TITLE

Religious subgroups influencing vaccination coverage in the Dutch Bible belt: an ecological study

AUTHOR(S)
Ruijs, Wilhelmina L. M.; Hautvast, Jeannine L. A.; van der Velden, Koos; de Vos, Sjoerd; Knippenberg, Hans; Hulscher, Marlies E. J. L.
PUB. DATE
January 2011
SOURCE
BMC Public Health;2011, Vol. 11 Issue 1, p102
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The Netherlands has experienced epidemics of vaccine preventable diseases largely confined to the Bible belt, an area where -among others- orthodox protestant groups are living. Lacking information on the vaccination coverage in this minority, and its various subgroups, control of vaccine preventable diseases is focused on the geographical area of the Bible belt. However, the adequacy of this strategy is questionable. This study assesses the influence of presence of various orthodox protestant subgroups (orthodox protestant denominations, OPDs) on municipal vaccination coverage in the Bible belt. Methods: We performed an ecological study at municipality level. Data on number of inhabitants, urbanization level, socio-economical status, immigration and vaccination coverage were obtained from national databases. As religion is not registered in the Netherlands, membership numbers of the OPDs had to be obtained from church year books and via church offices. For all municipalities in the Netherlands, the effect of presence or absence of OPDs on vaccination coverage was assessed by comparing mean vaccination coverage. For municipalities where OPDs were present, the effect of each of them (measured as membership ratio, the number of members proportional to total number of inhabitants) on vaccination coverage was assessed by bivariate correlation and multiple regression analysis in a model containing the determinants immigration, socio-economical status and urbanization as well. Results: Mean vaccination coverage (93.5% ± 4.7) in municipalities with OPDs (n = 135) was significantly lower (p < 0.001) than in 297 municipalities without OPDs (96.9% ± 2.1). Multiple regression analyses showed that in municipalities with OPDs 84% of the variance in vaccination coverage was explained by the presence of these OPDs. Immigration had a significant, but small explanatory effect as well. Membership ratios of all OPDs were negatively related to vaccination coverage; this relationship was strongest for two very conservative OPDs. Conclusion: As variance in municipal vaccination coverage in the Bible belt is largely explained by membership ratios of the various OPDs, control of vaccine preventable diseases should be focused on these specific risk groups. In current policy part of the orthodox protestant risk group is missed.
ACCESSION #
59165205

 

Related Articles

  • Prevalence and predictors of human papillomavirus vaccination in adolescent girls. Palli, Swetha Rao; Mehta, Sandhya; Aparasu, Rajender R. // Journal of the American Pharmacists Association: JAPhA;Jan/Feb2012, Vol. 52 Issue 1, p52 

    Objectives: To determine the prevalence and predictors of human papillomavirus (HPV) vaccination in adolescent girls who were recommended to receive the vaccine by their health care providers. Design: Cross-sectional study. Setting: United States in 2007-08. Participants: Parents or guardians...

  • Generalized estimating equations: A hybrid approach for mean parameters in multivariate regression models. Lange, Christoph; Whittaker, John C.; MacGregor, Alex J. // Statistical Modelling: An International Journal;2002, Vol. 2 Issue 3, p163 

    We propose an extension of the generalized estimating equation approach to multivariate regression models (Liang and Zeger, 1986) which allows the estimation of dispersion and association parameters in the covariance matrix partly using estimating equations as in Prentice and Zhao (1991), and...

  • Statistical methods for the analysis and presentation of the results of bone marrow transplants. Part 2: Regression modeling. Klein, J P; Rizzo, J D; Zhang, M-J; Keiding, N // Bone Marrow Transplantation;12/1/2001, Vol. 28 Issue 11, p1001 

    In this paper, we address methods of multivariate regression. We discuss the value of regression compared to matched pairs analysis, methods of coding variables, basic concepts of the Cox model and interpretation of results of the Cox model. We present methods of handling variables whose effect...

  • Clinical course of primary focal segmental glomeruloscierosis (FSGS) in Turkish children: a report from the Turkish Pediatric Nephrology FSGS Study Group. Beşbaş, Nesrin; Özaltın, Fatih; Emre, Sevinç; Anarat, Ali; Alpay, Harika; Bakkaloğlu, Ayşin; Baskın, Esra; Buyan, Necla; Dönmez, Osman; Düşünsel, Ruhan; Ekim, Mesiha; Gök, Faysal; Gür-Güven, Ayfer; Kavukçu, Salih; Mir, Sevgi; Sönmez, Ferah // Turkish Journal of Pediatrics;May/Jun2010, Vol. 52 Issue 3, p255 

    The clinical course of focal segmental glomerulosclerosis (FSGS) is heterogeneous in children. To evaluate the clinical course and the predictors of outcome in Turkish children with primary FSGS, a retrospective study was conducted by the Turkish Pediatric Nephrology Study Group in 14 pediatric...

  • Impact of Literacy on the Prevalence, Awareness, Treatment and Control of Hypertension in Iran. Veghari, Gholamreza; Sedaghat, Mehdi; Maghsodlo, Siavash; Banihashem, Samieh; Moharloei, Pooneh; Angizeh, Abdolhamid; Tazik, Ebrahim; Moghaddami, Abbas // Journal of Cardiovascular & Thoracic Research;2012, Vol. 4 Issue 2, p37 

    Introduction: Hypertension is an important global health concern claiming 7.1 million lives annually. Literacy, as an essential element of the health education, and its relationship with health has previously been studied. However, few studies have been conducted on the association between...

  • Rectocele or stool quality: what matters more for symptoms of obstructed defecation? Dietz, H. P. // Techniques in Coloproctology;Dec2009, Vol. 13 Issue 4, p265 

    Rectocele is a common condition seen in patients presenting with symptoms of obstructed defecation. We designed a prospective observational study to investigate the relative roles of rectocele and stool quality for such symptoms. Two hundred and forty-two women were assessed in a tertiary...

  • Juxtapapillary duodenal diverticula and biliopancreatic disease. Madanick, Ryan D.; Barkin, Jamie S. // American Journal of Gastroenterology;Jul2002, Vol. 97 Issue 7, p1834 

    The purpose of this retrospective case-control analysis was to evaluate the association between juxtapapillary duodenal diverticula (JPDD) and disorders of the biliopancreatic system employing univariate and multivariate logistic regression models. The study consisted of 2925 patients who...

  • Cancer Incidence and Survival Following Bereavement. Levav, Itzhak; Kohn, Robert; Iscovich, Jose; Abramson, J. H.; Wei Yann Tsai; Vigdorovich, Daniel // American Journal of Public Health;Oct2000, Vol. 90 Issue 10, p1601 

    Objectives. This study investigated the effect of parental bereavement on cancer incidence and survival. Methods. A cohort of 6284 Jewish Israelis who lost an adult son in the Yom Kippur War or in an accident between 1970 and 1977 was followed for 20 years. We compared the incidence of cancer in...

  • Second solid cancers after radiotherapy for breast cancer in SEER cancer registries. Berrington de Gonzalez, A.; Curtis, R. E.; Gilbert, E.; Berg, C. D.; Smith, S. A.; Stovall, M.; Ron, E. // British Journal of Cancer;1/4/2010, Vol. 102 Issue 1, p220 

    Background:Radiotherapy for breast cancer reduces disease recurrence and breast cancer mortality. However, it has also been associated with increased second cancer risks in exposed sites.Methods:We evaluated long-term second cancer risks among 182 057 5-year survivors of locoregional invasive...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics