Factors associated with hepatitis B vaccination in Laos: findings from the multiple indicator cluster surveys in 2011/12 and 2017.

Autor:	Dekker T; Athena Institute, Faculty of Science, Vrije Universiteit, Amsterdam, Netherlands., Hefele L; Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg., Neven A; Competence Center for Methodology and Statistics, Luxembourg Institute of Health, Strassen, Luxembourg., Hübschen JM; Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg., Essink DR; Athena Institute, Faculty of Science, Vrije Universiteit, Amsterdam, Netherlands., Black AP; LaoLuxLab, Institut Pasteur du Laos, Vientiane, Lao People's Democratic Republic.; School of Life Sciences, University of Westminster, London, UK.
Jazyk:	angličtina
Zdroj:	The Lancet regional health. Western Pacific [Lancet Reg Health West Pac] 2024 Apr 15; Vol. 46, pp. 101059. Date of Electronic Publication: 2024 Apr 15 (Print Publication: 2024).
DOI:	10.1016/j.lanwpc.2024.101059
Abstrakt:	Background: Within Laos, the vaccination coverage rates with the monovalent hepatitis B birth dose vaccine and hepatitis B antigen-containing combination vaccines remain stagnant with 75% and 64%, respectively, in 2021. In this study, we used data from the Multiple Indicator Cluster Surveys to identify possible factors that represent barriers for receiving these childhood vaccinations. Methods: Data from the Multiple Indicator Cluster Surveys in 2011/12 and 2017 were analysed to examine factors associated with receiving the hepatitis B-containing vaccines using regression modelling. Data analyses were conducted in R. Findings: In 2011/12, the weight-adjusted coverage rate for receiving the hepatitis B birth dose was 48%, while the coverage with the hepatitis B antigen-containing combination vaccine was 55.1% based on both vaccination documents and recall; compared to 69.3% and 59.4% respectively in 2017. Ethno-linguistic group, maternal education, healthcare utilization and wealth were associated with receiving the vaccinations against hepatitis B. Interpretation: National estimates of vaccination coverage rates can conceal country-specific regional or socio-economic variations. Children from Hmong-Mien households, from less wealthier households and whose mothers were less educated and were not able to or did not utilize healthcare were identified as being less likely to receive the vaccinations. These findings indicate the need for improving access to healthcare, in particular for minority groups. Funding: This work was supported by the Ministry of Foreign and European Affairs, Luxembourg and the Luxembourg Institute of Health (project "Luxembourg-Laos Partnership for Research and Capacity Building in Infectious Disease Surveillance"). Competing Interests: JMH, AB and LH report a grant from the Ministry of Foreign and European Affairs, Luxembourg during the conduct of the study. (© 2024 The Authors.)
Databáze:	MEDLINE
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