. Vaccine. 2005;23(46):5389–97.CrossRefPubMed
37.
Streng A, Seeger K, Grote V, et al. Varicella vaccination coverage in Bavaria (Germany) after general vaccine recommendation in 2004. Vaccine. 2010;28(35):5738–45.CrossRefPubMed
38.
Santibanez TA, Santoli JM, Bridges CB, et al. Influenza vaccination coverage of children aged 6 to 23 months: the 2002–2003 and 2003–2004 influenza seasons. Pediatrics. 2006;118(3):1167–75.CrossRefPubMed
39.
Schuller KA, Probst JC. Factors associated with influenza vaccination among US children in 2008. J Infect Public Health. 2013;6(2):80–8.CrossRefPubMed
40.
Gauri V, Khaleghian P. Immunization in developing countries: its political and organizational determinants. World Dev. 2002;30(12):2109–32.CrossRef
41.
Li J. Gender inequality, family planning, and maternal and child care in a rural Chinese county. Soc Sci Med. 2004;59(4):695–708.CrossRefPubMed
42.
Dombkowski KJ, Lantz PM, Freed GL. The need for surveillance of delay in age-appropriate immunization. Am J Prev Med. 2002;23(1):36–42.CrossRefPubMed
Metadata
Title
Rural-urban disparity in category II vaccination among children under five years of age: evidence from a survey in Shandong, China
Authors
Xinyi Zhang
Zerin Imam Syeda
Zhengyue Jing
Qiongqiong Xu
Long Sun
Lingzhong Xu
Chengchao Zhou
Publication date
01-12-2018
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2018
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-018-0802-4

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