Evidence map›Paper›PMID 29281990›Full record

SynthesisBMC infectious diseases2017

The global effect of maternal education on complete childhood vaccination: a systematic review and meta-analysis.

Jennifer Forshaw, Sarah M Gerver, Moneet Gill, Emily Cooper, Logan Manikam, Helen Ward

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  11. Childhood vaccination coverage and socioeconomic inequalities in the Northern region of Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jennifer ForshawSchool of Public Health, Imperial College London, South Kensington Campus, London, SW7 2AZ, UK.
Sarah M GerverSchool of Public Health, Imperial College London, South Kensington Campus, London, SW7 2AZ, UK.
Moneet GillSt George's, University of London, Cranmer Terrace, London, SW17 0RE, UK.
Emily CooperSt George's, University of London, Cranmer Terrace, London, SW17 0RE, UK.
Logan ManikamUCL Great Ormond Street Institute of Child Health, 30 Guildford Street, London, WC1N 1EH, UK. Logan.manikam.10@ucl.ac.uk.ORCID 0000-0001-5288-3325
Helen WardSchool of Public Health, Imperial College London, South Kensington Campus, London, SW7 2AZ, UK.

Funding

Department of Health DRF-2014-07-005Medical Research Council G0802431
6 · The paper itself

Abstract

backgroundThere is an established correlation between maternal education and reduction in childhood mortality. One proposed link is that an increase in maternal education will lead to an increase in health care access and vaccine uptake. Vaccinations are a central preventative child health tool, therefore demonstrating the importance of understanding factors that can improve coverage. This review aims to establish if there is a correlation between increasing maternal education and vaccine uptake and if this varies between continents, setting and time.

methodsAn electronic database search was conducted using Medline Ovid, Embase and The Cochrane Library using a combination of keywords and appropriate MeSH terms for maternal education and child vaccination. Bibliographies were also hand searched. Data was extracted and entered onto a Microsoft Excel spreadsheet and analysed using STATA 13.0 software. The primary outcome of effect size of maternal education on completion of childhood vaccinations was analysed at different levels. Secondary outcomes were explored using subgroup analyses of differences between continents, rural or urban settings, and dates.

resultsThe online search yielded 3430 papers, 37 were included in this study. The analysis showed increasing child vaccination uptake with increasing maternal education. Overall, analysis showed that the odds of full childhood vaccination were 2.3 times greater in children whose mother received secondary or higher education when compared to children whose mother had no education. There was large variability in the effect size between the studies included.

conclusionsImproving maternal education is important for increasing childhood vaccination uptake and coverage. Further research is needed in higher income countries.

trial registrationPROSPERO Registration No: CRD42016042409 .

Indexed as

Health EducationVaccinationChildChild HealthDatabases, FactualEducational StatusHumansLiteracyMothersOdds RatioChild healthImmunisationMaternal educationVaccination

Identifiers

PMID29281990
PMCPMC5745980

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.