Analysis of the effects of individual- and community- level predictors on migrant children's primary immunization in Yiwu city, east China

Hu, Yu; Chen, Yaping; Liang, Hui; Wang, Ying

doi:10.1080/21645515.2018.1467684

Cited by 3 publications

(7 citation statements)

References 39 publications

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“…A previously published study [23] showed that the individual-level predictors of childhood immunization completeness among migrants are the sex of the child, the place of delivery, the mother's age, the mother's education, antenatal clinic visit, monthly household income, the number of children and distance to the nearest immunization clinics. Our study also has almost similar results among undocumented migrants.…”

Section: Discussionmentioning

confidence: 99%

“…The sample size was determined based on the individual-level predictors of childhood immunization completeness among migrants (Hu et al, 2018). According to Hu et al [23], the individual-level predictors of childhood immunization completeness are the sex of the child, place of delivery, mother's age, mother's education, antenatal clinic visit, monthly household income, number of children and distance to the nearest immunization clinics. However, in our opinion, the place of delivery is the most significant factor determining childhood immunization among undocumented migrants in Sabah.…”

Section: Sample Sizementioning

confidence: 99%

“…Therefore, the sample size was determined by the place of delivery. Based on the study by Hu et al, those born at home had about 40% lower odds of being vaccinated [23]. The sample size was calculated using Epi Info (Fleiss method with the correction factor).…”

Section: Sample Sizementioning

confidence: 99%

“…These include undocumented migrants, ethnic minority groups, refugees, and stateless and physically or mentally disabled people [22]. Factors like socioeconomic status such as occupation, household income, and education are crucial in determining immunization access [23]. Besides that, gender, living condition, awareness, and religion influence immunization [24].…”

Section: Introductionmentioning

confidence: 99%

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Factors That Motivate and Militate Undocumented Migrants to Vaccinate Their Children in Sabah, Malaysia

Christina,

Ibrahim,

Karim

et al. 2023

Open Access Maced J Med Sci

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BACKGROUND: Undocumented migrant families face many challenges in bringing their children for vaccination. The recent outbreak of poliomyelitis in Sabah among undocumented migrant children highlights the gap in vaccination coverage among these populations. AIM: This study aimed to determine the factors that influence undocumented migrants in Sabah to vaccinate their children. METHODS: This is a cross-sectional study using a questionnaire developed based on the findings from a qualitative study. This study was conducted in 15 districts of Sabah among the mothers of undocumented migrant children. Multiple Logistic Regression was done to find out the significant factors that influence undocumented migrants to vaccinate their children. RESULTS: A total of 942 responses were collected during the study. About 78.7% of the respondents attended health facilities to vaccinate their children. Only the legal status of the undocumented migrant (adjusted odds ratio [aOR] = 0.15 [95% CI: 0.52–0.43]) remains a significant militating factor for undocumented migrants to vaccinate their children. Two factors, parental trust in health-care providers and vaccines (aOR = 18.24 [95% CI: 8.42–39.51]) and good support system (aOR = 2.65 [95% CI: 1.77–3.97]), remain significant motivating factors that influence undocumented migrants to vaccinate their children. Those who had visited the health facilities for an antenatal check-up (aOR = 25.93 [95% CI: 17.07–39.39]) and delivery (aOR = 93.63 [95% CI: 34.77–257.81]), with income of more than RM 1000 (aOR = 6.09 [95% CI: 3.66–10.12]) have a higher prevalence to bring their children for vaccination. CONCLUSION: In the best interest of public health and to prevent the further re-emergence of vaccine-preventable diseases in Sabah, it is important to address these factors to improve vaccine uptake among undocumented migrant children.

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Section: Discussionmentioning

confidence: 99%

Section: Sample Sizementioning

confidence: 99%

Section: Sample Sizementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors That Motivate and Militate Undocumented Migrants to Vaccinate Their Children in Sabah, Malaysia

Christina,

Ibrahim,

Karim

et al. 2023

Open Access Maced J Med Sci

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“…Vaccination of migrant children is a major potential safety hazard that directly affects vaccination coverage in China. 4–8 Apart from failing to ensure the immunity of migrant children against infectious diseases, it poses a certain threat to the health of local children and affects the development and effectiveness of prevention and control of various infectious diseases. 9–12…”

Section: Introductionmentioning

confidence: 99%

Effects of mobile APP for immunization on vaccination compliance of migrant children in southwest China: A community trial study

Xu¹,

Tang²,

Qiu³

et al. 2022

Human Vaccines & Immunotherapeutics

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With the advancement of the “internet plus” action plan in China, the electronic information system and the mobile phone applications (APPs) are widely used in the management of expanding national program of immunization (EPI). To estimate the use of childhood vaccination APP to improve migrants’ vaccination knowledge, attitude and practice (KAP), a community trial toward migrant children was carried out in Chongqing, China. Migrant children were divided into two groups, one group was provided with health education and vaccination reminders in manual way and the other group was provided with online health education and vaccination reminders by mobile APP. After seven-month interventions, a total of 196 guardians of migrant children aged 2 months to 2 y participated in the questionnaire survey. There were significant differences between two groups in the awareness of vaccine policy, disposal of adverse reaction and attitude toward vaccination. Few significant differences in vaccination coverage of children ≤12 months between two groups, except 2 nd bOPV and 2 nd MenA. The timely vaccination rate of children >6 months in the APP group ranged from 37.5% to 68.2%, that was from 0% to 30.5% in the non-APP group ( P < .05). Most migrant children above 6 months had vaccination within a month after due day in the APP group, while that was at least 3 months after due day in the non-APP group. The vaccination APP greatly improved migrants’ KAP on vaccination. Continuous and systematic intervention by vaccination APP would play a more critical role in the vaccination behaviors of older migrant children.

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Low vaccination in rural Sindh, Pakistan: A case of refusal, ignorance or access?

Jamal¹,

Zaidi

Husain

et al. 2020

Vaccine

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Analysis of the effects of individual- and community- level predictors on migrant children's primary immunization in Yiwu city, east China

Abstract: In order to achieve better vaccination coverage among migrant children in Yiwu, as well as to close the gaps and disparities of acceptability and accessibility in childhood vaccination in urban areas, policy makers should design interventions based on the factors addressed in this study.

Cited by 3 publications

References 39 publications

Factors That Motivate and Militate Undocumented Migrants to Vaccinate Their Children in Sabah, Malaysia

Factors That Motivate and Militate Undocumented Migrants to Vaccinate Their Children in Sabah, Malaysia

Effects of mobile APP for immunization on vaccination compliance of migrant children in southwest China: A community trial study

Low vaccination in rural Sindh, Pakistan: A case of refusal, ignorance or access?

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