Measles, mumps, and rubella vaccination coverage: an ecological study of primary health care and socio-economic factors in Catalonia, Spain.

Publisher: Palgrave Macmillan Country of Publication: England NLM ID: 8006508 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1745-655X (Electronic) Linking ISSN: 01975897 NLM ISO Abbreviation: J Public Health Policy Subsets: MEDLINE

Publication: 2005- : Basingstoke, England : Palgrave Macmillan
Original Publication: [Burlington, Vt., Journal of Public Health Policy, inc.]

Primary Health Care*/statistics & numerical data ; Measles-Mumps-Rubella Vaccine*/administration & dosage ; Vaccination Coverage*/statistics & numerical data ; Socioeconomic Factors*; Humans ; Spain ; Child ; Retrospective Studies ; Female ; Male ; Measles/prevention & control ; Measles/epidemiology ; Rubella/prevention & control ; Mumps/prevention & control ; Mumps/epidemiology ; Vaccination/statistics & numerical data

This study examined the association of socio-economic factors and the structure of primary care centres (PCCs) with measles, mumps, and rubella (MMR) vaccination coverage among the 8-year-old population in Catalonia, Spain. We conducted an ecological study to retrospectively assess the MMR vaccination-recorded status of children born in 2012, using public health data extracted in December 2020. For each of 300 PCCs serving 70,498 children, we calculated vaccination coverage rates from electronic health records and linked these rates to a composite deprivation index corresponding to the territory served by each PCC. We identified a relationship between unfavourable socio-economic factors and higher recorded vaccination coverage. On average, directly managed PCCs had higher vaccination coverage rates than indirectly managed PCCs. Greater utilisation of primary care services by the population was also associated with higher vaccination coverage rates. Further research is needed to generate knowledge valuable for informing more equitable child-vaccination service delivery models.
(© 2024. The Author(s), under exclusive licence to Springer Nature Limited.)

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Keywords: Children; Measles–Mumps–Rubella vaccine; Primary Health Care; Socio-economic factors; Vaccination coverage

0 (Measles-Mumps-Rubella Vaccine)

Date Created: 20240425 Date Completed: 20240614 Latest Revision: 20240830

20240831

10.1057/s41271-024-00484-3

38664542