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Improved timely birth dose coverage of hepatitis B vaccine narrows the socio-economic inequality in western China in 2011-2016.

Abstract：

OBJECTIVE:To compare timely birth dose (TBD) coverage of hepatitis B vaccine and socio-economic inequality distribution of TBD coverage between 2011 and 2016 in rural areas of western China. METHODS:In western China, using multi-stage probability proportion to size sampling, 2633 and 1929 children aged 0-35 months with an immunization card were selected from 14 rural counties in 2011 and 2016, respectively. Socio-economic characteristics were obtained from face-to-face questionnaire survey and copies of vaccination certificates. We performed multivariate logistic regression models to identify the determinants of TBD coverage of hepatitis B vaccine. We grouped TBD coverage by wealth quintiles, calculated inequality using the difference base on coverage in richest (quintile 5) and poorest (quintile 1) household wealth quintiles. FINDINGS:From 2011 to 2016, the overall TBD coverage of hepatitis B vaccine among children aged 0-35 months in rural areas of western China increased from 52.8% (95% confidence interval, CI: 42.4-62.8) to 80.2% (95% CI: 69.5-87.8). The absolute difference in TBD coverage between richest and poorest quintiles was 20.6 (95%CI: 9.4-31.8) and 15.8 (95%CI: 1.4-30.2) in 2011 and 2016, respectively. CONCLUSION:The socioeconomic inequality in TBD coverage decreased over the study period, but such inequality still existed in 2016. To improve inequality in TBD, the government should pay more attention to the disadvantaged groups, especially the children who were delivered at home, or whose caregivers were ethnic minority or who have a lower level of education.

journal_name

Vaccine

journal_title

Vaccine

authors

Liu X,Yang C,Zhong Q,Song Q,Huang X,Yang Y,Huang Y,Wang Y,Zhou H

doi

10.1016/j.vaccine.2018.05.085

subject

Has Abstract

pub_date

2018-06-22 00:00:00

pages

3901-3907

issue

27

eissn

0264-410X

issn

1873-2518

pii

S0264-410X(18)30751-5

journal_volume

36

pub_type

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