Evidence map›Paper›PMID 42136063›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2026

Socioeconomic Risk Factors for Incomplete Vaccination in Swedish Two-Year-Olds-A Nationwide, Population-Based Cohort Study.

Cecilia Chrapkowska Almqvist, Ilias Galanis, Tiia Lepp, Malin Kark, Sharon Kühlmann-Berenzon, Anna Nilsson

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2026. 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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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Cecilia Chrapkowska AlmqvistDivision of Paediatric Oncology, Dept of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-3208-1760
Ilias GalanisUnit for Analysis, Public Health Agency of Sweden, Stockholm, Sweden.
Tiia LeppUnit for Immunisations, Public Health Agency of Sweden, Stockholm, Sweden.
Malin KarkDivision of Paediatric Oncology, Dept of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Sharon Kühlmann-BerenzonUnit for Analysis, Public Health Agency of Sweden, Stockholm, Sweden.
Anna NilssonDivision of Paediatric Oncology, Dept of Women and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5885-7101

Funding

Region StockholmStiftelsen Barnforskningen vid Astrid Lindgrens BarnsjukhusStiftelsen SamaritenStiftelsen Sven Jerrings Fond
6 · The paper itself

Abstract

aimTo analyse the association between specific socioeconomic measures and the risk of incomplete vaccination for diphtheria-tetanus-pertussis (DTP) and measles-containing vaccine (MCV) in Swedish two-year-olds.

methodsThis nationwide, population-based cohort study included 227 457 children born in Sweden during 2014-2015. Data were obtained from the National Vaccination Register (NVR) and linked to socioeconomic data from Statistics Sweden. Multivariable logistic regression was used to estimate the associations between family characteristics-including income, education, employment, and family structure-and incomplete DTP and MCV vaccination at 24 months of age.

resultsIncomplete vaccination was found in 13.1% of children for DTP3 (three doses) and 8.7% for MCV1 (one dose). Low family income, single parenthood, parental unemployment, frequent residential mobility, and parental immigration were risk factors for incomplete vaccination. A previously unreported risk factor was having a sibling with a disability or chronic disease, which increased the risk of incomplete DTP3 (aOR 1.15, 95% CI 1.05-1.27) and MCV1 (aOR 1.27, 95% CI 1.14-1.41).

conclusionDespite a tax-funded national immunisation programme, socioeconomic disparities in vaccination coverage exist in Sweden. Children in socially vulnerable families, and those with siblings requiring disability support, need targeted interventions to ensure full immunisation.

Indexed as

Diphtheria-Tetanus-Pertussis VaccineMeasles VaccineVaccinationChild, PreschoolCohort StudiesFemaleHumansMaleRisk FactorsSocioeconomic Disparities in HealthSocioeconomic FactorsSwedenDiphtheria-Tetanus-Pertussis VaccineMeasles VaccineNational Immunisation Programmepreventive health servicessocial determinants of healthvaccination coverage

Identifiers

PMID42136063
PMCPMC13659413

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