ArticleHuman vaccines & immunotherapeutics2017
Determinants of inequality in the up-to-date fully immunization coverage among children aged 24-35 months: Evidence from Zhejiang province, East China.
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 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Vaccine equity in low and middle income countries: a systematic review and meta-analysis.International journal for equity in health · 2022Pooled it
- Uptake and determinants of routine vaccines among children aged 12-23 months in adansi South district of Ghana. a cross-sectional study.BMC pediatrics · 2025Article
- Socioeconomic inequalities in immunisation of 12-23 months old children in Malawi: a decomposition analysis.Frontiers in public health · 2025Article
- Inequality in Childhood Immunization Coverage: A Scoping Review of Data Sources, Analyses, and Reporting Methods.Vaccines · 2024Article
- Decline in Vaccination Coverage against Poliomyelitis in the municipalities of Vale do Paraíba (SP) under a spatial approach.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024Article
- Coverage and Equity of Childhood Vaccines in China.JAMA network open · 2022Article
- Estimating the Transmissibility of Mumps: A Modelling Study in Wuhan City, China.Frontiers in medicine · 2021Article
- Factors associated with the incomplete opportune vaccination schedule up to 12 months of age, Rondonópolis, Mato Grosso.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021Article
- 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 · 2020Article
- Anatomy of provincial level inequality in maternal mortality in China during 2004-2016: a new decomposition analysis.BMC public health · 2020Article
- Inequalities in Rotavirus Vaccine Uptake in Ethiopia: A Decomposition Analysis.International journal of environmental research and public health · 2020Article
- Epidemiological Characteristics and Spatiotemporal Analysis of Mumps from 2004 to 2018 in Chongqing, China.International journal of environmental research and public health · 2019Article
- Age appropriateness of vaccination with recommended childhood vaccines in Sri Lanka.Vaccine: X · 2019Article
- Measuring childhood vaccination acceptance of mother in Zhejiang province, East China.Human vaccines & immunotherapeutics · 2019Article
- Routine vaccination coverage of children aged 1-7 years in Zhejiang province, China.Human vaccines & immunotherapeutics · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to determine the degree and determinants of inequality in up-to-date fully immunization (UTDFI) coverage among children of Zhejiang province, east China.
methodWe used data from the Zhejiang provincial vaccination coverage survey of 2014 and the health outcome was the UTDFI status among children aged 24-35 months. The household income per month was used as an index of socio-economic status for the inequality analysis. The concentration index (CI) was used to quantify the degree of inequality and the decomposition approach was applied to quantify the contributions from demographic factors to inequality in UTDFI coverage.
resultsThe UTDFI coverage was 80.63% and the CI for UTDFI coverage was 0.12028 (95% CI: 0.10852-0.13175), indicating that immunization practice significantly favored children with relatively higher socio-economic status. The results of decomposition analysis suggested that 68.2% of the socio-economic inequality in UTDFI coverage should be explained by the mother's education level. Furthermore, factors such as birth order, ethnic group, maternal employment status, residence, immigration status, GDP per-capital and percentage of public health spending of the total health spending also could explain the disparity in UTDFI coverage.
conclusionThere exists inequality in UTDFI coverage among the socio-economic disadvantage children. Health interventions of narrowing the socio-economic inequality in UTDFI coverage will benefit from being supplemented with strategies aimed at poverty and illiteracy reduction.
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