Balogun Saliu Adejumobi, Yusuff Hakeem Abiola, Yusuf Kehinde Quasim, Al-Shenqiti Abdulah Mohammed, Balogun Mariam Temitope, Tettey Prudence
Menzies Institute for Medical Research, University of Tasmania, Australia.
Otun Centre for Health and Social Research, Lagos, Nigeria.
Pan Afr Med J. 2017 Apr 24;26:217. doi: 10.11604/pamj.2017.26.217.11856. eCollection 2017.
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.
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.
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%.
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.
尼日利亚此前的研究记录了母亲教育程度与儿童免疫接种之间的显著关联。然而，对于母亲教育程度提高免疫接种率的途径却知之甚少。本研究旨在探讨母亲的识字率和社会经济地位是否介导了母亲教育程度与儿童全程免疫覆盖率之间的关系。
使用了来自尼日利亚一般家庭调查面板第一波的全国代表性数据，其中包括661名一岁及以下儿童。采用回归分析对母亲教育程度与儿童免疫接种率之间的关联进行建模；然后我们检验了母亲的识字率和家庭经济状况是否介导了这种关联。
在661名儿童中，40%完成了全程免疫。母亲受过教育的儿童与母亲未受过教育的儿童相比，全程免疫的患病率比值（PR）为1.44（95%可信区间：1.16 - 1.77）。母亲的识字率使母亲教育程度与全程免疫之间的估计关联大幅降低了90%，而家庭经济状况使估计值降低了27%。
这些发现表明，母亲受过教育的儿童全程免疫率更高，部分原因是母亲教育程度导致识字技能的获得和更好的就医行为，进而提高了其子女的免疫接种率。社会经济地位是另一条途径，但间接影响较小。
