Pearce, A;
Marshall, H;
Bedford, H;
Lynch, JL;
(2015)
Barriers to childhood immunisation: findings from the Longitudinal Study of Australian Children.
Vaccine
, 33
(29)
pp. 3377-3383.
10.1016/j.vaccine.2015.04.089.
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Abstract
Objectives: to examine barriers to childhood immunisation experienced by parents in Australia Design: cross-sectional analysis of secondary data Setting: nationally representative Longitudinal Study of Australian Children (LSAC) Participants: 5107 infants aged 3-19 months in 2004 Main outcome measure: maternal report of immunisation status: incompletely or fully immunised Results: Overall, 9.3% (473) of infants were incompletely immunised; of these just 16% had mothers who disagreed with immunisation. Remaining analyses focussed on infants whose mother did not disagree with immunisation (N=4994) (of whom 8% [398] were incompletely immunised). Fifteen variables representing potential immunisation barriers and facilitators were available in LSAC; these were entered into a latent class model to identify distinct clusters (or ‘classes’) of barriers experienced by families. Five classes were identified: 1. ‘Minimal barriers’, 2. ‘Lone parent, mobile families with good support’, 3. ‘Low social contact & service information; psychological distress’, 4. ‘Larger families, not using formal childcare’, 5. ‘Child health issues/concerns’. Compared to infants from families experiencing minimal barriers, all other barrier classes had a higher risk of incomplete immunisation. For example, the adjusted risk ratio (RR) for incomplete immunisation was 1.51 (95% confidence interval: 1.08-2.10) among those characterised by ‘Low social contact & service information; psychological distress’, and 2.47 (1.87-3.25) among ‘Larger families, not using formal childcare’. Conclusions: Using the most recent data available for examining these issues in Australia, we found that the majority of incompletely immunised infants (in 2004) did not have a mother who disagreed with immunisation. Barriers to immunisation are heterogeneous, suggesting a need for tailored interventions.
| Type: | Article |
|---|---|
| Title: | Barriers to childhood immunisation: findings from the Longitudinal Study of Australian Children |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.vaccine.2015.04.089 |
| Publisher version: | http://dx.doi.org/10.1016/j.vaccine.2015.04.089 |
| Additional information: | © 2015 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1468544 |
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