Comparative Analysis of the Status and Influencing Factors of Immunization Among Children Between Registered and Floating Population

Overview

Journal Front Public Health

Specialty Public Health

Date 2022 Jun 27

PMID 35757635

Authors

Yan Xiong

Yaqing Xue

Guojin Jiao

Jun Xie

Jingmin Cheng

Affiliations

Soon will be listed here.

Abstract

Background: A vaccine is an effective tool to reduce the gap between the rich and the poor and improve health equity, through which a number of serious childhood diseases can be successfully prevented or eradicated. This study is aimed to compare the current situation of vaccination and related factors among children in China's registered residents and floating population, to provide a reference for achieving the 100% vaccination rate in China.

Methods: The data used for this study are from the 2017 National Migrants Dynamic Monitoring Special Survey data. A self-designed questionnaire was used to collect information, such as socio-demographics, vaccination status of children, and so on, on the registered population and floating population. Descriptive statistics and a chi-square independence test were used to describe the information and to compare the vaccination status of children under different sociodemographic characteristics. Binary logistic regression was employed to analyze influencing factors associated with vaccination of children.

Results: The findings showed that 94.39% of children in registered residence were completely vaccinated, which was significantly higher than that of the floating children (91.68%, < 0.001). The region, parents' education level, and marital status were found to be significant risk factors for complete vaccination of children regardless of the registered or floating population. In addition, ethnicity and length of time to the nearest medical institution were unique risk factors for complete vaccination of children in registered residence. And, health record was an independent influencing factor for vaccination of children of floating population.

Conclusion: Compared with registered population, floating population was at a disadvantage in using basic public health services, especially in children's vaccination. To achieve 100% vaccination for children, particular interventions should be taken for different populations.

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References

Zhang T, Xu Y, Ren J, Sun L, Liu C . Inequality in the distribution of health resources and health services in China: hospitals versus primary care institutions. Int J Equity Health. 2017; 16(1):42. PMC: 5335774. DOI: 10.1186/s12939-017-0543-9. View

Jin J, Wang J, Ma X, Wang Y, Li R . Equality of Medical Health Resource Allocation in China Based on the Gini Coefficient Method. Iran J Public Health. 2015; 44(4):445-57. PMC: 4441957. View

Hai-YanYu , Wu W, Yu L, Wu L . Health literacy and health outcomes in China's floating population: mediating effects of health service. BMC Public Health. 2021; 21(1):691. PMC: 8030651. DOI: 10.1186/s12889-021-10662-7. View

Bardenheier B, Gonzalez I, Washington M, Bell B, Averhoff F, Massoudi M . Parental knowledge, attitudes, and practices associated with not receiving hepatitis A vaccine in a demonstration project in Butte County, California. Pediatrics. 2003; 112(4):e269. DOI: 10.1542/peds.112.4.e269. View

Lee J . Child survival: a global health challenge. Lancet. 2003; 362(9380):262. DOI: 10.1016/S0140-6736(03)14006-8. View

Larson H, Jarrett C, Eckersberger E, Smith D, Paterson P . Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine. 2014; 32(19):2150-9. DOI: 10.1016/j.vaccine.2014.01.081. View

Hu Y, Li Q, Chen E, Chen Y, Qi X . Determinants of childhood immunization uptake among socio-economically disadvantaged migrants in East China. Int J Environ Res Public Health. 2013; 10(7):2845-56. PMC: 3734462. DOI: 10.3390/ijerph10072845. View

You J, Zhu Y, Liu S, Wang C, Wang P, Du H . Socioeconomic disparities in psychological health: Testing the Reserve Capacity Model in a population-based sample of Chinese migrants. J Health Psychol. 2019; 26(10):1538-1548. DOI: 10.1177/1359105319882763. View

Kusuma Y, Kumari R, Pandav C, Gupta S . Migration and immunization: determinants of childhood immunization uptake among socioeconomically disadvantaged migrants in Delhi, India. Trop Med Int Health. 2010; 15(11):1326-32. DOI: 10.1111/j.1365-3156.2010.02628.x. View

10.

Vikram K, Vanneman R, Desai S . Linkages between maternal education and childhood immunization in India. Soc Sci Med. 2012; 75(2):331-9. PMC: 3495071. DOI: 10.1016/j.socscimed.2012.02.043. View

11.

Yang Z, Jiang C . Impact of social capital, sex and education on the utilization of public health services: a cross sectional study based on the China migrant dynamic survey. BMC Public Health. 2021; 21(1):751. PMC: 8054364. DOI: 10.1186/s12889-021-10803-y. View

12.

Sole-Auro A, Guillen M, Crimmins E . Health care usage among immigrants and native-born elderly populations in eleven European countries: results from SHARE. Eur J Health Econ. 2011; 13(6):741-54. PMC: 3591521. DOI: 10.1007/s10198-011-0327-x. View

13.

Jing Z, Wang Y, Ding L, Tang X, Feng Y, Zhou C . Effect of social integration on the establishment of health records among elderly migrants in China: a nationwide cross-sectional study. BMJ Open. 2020; 9(12):e034255. PMC: 6955514. DOI: 10.1136/bmjopen-2019-034255. View

14.

Nguyen C . Does parental migration really benefit left-behind children? Comparative evidence from Ethiopia, India, Peru and Vietnam. Soc Sci Med. 2016; 153:230-9. DOI: 10.1016/j.socscimed.2016.02.021. View

15.

Xue Y, Lu J, Zheng X, Zhang J, Lin H, Qin Z . The relationship between socioeconomic status and depression among the older adults: The mediating role of health promoting lifestyle. J Affect Disord. 2021; 285:22-28. DOI: 10.1016/j.jad.2021.01.085. View

16.

Chu H, Ko L, Ibrahim A, Mohamed F, Lin J, Shankar M . The impact of an educational forum intervention on East African mothers' HPV vaccine-related knowledge, attitudes, and intentions to vaccinate their adolescent children. Vaccine. 2021; 39(28):3767-3776. PMC: 9984200. DOI: 10.1016/j.vaccine.2021.05.029. View

17.

Lin S, Jing Z, Howard N, Chantler T, Cheng J, Zhang S . Associations of Elements of Parental Social Integration with Migrant Children's Vaccination: An Epidemiological Analysis of National Survey Data in China. Vaccines (Basel). 2021; 9(8). PMC: 8402568. DOI: 10.3390/vaccines9080884. View

18.

Sun M, Li C, Li P, Lu J, Wang Y, Chang F . Impact evaluation of the routine hepatitis B vaccination program of infants in China. J Public Health (Oxf). 2018; 41(1):158-163. PMC: 6459360. DOI: 10.1093/pubmed/fdy015. View

19.

Hosseinpoor A, Bergen N, Schlotheuber A, Gacic-Dobo M, Hansen P, Senouci K . State of inequality in diphtheria-tetanus-pertussis immunisation coverage in low-income and middle-income countries: a multicountry study of household health surveys. Lancet Glob Health. 2016; 4(9):e617-26. PMC: 4985563. DOI: 10.1016/S2214-109X(16)30141-3. View

20.

Kagone M, Ye M, Nebie E, Sie A, Muller O, Beiersmann C . Community perception regarding childhood vaccinations and its implications for effectiveness: a qualitative study in rural Burkina Faso. BMC Public Health. 2018; 18(1):324. PMC: 5840732. DOI: 10.1186/s12889-018-5244-9. View