Abstract:
Objective To examine the stauts of childhood category B vaccination and its related factors in China.
Methods Totally 2 160 households with children of 1-3 years old in the provinces of eastern, central and western part of China(Jiangsu, Hubei, and Gansu)were sampled with random cluster sampling.Logistic regression was used in data analysis.
Results There were 49.61% of the children having at least one self-paid vaccination.Compared with the low income group, the second low income group(odds ratio
OR=1.750, 95% confidence interval95%
CI=1.182-2.590), the moderate income group(
OR=2.184, 95%
CI=1.430-3.335), the second high income group(
OR=1.527, 95%
CI=0.968-2.409)had a high probability to have self-paid vaccination.The children from Hubei(
OR=39.231, 95%
CI=27.201-56.584)and Jiangsu province(
OR=10.872, 95%
CI=7.662-15.428)were more likely to be vaccinated with self-paid vaccine than those from Gansu province.Compared with the children from rural area, urban children were more likely to be vaccinated with self-paid vaccine(
OR=2.294, 95%
CI=1.602-3.284).We found a correlation between parent physician examination and the status of their children's self-paid vaccination(
OR=1.375, 95%
CI=1.066-1.773).
Conclusion Disparities in self-paid vaccination across regions were observed.Economic cost is an important barrier for accessibility of self-paid vaccination in China.