ArticleHuman vaccines & immunotherapeutics2017
Determinants of non-vaccination and incomplete vaccination in Canadian toddlers.
Article in Human vaccines & immunotherapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Vaccine hesitancy among parents of preschoolers in Canada: a systematic literature review.Canadian journal of public health = Revue canadienne de sante publique · 2020Pooled it
- Article
- Socioeconomic inequality in recommended childhood vaccinations in Germany: evidence from insurance claims and concentration index decomposition.BMC medicine · 2026Article
- Facilitators and barriers to childhood immunization in Canada: a scoping review.BMC public health · 2026Article
- Alternative Childhood Vaccination Schedules in Israel: A Mixed-Methods Study on Prevalence, Patterns, and Public Health Implications.Vaccines · 2026Article
- Sociodemographic correlates of human papillomavirus and hepatitis B vaccination status in Canada: a cross-sectional study.BMJ public health · 2026Article
- Epidemiological review on the resurgence of measles outbreaks in Canada during the post-elimination era: A scoping review.PLOS global public health · 2026Article
- Coverage disparities and delayed immunization: Assessing 12-month vaccination completion in Canadian children using data from a digital immunization platform.Human vaccines & immunotherapeutics · 2025Article
- Overcoming barriers to childhood vaccination in a First Nations community: the impact of a home visiting program on vaccine uptake.International journal for equity in health · 2025Article
- Factors associated with parents' hesitancy to vaccinate their children against COVID-19: The moderator role of parental anxiety.Journal of health psychology · 2025Article
- Varicella pneumonia associated with incomplete vaccination in a patient with trisomy 21: A case report.Journal of general and family medicine · 2025Article
- Vaccine hesitancy among parents of children with chronic diseases of different pathophysiology: a cross-sectional study in Sivas, Türkiye.BMC public health · 2025Article
- Routine vaccination coverage at ages 2 and 7, before, during, and after the COVID-19 pandemic: Results from the STARVAX surveillance system.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Article
- A systematic review on factors influencing immunisation adherence among children under 12 years of age.Health SA = SA Gesondheid · 2025Article
- Analysis of polio vaccination status in a cohort of live births in 2017 and 2018 in Brazilian cities: a national vaccination coverage survey.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Effects of the introduction of a routine rotavirus vaccination programme on vaccination coverage and factors in a Japanese municipality: the VENUS Study.BMJ public health · 2025Article
- Incomplete basic vaccination and associated factors among children aged 12-23 months in resource-limited countries: a spatial and multilevel regression analysis of recent DHS data from 48 countries.Frontiers in public health · 2025Article
- Impact of maternal depression and anxiety on immunization status of children: a prospective cohort study.Archives of public health = Archives belges de sante publique · 2024Article
- Turkish Adaptation, Reliability, and Validity Study of the Vaccine Acceptance Instrument.Vaccines · 2024Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Vaccination coverage remains suboptimal in Canada and sporadic outbreaks of vaccine-preventable diseases such as measles and pertussis continue to occur. This study was undertaken to identify sociodemographic determinants of total non-vaccination (having never received any vaccine), non-vaccination for measles (0 doses) and incomplete vaccination for pertussis (< 4 doses) among 2-year-old Canadian children. Data from the 2013 Childhood National Immunization Coverage Survey (CNICS) were used. Associations between sociodemographic factors and outcomes were measured by multiple logistic regressions and adjusted odds ratios (aOR) were calculated. A total of 5,477 children were included in the analyses of total non-vaccination, and 3,899 children were included in the analysis of non-vaccination for measles and incomplete vaccination for pertussis. Overall, 2.7% of children (95% CI 2.0-3.3) had received no vaccine at all. Lower parental education, i.e., the responding parent having a high school diploma, trade certificate or less (compared with university graduation) was associated with total non-vaccination (aOR 1.99, 95% CI 1.02-3.91). Non-vaccination for measles was more frequent among children of single parent families (aOR 1.63, 95% CI 1.01-2.61) and those of parents with lower education (aOR 1.86, 95% CI 1.26-2.76). The odds of incomplete vaccination for pertussis was greater among children born outside Canada (aOR 3.10, 95% CI 1.73-5.58), of parents with lower education (aOR 1.92, 95% CI 1.41-2.62), and those whose household income was between $40,000 and $59,999 (aOR 1.47; 95% CI 1.04-2.07) or lower than $40,000 (aOR 1.58, 95% CI 1.13-2.22). Significant regional variation was also found for all outcomes. In conclusion, despite universal access to free childhood vaccines in Canada, regional variation and socioeconomic inequalities in vaccine uptake were still observed. Further analyses are warranted to identify barriers contributing to these variations.
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