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. 2017 Apr 24:26:217.
doi: 10.11604/pamj.2017.26.217.11856. eCollection 2017.

Maternal education and child immunization: the mediating roles of maternal literacy and socioeconomic status

Saliu Adejumobi Balogun  1   2 , Hakeem Abiola Yusuff  2   3 , Kehinde Quasim Yusuf  4 , Abdulah Mohammed Al-Shenqiti  4 , Mariam Temitope Balogun  5 , Prudence Tettey  1
Affiliations

Maternal education and child immunization: the mediating roles of maternal literacy and socioeconomic status

Saliu Adejumobi Balogun et al. Pan Afr Med J. .

Abstract

Introduction: 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.

Methods: 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.

Results: 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%.

Conclusion: 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.

Keywords: Immunization; Nigeria; education; literacy; mediation; socioeconomic status.

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Conflict of interest statement

The authors declare no competing interest.

Figures

Figure 1
Figure 1
Analytic model for establishing mediation
See this image and copyright information in PMC

References

    1. Obioha E, Ajala A, Matobo T. Analysis of the performance of Expanded Programme on Immunization (EPI) for four child killer diseases under the military and civilian regimes in Nigeria 1995-1999; 2000-2005. Studies on Ethno-Medicine. 2016;4(1):43–52.
    1. Ophori E A, Tula M Y, Azih AV, Okojie R, Ikpo PE. Current trends of immunization in Nigeria: prospect and challenges. Tropical medicine and health. 2014;42(2):67–75. - PMC - PubMed
    1. Higgins J P, Soares-Weiser K, López-López J A, Kakourou A, Chaplin K, Christensen H, et al. Association of BCG, DTP, and measles contain ing vaccines with childhood mortality: systematic review. BMJ (Clinical research ed). 2016;355:i5170. - PMC - PubMed
    1. World Health Organisation. Weekly epidemiological record Global routine vaccination coverage. 2015.
    1. Ushie B, Fayehun O, Ugal D. Trends and patterns of under-5 vaccination in Nigeria, 1990-2008: what manner of progress. Child: care, health and development. 2014;40(2):267–74. - PubMed