%0 Journal Article
%T Determinants of Childhood Immunization Uptake among Socio-Economically Disadvantaged Migrants in East China
%A Yu Hu
%A Qian Li
%A Enfu Chen
%A Yaping Chen
%A Xiaohua Qi
%J International Journal of Environmental Research and Public Health
%D 2013
%I MDPI AG
%R 10.3390/ijerph10072845
%X Objective: To determine the coverage of childhood immunization appropriate for age among socio-economically disadvantaged recent migrants living in East China and to identify the determinants of full immunization uptake among these migrant children. Methods: This is a cross-sectional survey of 1,426 migrant mothers with a child aged ¡Ü24 months, who were interviewed with a pretested questionnaire. Various vaccines, migration history and some other social-demographic and income details were collected. Single-level logistic regression analyses were applied to identify the determinants of full immunization status. Results: Immunization coverage rates are lower among migrants and even lower among recent migrants. The likelihood of a child receiving full immunization rise with parents¡¯ educational level and the frequency of mother¡¯s utilization of health care. Higher household income also significantly increase the likelihood of full immunization, as dose post-natal visits by a health worker. Conclusions: Recent migrant status favours low immunization uptake, particularly in the vulnerability context of alienation and livelihood insecurity. Services must be delivered with a focus on recent migrants. Investments are needed in education, socio-economic development and secure livelihoods to improve and sustain equitable health care services.
%K immunization
%K migrants
%K child health
%K determinants
%U http://www.mdpi.com/1660-4601/10/7/2845