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Determinants of Tetanus Toxoid Immunization during Pregnancy in Vietnam: How Individual, Household and Community Matters?

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Abstract:

Tetanus immunization is suggested for pregnant women to prevent convulsions in both mother and her child. Previous research showed that not all pregnant women in Vietnam received prenatal tetanus vaccination. We utilized two cross-sectional Demographic and Health Surveys for Vietnam in 1997 (VN-DHS Phase III) and 2002 (VN-DHS Phase IV) to examine individual, household, and community determinants of tetanus immunization during pregnancy. Only women age 15 to 49, having live, singleton births in three years prior to each survey were included in our samples. Results from our logistic regression models indicated that among 11 social determinants, higher level of education attainment and media exposure significantly increased the likelihood of having tetanus injection. Their effects remained constant between the two surveys. Our 1997 sample suggested that besides education and media exposure, parity had negative effect on tetanus immunization. In addition to educational level and media exposure, the 2002 sample depicted that being ethnic minority would decrease the probability of having tetanus toxoid shots compared to ethnic majority. In contrast, access to electricity increased the odds of having this prenatal care content. Results from our study were consistent with previous research on health disparities in Vietnam in the context of rapid economic growth and the suspension of the universal health care program. There is possibility that social disparities in health care utilization did not narrow down but increased over time.
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Association:
Name: Pacific Sociological Association Annual Meeting
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http://www.pacificsoc.org


Citation:
URL: http://citation.allacademic.com/meta/p707382_index.html
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MLA Citation:

Trinh, Ha. and Korinek, Kim. "Determinants of Tetanus Toxoid Immunization during Pregnancy in Vietnam: How Individual, Household and Community Matters?" Paper presented at the annual meeting of the Pacific Sociological Association Annual Meeting, Marriott Downtown Waterfront, Portland, Oregon, Mar 27, 2014 <Not Available>. 2014-12-10 <http://citation.allacademic.com/meta/p707382_index.html>

APA Citation:

Trinh, H. N. and Korinek, K. , 2014-03-27 "Determinants of Tetanus Toxoid Immunization during Pregnancy in Vietnam: How Individual, Household and Community Matters?" Paper presented at the annual meeting of the Pacific Sociological Association Annual Meeting, Marriott Downtown Waterfront, Portland, Oregon <Not Available>. 2014-12-10 from http://citation.allacademic.com/meta/p707382_index.html

Publication Type: Formal research paper presentation
Review Method: Peer Reviewed
Abstract: Tetanus immunization is suggested for pregnant women to prevent convulsions in both mother and her child. Previous research showed that not all pregnant women in Vietnam received prenatal tetanus vaccination. We utilized two cross-sectional Demographic and Health Surveys for Vietnam in 1997 (VN-DHS Phase III) and 2002 (VN-DHS Phase IV) to examine individual, household, and community determinants of tetanus immunization during pregnancy. Only women age 15 to 49, having live, singleton births in three years prior to each survey were included in our samples. Results from our logistic regression models indicated that among 11 social determinants, higher level of education attainment and media exposure significantly increased the likelihood of having tetanus injection. Their effects remained constant between the two surveys. Our 1997 sample suggested that besides education and media exposure, parity had negative effect on tetanus immunization. In addition to educational level and media exposure, the 2002 sample depicted that being ethnic minority would decrease the probability of having tetanus toxoid shots compared to ethnic majority. In contrast, access to electricity increased the odds of having this prenatal care content. Results from our study were consistent with previous research on health disparities in Vietnam in the context of rapid economic growth and the suspension of the universal health care program. There is possibility that social disparities in health care utilization did not narrow down but increased over time.


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