Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany

Mikolajczyk RT, Akmatov MK, Stich H, Krämer A, Kretzschmar M (2008)
INTERNATIONAL JOURNAL OF PUBLIC HEALTH 53(4): 180-187.

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Objectives: The aim of our analysis was to investigate the association between acculturation and the vaccination coverage among pre-school children. Methods: We performed a study of vaccination status for measles-mumps-rubella and hepatitis B among pre-school children, during mandatory school entry examinations, in a district of Bavaria, Germany, in 2004 and 2005 (N = 2,043). Prior to the examinations, parents were asked to fill out a self-administered questionnaire assessing socio-demographic information, including variables related to migration background (response rate 73 %, N = 1,481). We used Categorical Principal Component Analysis (CATPCA) to create an acculturation index and assessed the association between the acculturation and vaccination status for both vaccines. Results: We found no difference in vaccination status with the measles-mumps-rubella vaccine in relation to acculturation. The coverage with at least three doses of hepatitis B vaccine was similar among migrants and in the indigenous population, but the risk of incomplete (1 or 2 doses) versus full vaccination was higher (OR = 2.74, 95%CI 1.34-5.61) and the risk of lacking vaccination lower (OR = 0.30, 95%CI 0.12-0.77) among less acculturated migrants compared to the indigenous population. Conclusions: For multi-dose vaccines lower acculturation was associated with incomplete vaccination, but the partial protection in this group was higher compared to indigenous population.
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Mikolajczyk RT, Akmatov MK, Stich H, Krämer A, Kretzschmar M. Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany. INTERNATIONAL JOURNAL OF PUBLIC HEALTH. 2008;53(4):180-187.
Mikolajczyk, R. T., Akmatov, M. K., Stich, H., Krämer, A., & Kretzschmar, M. (2008). Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 53(4), 180-187.
Mikolajczyk, R. T., Akmatov, M. K., Stich, H., Krämer, A., and Kretzschmar, M. (2008). Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany. INTERNATIONAL JOURNAL OF PUBLIC HEALTH 53, 180-187.
Mikolajczyk, R.T., et al., 2008. Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 53(4), p 180-187.
R.T. Mikolajczyk, et al., “Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany”, INTERNATIONAL JOURNAL OF PUBLIC HEALTH, vol. 53, 2008, pp. 180-187.
Mikolajczyk, R.T., Akmatov, M.K., Stich, H., Krämer, A., Kretzschmar, M.: Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany. INTERNATIONAL JOURNAL OF PUBLIC HEALTH. 53, 180-187 (2008).
Mikolajczyk, Rafael T., Akmatov, Manas K., Stich, Heribert, Krämer, Alexander, and Kretzschmar, Mirjam. “Association between acculturation and childhood vaccination coverage in migrant populations: a population based study from a rural region in Bavaria, Germany”. INTERNATIONAL JOURNAL OF PUBLIC HEALTH 53.4 (2008): 180-187.
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