Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016

Objective To understand one single dose coverage of live attenuated hepatitis A vaccine and its determinants among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016. Methods In 20 counties, using three-stage probability proportion to size sampling, 1979 children aged 2...

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Main Authors: Xiaoli Liu, Chenlu Yang, Xueqi Qu, Nan Li, Xiaona Huang, Yuning Yang, Yiming Zhao, Yan Wang, Hong Zhou
Format: Article
Language:English
Published: Taylor & Francis Group 2020-07-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2019.1688034
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author Xiaoli Liu
Chenlu Yang
Xueqi Qu
Nan Li
Xiaona Huang
Yuning Yang
Yiming Zhao
Yan Wang
Hong Zhou
author_facet Xiaoli Liu
Chenlu Yang
Xueqi Qu
Nan Li
Xiaona Huang
Yuning Yang
Yiming Zhao
Yan Wang
Hong Zhou
author_sort Xiaoli Liu
collection DOAJ
description Objective To understand one single dose coverage of live attenuated hepatitis A vaccine and its determinants among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016. Methods In 20 counties, using three-stage probability proportion to size sampling, 1979 children aged 24–59 months with a vaccination card were selected from 20 rural counties in 2016. Socio-demographic and socio-economic characteristics of children and their caregivers were acquired from face-to-face questionnaire survey and copies of the vaccination cards. We used multivariate logistic regression models to identify the determinants of one single dose coverage of live attenuated hepatitis A vaccine. Results In 2016, the overall one single dose coverage of live attenuated hepatitis A vaccine among children aged 24–59 months in rural areas of China was 77.1%. The adjusted analysis showed that being in second birth order (adjusted OR: 1.40; 95%CI: 1.03–1.90), being in third birth order or more (adjusted OR: 2.10; 95%CI: 1.26–3.51), being born at home (adjusted OR: 2.01; 95%CI: 1.04–3.88) and having the lowest per capita income of household (adjusted OR: 2.36; 95%CI: 1.11–4.99) were significantly related to being unvaccinated one single dose coverage of live attenuated hepatitis A vaccine against hepatitis A virus. Conclusion one single dose coverage of live attenuated hepatitis A vaccine was still at a low level in 20 rural counties of 10 provinces in China. To improve the coverage of live attenuated hepatitis A vaccine, the government should pay more attention to the disadvantaged groups, especially the children who were in second birth order or higher, or delivered at home, or who have the lowest per capita income of household.
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spelling doaj.art-7a93153ac7824fd1b4f45d00d1e46afc2023-09-22T08:45:34ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-07-011671574157810.1080/21645515.2019.16880341688034Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016Xiaoli Liu0Chenlu Yang1Xueqi Qu2Nan Li3Xiaona Huang4Yuning Yang5Yiming Zhao6Yan Wang7Hong Zhou8Peking University Third HospitalPeking UniversityJohns Hopkins Bloomberg School of Public HealthPeking University Third HospitalUNICEF ChinaUNICEF ChinaPeking University Third HospitalPeking UniversityPeking UniversityObjective To understand one single dose coverage of live attenuated hepatitis A vaccine and its determinants among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016. Methods In 20 counties, using three-stage probability proportion to size sampling, 1979 children aged 24–59 months with a vaccination card were selected from 20 rural counties in 2016. Socio-demographic and socio-economic characteristics of children and their caregivers were acquired from face-to-face questionnaire survey and copies of the vaccination cards. We used multivariate logistic regression models to identify the determinants of one single dose coverage of live attenuated hepatitis A vaccine. Results In 2016, the overall one single dose coverage of live attenuated hepatitis A vaccine among children aged 24–59 months in rural areas of China was 77.1%. The adjusted analysis showed that being in second birth order (adjusted OR: 1.40; 95%CI: 1.03–1.90), being in third birth order or more (adjusted OR: 2.10; 95%CI: 1.26–3.51), being born at home (adjusted OR: 2.01; 95%CI: 1.04–3.88) and having the lowest per capita income of household (adjusted OR: 2.36; 95%CI: 1.11–4.99) were significantly related to being unvaccinated one single dose coverage of live attenuated hepatitis A vaccine against hepatitis A virus. Conclusion one single dose coverage of live attenuated hepatitis A vaccine was still at a low level in 20 rural counties of 10 provinces in China. To improve the coverage of live attenuated hepatitis A vaccine, the government should pay more attention to the disadvantaged groups, especially the children who were in second birth order or higher, or delivered at home, or who have the lowest per capita income of household.http://dx.doi.org/10.1080/21645515.2019.1688034chinachildrencoveragelive attenuated hepatitis a vaccinecross-section study
spellingShingle Xiaoli Liu
Chenlu Yang
Xueqi Qu
Nan Li
Xiaona Huang
Yuning Yang
Yiming Zhao
Yan Wang
Hong Zhou
Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016
Human Vaccines & Immunotherapeutics
china
children
coverage
live attenuated hepatitis a vaccine
cross-section study
title Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016
title_full Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016
title_fullStr Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016
title_full_unstemmed Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016
title_short Vaccination coverage and its determinants of live attenuated hepatitis A vaccine among children aged 24–59 months in 20 rural counties of 10 provinces of China in 2016
title_sort vaccination coverage and its determinants of live attenuated hepatitis a vaccine among children aged 24 59 months in 20 rural counties of 10 provinces of china in 2016
topic china
children
coverage
live attenuated hepatitis a vaccine
cross-section study
url http://dx.doi.org/10.1080/21645515.2019.1688034
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