The global effect of maternal education on complete childhood vaccination: a systematic review and meta-analysis

BMC Infectious Diseases

Research Article

Sarah M. Gerver¹  Jennifer Forshaw¹  Helen Ward¹  Moneet Gill²  Emily Cooper²  Logan Manikam³ 

[1] School of Public Health, Imperial College London, South Kensington Campus, SW7 2AZ, London, UK;St George’s, University of London, Cranmer Terrace, SW17 0RE, London, UK;UCL Great Ormond Street Institute of Child Health, 30 Guildford Street, WC1N 1EH, London, UK;

关键词: Maternal education;    Child health;    Vaccination;    Immunisation;   

DOI  :  10.1186/s12879-017-2890-y

 received in 2017-02-21, accepted in 2017-12-06,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThere is an established correlation between maternal education and reduction in childhood mortality. One proposed link is that an increase in maternal education will lead to an increase in health care access and vaccine uptake. Vaccinations are a central preventative child health tool, therefore demonstrating the importance of understanding factors that can improve coverage. This review aims to establish if there is a correlation between increasing maternal education and vaccine uptake and if this varies between continents, setting and time.MethodsAn electronic database search was conducted using Medline Ovid, Embase and The Cochrane Library using a combination of keywords and appropriate MeSH terms for maternal education and child vaccination. Bibliographies were also hand searched. Data was extracted and entered onto a Microsoft Excel spreadsheet and analysed using STATA 13.0 software. The primary outcome of effect size of maternal education on completion of childhood vaccinations was analysed at different levels. Secondary outcomes were explored using subgroup analyses of differences between continents, rural or urban settings, and dates.ResultsThe online search yielded 3430 papers, 37 were included in this study. The analysis showed increasing child vaccination uptake with increasing maternal education. Overall, analysis showed that the odds of full childhood vaccination were 2.3 times greater in children whose mother received secondary or higher education when compared to children whose mother had no education. There was large variability in the effect size between the studies included.ConclusionsImproving maternal education is important for increasing childhood vaccination uptake and coverage. Further research is needed in higher income countries.Trial registrationPROSPERO Registration No: CRD42016042409.

【 授权许可】

CC BY   
© The Author(s). 2017