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Maternal education and child immunization: the mediating roles of maternal literacy and socioeconomic status

Citation

Balogun, SA and Yusuff, HA and Yusuf, KQ and Al-Shenqiti, AM and Balogun, MT and Tettey, P, Maternal education and child immunization: the mediating roles of maternal literacy and socioeconomic status, Pan African Medical Journal, 26 Article 217. ISSN 1937-8688 (2017) [Refereed Article]


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Copyright Statement

Copyright 2017 Saliu Adejumobi Balogun et al. Licensed under Creative Commons Attribution 2.0 Generic (CC BY 2.0) https://creativecommons.org/licenses/by/2.0/

DOI: doi:10.11604/pamj.2017.26.217.11856

Abstract

Introduction: Previous studies in Nigeria have documented significant association between maternal education and child immunization. However, little is known about the pathway through which maternal education improves immunization uptake. This study aims to examine whether maternal literacy and socioeconomic status mediates the relationship between maternal education and complete immunization coverage in children.

Methods: Nationally representative data from the first wave of the Nigeria General Household Survey-Panel were used, which includes 661 children aged one year and below. Regression analyses were used to model the association between maternal education and child's immunization uptake; we then examined whether maternal literacy and household economic status mediates this association.

Results: Of the 661 children, 40% had complete immunization. The prevalence ratio (PR) of complete immunization in children whose mothers were educated versus those whose mothers were not educated was 1.44 (95% CI: 1.16-1.77). Maternal literacy substantially reduced the estimated association between maternal education and complete immunization by 90%, whereas household economic status reduced the estimates by 27%.

Conclusion: These findings suggest that complete immunization was higher in children whose mothers were educated, partly because maternal education leads to acquisition of literacy skills and better health-seeking behavior which then improves immunization uptake for their children. Socioeconomic status is an alternative pathway but with less substantial indirect effect.

Item Details

Item Type:Refereed Article
Keywords:immunization, Nigeria, education, literacy, mediation, socioeconomic status
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Community Child Health
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Behaviour and Health
UTAS Author:Balogun, SA (Dr Saliu Balogun)
UTAS Author:Tettey, P (Mr Prudence Tettey)
ID Code:120399
Year Published:2017
Deposited By:Menzies Institute for Medical Research
Deposited On:2017-08-23
Last Modified:2018-06-21
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