PMID- 27519918
OWN - NLM
STAT- MEDLINE
DCOM- 20171205
LR  - 20190202
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 6
IP  - 8
DP  - 2016 Aug 12
TI  - Socioeconomic disparities in coverage of full immunisation among children of 
      adolescent mothers in India, 1990-2006: a repeated cross-sectional analysis.
PG  - e009768
LID - 10.1136/bmjopen-2015-009768 [doi]
LID - e009768
AB  - OBJECTIVE: Studies have highlighted that children of adolescent (aged 
      15-19 years) mothers are likely to receive relatively poor healthcare. With an 
      unacceptably high adolescent birth rate, India houses the highest number of 
      adolescent mothers globally, putting children at risk of inadequate vaccination. 
      This paper assesses trends and extent of socioeconomic disparities in the 
      coverage of full immunisation among children of adolescent mothers in India. 
      DESIGN: Repeated cross-sectional analytical study. DATA SOURCES: 3 consecutive 
      rounds of the National Family Health Survey (NFHS) conducted during 1992-1993, 
      1998-1999 and 2005-2006 were used. Besides, the required information is also 
      extracted from the 2011 Indian Census. PARTICIPANTS: Children (aged 12-23 months) 
      of adolescent (aged 15-19 years) mothers. Sample inclusion criteria involved the 
      last child of the adolescent eligible to avail full immunisation. SETTING: 
      Nationally representative sample. DATA ANALYSIS: The Cochran-Armitage test, chi(2) 
      test and binary logistic regression methods were applied to attain the study 
      objective. RESULTS: Between 1990 and 2006, a non-significant increase of 4 
      percentage points in full immunisation of children of adolescent mothers was 
      estimated. During the same period, a large difference between the probability of 
      children of adolescent mothers receiving full immunisation belonging to the least 
      (predicted probability (PP): 0.196 in 1990-1993, and PP: 0.213 in 2003-2006) and 
      the most (PP: 0.589 in 1990-1993, and PP: 0.645 in 2003-2006) socioeconomically 
      privileged group was estimated, and this disparity persisted over the survey 
      period. CONCLUSIONS: During 1990-2006, an insufficient improvement in provision 
      of full immunisation to children born to adolescent mothers was recorded. The 
      study underscored the suboptimum immunisation of rural, illiterate and poor 
      children of adolescent women. The programme and policymakers could focus on 
      district-wise concentration of adolescent women, especially those belonging to 
      the underprivileged groups, to design a targeted intervention to elevate the 
      level of immunisation of children of adolescent mothers.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://www.bmj.com/company/products-services/rights-and-licensing/
FAU - Kumar, Chandan
AU  - Kumar C
AD  - Department of Geography, School of Earth Sciences, Central University of 
      Karnataka, Kalaburagi, Karnataka, India.
FAU - Singh, Prashant Kumar
AU  - Singh PK
AD  - Population Health & Nutrition Research Program, Institute for Human Development, 
      New Delhi, Delhi, India.
FAU - Singh, Lucky
AU  - Singh L
AD  - National Institute of Medical Statistics, Indian Council of Medical Research, New 
      Delhi, Delhi, India.
FAU - Rai, Rajesh Kumar
AU  - Rai RK
AD  - Society for Health and Demographic Surveillance, Suri, West Bengal, India.
LA  - eng
PT  - Journal Article
DEP - 20160812
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Adolescent
MH  - Cross-Sectional Studies
MH  - Female
MH  - Health Surveys
MH  - Healthcare Disparities/*statistics & numerical data
MH  - Humans
MH  - India
MH  - Infant
MH  - Logistic Models
MH  - Male
MH  - Mothers
MH  - Pregnancy
MH  - Pregnancy in Adolescence
MH  - *Social Class
MH  - Vaccination Coverage/*statistics & numerical data
MH  - Young Adult
PMC - PMC4985793
OTO - NOTNLM
OT  - India
OT  - adolescent
OT  - children
OT  - coverage
OT  - immunization
EDAT- 2016/08/16 06:00
MHDA- 2017/12/06 06:00
PMCR- 2016/08/12
CRDT- 2016/08/14 06:00
PHST- 2016/08/14 06:00 [entrez]
PHST- 2016/08/16 06:00 [pubmed]
PHST- 2017/12/06 06:00 [medline]
PHST- 2016/08/12 00:00 [pmc-release]
AID - bmjopen-2015-009768 [pii]
AID - 10.1136/bmjopen-2015-009768 [doi]
PST - epublish
SO  - BMJ Open. 2016 Aug 12;6(8):e009768. doi: 10.1136/bmjopen-2015-009768.