Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities
Objectives: Suboptimal timeliness and coverage of childhood vaccination programs undermined their effectiveness in achieving population-level immunity. This issue is particularly concerning among minority populations, where disparities in vaccination adherence persist. To address this gap, the study...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier Editora Ltda
2025
|
| Online Access: | http://psasir.upm.edu.my/id/eprint/120788/ http://psasir.upm.edu.my/id/eprint/120788/1/120788.pdf |
| _version_ | 1848868226974351360 |
|---|---|
| author | Tran, An Dai Suwanbamrung, Charuai Stanikzai, Muhammad Haroon Chutipattana, Nirachon Shohaimin, Shamarina Khammaneechan, Patthanasak Luan, Le Minh Dien, Tran Phu Nam, Truong Thanh Tung, Phan Thanh Le, Cua Ngoc |
| author_facet | Tran, An Dai Suwanbamrung, Charuai Stanikzai, Muhammad Haroon Chutipattana, Nirachon Shohaimin, Shamarina Khammaneechan, Patthanasak Luan, Le Minh Dien, Tran Phu Nam, Truong Thanh Tung, Phan Thanh Le, Cua Ngoc |
| author_sort | Tran, An Dai |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Objectives: Suboptimal timeliness and coverage of childhood vaccination programs undermined their effectiveness in achieving population-level immunity. This issue is particularly concerning among minority populations, where disparities in vaccination adherence persist. To address this gap, the study assessed the extent of parental adherence to age-appropriate childhood vaccination and its predictors among the minority children under five years of age. Methods: This cross-sectional study was conducted in three districts of Dong Thap Province, Vietnam, and neighboring Cambodia. A total of 449 ethnic minority parents with children under five years old participated. Data were gathered through face-to-face household interviews using a structured questionnaire, complemented by direct observation of the children's vaccination cards to verify adherence. Binary logistic regression was used to identify predictors of vaccination adherence. Results: The adherence rate to childhood vaccination among children in the minority population was 18.9 %. Parental adherence was significantly higher for children under one year of age (aOR = 2.54, 95 % CI: 1.29–5.03) and for firstborn children (aOR = 3.48, 95 % CI: 1.36–9.92). Within the Health Belief Model framework, greater perceived barriers were associated with lower adherence (aOR = 0.32, 95 % CI: 0.21–0.49), while higher parental self-efficacy was linked to increased adherence (aOR = 1.84, 95 % CI: 1.11–3.11). Conclusion: This study revealed a low parental adherence rate (18.9 %) to childhood vaccination. A child's age, birth order, perceived barriers, and parental self-efficacy influenced adherence. These findings emphasize the need to incorporate these factors into targeted policies and interventions for improving immunization rates in minority populations and comparable settings. |
| first_indexed | 2025-11-15T14:49:02Z |
| format | Article |
| id | upm-120788 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:49:02Z |
| publishDate | 2025 |
| publisher | Elsevier Editora Ltda |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1207882025-10-10T03:02:57Z http://psasir.upm.edu.my/id/eprint/120788/ Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities Tran, An Dai Suwanbamrung, Charuai Stanikzai, Muhammad Haroon Chutipattana, Nirachon Shohaimin, Shamarina Khammaneechan, Patthanasak Luan, Le Minh Dien, Tran Phu Nam, Truong Thanh Tung, Phan Thanh Le, Cua Ngoc Objectives: Suboptimal timeliness and coverage of childhood vaccination programs undermined their effectiveness in achieving population-level immunity. This issue is particularly concerning among minority populations, where disparities in vaccination adherence persist. To address this gap, the study assessed the extent of parental adherence to age-appropriate childhood vaccination and its predictors among the minority children under five years of age. Methods: This cross-sectional study was conducted in three districts of Dong Thap Province, Vietnam, and neighboring Cambodia. A total of 449 ethnic minority parents with children under five years old participated. Data were gathered through face-to-face household interviews using a structured questionnaire, complemented by direct observation of the children's vaccination cards to verify adherence. Binary logistic regression was used to identify predictors of vaccination adherence. Results: The adherence rate to childhood vaccination among children in the minority population was 18.9 %. Parental adherence was significantly higher for children under one year of age (aOR = 2.54, 95 % CI: 1.29–5.03) and for firstborn children (aOR = 3.48, 95 % CI: 1.36–9.92). Within the Health Belief Model framework, greater perceived barriers were associated with lower adherence (aOR = 0.32, 95 % CI: 0.21–0.49), while higher parental self-efficacy was linked to increased adherence (aOR = 1.84, 95 % CI: 1.11–3.11). Conclusion: This study revealed a low parental adherence rate (18.9 %) to childhood vaccination. A child's age, birth order, perceived barriers, and parental self-efficacy influenced adherence. These findings emphasize the need to incorporate these factors into targeted policies and interventions for improving immunization rates in minority populations and comparable settings. Elsevier Editora Ltda 2025 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/120788/1/120788.pdf Tran, An Dai and Suwanbamrung, Charuai and Stanikzai, Muhammad Haroon and Chutipattana, Nirachon and Shohaimin, Shamarina and Khammaneechan, Patthanasak and Luan, Le Minh and Dien, Tran Phu and Nam, Truong Thanh and Tung, Phan Thanh and Le, Cua Ngoc (2025) Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities. Jornal de Pediatria, 101 (4). pp. 642-650. ISSN 0021-7557; eISSN: 1678-4782 https://www.sciencedirect.com/science/article/pii/S0021755725000853?via%3Dihub 10.1016/j.jped.2025.04.005 |
| spellingShingle | Tran, An Dai Suwanbamrung, Charuai Stanikzai, Muhammad Haroon Chutipattana, Nirachon Shohaimin, Shamarina Khammaneechan, Patthanasak Luan, Le Minh Dien, Tran Phu Nam, Truong Thanh Tung, Phan Thanh Le, Cua Ngoc Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_full | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_fullStr | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_full_unstemmed | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_short | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_sort | parental predictors of childhood vaccination adherence in border areas of southern vietnam: a first look at minority communities |
| url | http://psasir.upm.edu.my/id/eprint/120788/ http://psasir.upm.edu.my/id/eprint/120788/ http://psasir.upm.edu.my/id/eprint/120788/ http://psasir.upm.edu.my/id/eprint/120788/1/120788.pdf |