ArticleIrish journal of medical science2025
Out-of-pocket vaccination of 0-6 aged children: choice or face of women's status.
Article in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe World Health Organization recognizes vaccines as the most effective method for preventing infectious diseases in terms of cost-effectiveness and safety.
aimsThe aim of this study was to determine whether the factors determining the social status of the mother affect children's access to paid vaccines that are not included in the national vaccination program.
methodsThe population of the cross-sectional study consisted of children between the ages of 6 months and 6 years who were examined in state hospitals. The sample size was calculated as 383. Face-to-face interview technique was used in data collection between May and September 2023. Chi-square tests were used in pairwise analyses, and logistic regression analysis was used to investigate causal relationships.
resultsThe mother's education level was above 8 years (OR 0.299; CI .129-.695), having a job where she could retire (OR 1.700; CI 1.025-2.821), residing in the city center (OR 1.835; CI 1.117-3.015), age above 24 years (OR 0.227; CI .078-.664), and full compliance with the routine vaccination schedule (OR 3.700; CI 1.245-11.000) increase non-routine vaccination of children.
conclusionFactors affecting the social status of mothers also affect children's access to out-of-pocket vaccines. Every investment made to raise the status of women will positively affect the health of children. The most common reasons given for not vaccinating were a lack of knowledge about the vaccine and not being recommended by the doctor. Healthcare professionals should update their knowledge and inform their patients about vaccines outside the national vaccination program.
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