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]
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/
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 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 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)|
|Deposited By:||Menzies Institute for Medical Research|
|Downloads:||82 View Download Statistics|
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