ArticleJornal de pediatria
Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities.
Article in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Determinants of Parental Adherence to Childhood Immunization Among Children Under Five in Marginalized Asian Populations.International journal of environmental research and public health · 2025Review
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11 authors.
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Abstract
objectivesSuboptimal timeliness and coverage of childhood vaccination programs undermined their effectiveness in achieving population-level immunity. This issue is particularly concerning among minority populations, where disparities in vaccination adherence persist. To address this gap, the study assessed the extent of parental adherence to age-appropriate childhood vaccination and its predictors among the minority children under five years of age.
methodsThis cross-sectional study was conducted in three districts of Dong Thap Province, Vietnam, and neighboring Cambodia. A total of 449 ethnic minority parents with children under five years old participated. Data were gathered through face-to-face household interviews using a structured questionnaire, complemented by direct observation of the children's vaccination cards to verify adherence. Binary logistic regression was used to identify predictors of vaccination adherence.
resultsThe adherence rate to childhood vaccination among children in the minority population was 18.9 %. Parental adherence was significantly higher for children under one year of age (aOR = 2.54, 95 % CI: 1.29-5.03) and for firstborn children (aOR = 3.48, 95 % CI: 1.36-9.92). Within the Health Belief Model framework, greater perceived barriers were associated with lower adherence (aOR = 0.32, 95 % CI: 0.21-0.49), while higher parental self-efficacy was linked to increased adherence (aOR = 1.84, 95 % CI: 1.11-3.11).
conclusionThis study revealed a low parental adherence rate (18.9 %) to childhood vaccination. A child's age, birth order, perceived barriers, and parental self-efficacy influenced adherence. These findings emphasize the need to incorporate these factors into targeted policies and interventions for improving immunization rates in minority populations and comparable settings.
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