Determinants of childhood immunizations in Senegal: Adding previous shots to sociodemographic background

Autor: Elhadji Yaya Ly, Ibrahima Diop Gaye, Valérie Seror, Mouhamadou Fall, Patrick Peretti-Watel, Sébastien Cortaredona, Samba Ndojh Ndiaye
Přispěvatelé: Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA), Institut Hospitalier Universitaire Méditerranée Infection (IHU Marseille), UNICEF - Sénégal, UNICEF Headquarters, Institut de Recherche Biomédicale des Armées (IRBA)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU), UNICEF Senegal
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Vaccination Coverage
030231 tropical medicine
Immunology
coverage
Childhood vaccination
immunization
High coverage
socioeconomic
03 medical and health sciences
0302 clinical medicine
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Environmental health
parasitic diseases
Humans
Immunology and Allergy
Medicine
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
030212 general & internal medicine
Child
Socioeconomic status
ComputingMilieux_MISCELLANEOUS
Pharmacology
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
Immunization Programs
business.industry
Vaccination
Infant
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
Senegal
3. Good health
Child mortality
Immunization
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
Female
business
Research Paper
Zdroj: Human Vaccines & Immunotherapeutics
Human Vaccines & Immunotherapeutics, 2019, pp.1-8. ⟨10.1080/21645515.2019.1649553⟩
Human Vaccines & Immunotherapeutics, Taylor & Francis, 2019, pp.1-8. ⟨10.1080/21645515.2019.1649553⟩
Hum Vaccin Immunother
ISSN: 2164-5515
2164-554X
DOI: 10.1080/21645515.2019.1649553⟩
Popis: Introduction. Today, in Sub-Saharan Africa, vaccine-preventable diseases still contribute heavily to high child mortality. Maintaining high coverage rates for childhood vaccines and reducing related social inequalities are public health priorities in Senegal. Our aim was to investigate the determinants of childhood vaccination, including sociodemographic factors and previous vaccine-related decision-making. Methods. Data come from the 2016 Senegalese Demographic and Health Survey, a nationally representative household survey targeting women aged 15?49, with a questionnaire focusing on health and reproductive issues, including their children?s health. We restricted the analysis to children aged 12?23?months (n?=?1,143). We used bivariate and multivariate analyses for investigating the determinants of several childhood vaccinations (Bacillus Calmette-Gu?rin, pentavalent, polio, measles and yellow fever vaccines), including sociodemographic factors and previous shots. Results. We identified two main sociodemographic predictors of childhood vaccination in Senegal: the mother?s education level, which was strongly and positively correlated to every vaccination considered, except from the BCG vaccination, and the region of residence, with higher vaccination coverage rates in the Centre and West of Senegal. Moreover, previous shots were also strongly predictive of subsequent shots. Conclusion. The positive impact of mother?s education on child vaccination illustrates the wide-ranging benefits of educating girls, while the regional variability of immunization rates requires more research to be better understood. Previous shots are probably a proxy variable for unobservable factors strongly correlated to vaccinations, but beyond this ?proxy effect?, they may also have their own specific effect on following shots. We believe this topic deserves further research.
Databáze: OpenAIRE
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