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The influence of education on the access to childhood immunization: the case of Spain
- Source :
- BMC Public Health, BMC Public Health, Vol 18, Iss 1, Pp 1-9 (2018)
- Publication Year :
- 2018
- Publisher :
- BioMed Central, 2018.
-
Abstract
- Background: In order to enhance childhood vaccination uptake and the health consequences for the whole society, there is a need to study predictors that might help in understanding parents’ behaviour in relation to childhood vaccination schemes. The aim of this paper is to assess whether parental education has an influence on their children’s public health-care use in terms of visits for vaccinations, and thus evaluate whether more educated parents use public health resources more frequently in childhood immunization schedules. Methods: The setting was the region of Catalonia in the north-east of Spain. Three different databases, containing information about 11,415 individuals corresponding to 79,905 observations, were merged and linked: 1) observational and longitudinal administrative data for adults and children in Catalonia; 2) a database containing information on the vaccination of children in relation to the public health programme called the “Healthy Child Programme”; and 3) the governmental vaccination registration. The presence of an education gradient was explored using a logistic regression. Children’s health-care use was modelled using a logistic procedure. Results: The greater the mothers’ educational attainment level, the higher the probability of being vaccinated in this immunization programme. The presence of an age profile for vaccinations showed that less educated parents visit their GPs more frequently for immunizations when their children are below the age of six, but that pattern is completely the opposite after that age. Hence, for children aged between six and 16, more educated parents are more likely to ensure their children are immunized. Likewise, systematic vaccinations are more likely for those parents with a lower educational attainment level. Conclusions: This paper evidenced the presence of an education gradient for specific preventive care through the public health system and visits to the GP without any particular disease or advice for specific vaccinations. info:eu-repo/semantics/acceptedVersion
- Subjects :
- Male
Parents
Income gradient
Educación
Children -- Health and hygiene
Vaccination of children
Disease
Logistic regression
children’s health
0302 clinical medicine
Epidemiology
Medicine
030212 general & internal medicine
Child
030503 health policy & services
lcsh:Public aspects of medicine
Vaccination
Middle Aged
Child, Preschool
Educational Status
Female
0305 other medical science
Niños -- Salud e higiene
Research Article
Adult
medicine.medical_specialty
Preventive care
Vacunación infantil
Adolescent
Education
03 medical and health sciences
Vacunació dels infants
Medicina preventiva
Humans
Immunization Schedule
Infants -- Salut i higiene
Preventive medicine
business.industry
Immunization Programs
Public health
Public Health, Environmental and Occupational Health
Infant
lcsh:RA1-1270
Educational attainment
Cross-Sectional Studies
Logistic Models
Spain
Family medicine
Observational study
Biostatistics
Educació
business
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....60487614d16279eaa1d75b8ac390aa63