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Table 3 Determinants of untimely vaccination for MCV1 and MCV2 obtained from multilevel model

From: Multi-level determinants of failure to receive timely and complete measles vaccinations in Southwest China: a mixed methods study

Variable

MCV1

MCV2

OR (95% CI)

P value*

OR (95% CI)

P value*

Household level (level-1)

 Primary guardian’s knowledge score on measles vaccination

 < 0.001

 

0.031

  ≤ 8 (poor)

1.00

 

1.00

 

  ≥ 9 (good)

0.58 (0.44–0.79)

 

0.66 (0.45–0.96)

 

 Primary guardian’s perception of susceptibility to measles (score)

0.038

 

0.048

  ≤ 18 (poor)

1.00

 

1.00

 

  ≥ 19 (good)

0.76 (0.57–0.98)

 

0.70 (0.50–0.99)

 

 Primary guardian’s perception of benefit from measles vaccination (score)

 

0.020

  ≤ 15 (poor)

  

1.00

 

  ≥ 16 (good)

  

0.65 (0.46–0.94)

 

 Primary guardian’s perception of barriers to vaccination (score)

 < 0.001

 

 < 0.001

  ≤ 22 (weak)

1.00

 

1.00

 

  ≥ 23 (strong)

4.58 (3.44–6.09)

 

2.66 (1.83–3.84)

 

 Primary guardian’s perception of cues to action (score)

0.081

 

 < 0.001

  ≤ 11 (few)

1.00

 

1.00

 

  ≥ 12 (sufficient)

0.74 (0.52–1.03)

 

0.32 (0.18–0.55)

 

 Primary guardian’s perception of self–efficacy (score)

0.156

  

  ≤ 12 (poor)

1.00

   

  ≥ 13 (good)

0.78 (0.56–1.09)

   

 Primary guardian’s satisfaction with vaccination service (score)

 < 0.001

 

 < 0.001

  ≤ 42 (low)

1.00

 

1.00

 

  ≥ 43 (high)

0.49 (0.37–0.68)

 

0.48 (0.34–0.69)

 

 Primary guardian’s practice towards measles vaccination (score)

 < 0.001

 

 < 0.001

  ≤ 12 (few)

1.00

 

1.00

 

  ≥ 13 (sufficient)

0.08 (0.05–0.12)

 

0.27 (0.16–0.43)

 

Village level (level-2)

 Village doctor’s involvement in routine vaccination service

0.013

 

0.025

  Yes

1.00

 

1.00

 

  No

1.85 (1.14–2.99)

 

2.11 (1.09–4.04)

 

 Travel-time to township hospital (minutes)

0.125

 

0.226

  ≤ 29

1.00

 

1.00

 

  ≥ 30

1.62 (0.87–3.02)

 

1.38 (0.82–2.32)

 

Township level (level-3)

 Provision of a written appointment service

 < 0.001

 

0.033

  Yes

1.00

 

1.00

 

  No

2.96 (1.81–4.84)

 

2.74 (1.08–4.55)

 

 Provision of vaccination service on local market day

 < 0.001

  

  Yes

1.00

   

  No

2.48 (1.52–4.08)

   

 Sessions uniformly distributed over a month

0.004

  

  Yes

1.00

   

  No

2.08 (1.25–3.45)

   

 Full-time vaccination workgroup

0.453

 

0.298

  Established

1.00

 

1.00

 

  Unestablished

1.16 (0.78–1.73)

 

1.49 (0.70–3.19)

 

 Met the allocation standard for vaccination professional

 

0.170

  Yes

  

1.00

 

  No

  

1.43 (0.75–2.75)

 

Variance components

 Township level variance

0.048#

0.201#

  

 Village level variance

0.091#

0.087#

  

 Household level scale parameter

1.000

1.000

  
  1. * Penalized Quasi-likelihood (PQL) test
  2. #P > 0.05