title: Correlates of completing routine vaccination among children in Mysore, India.
abstract: BACKGROUND
  More than half of the over 18 million incompletely vaccinated children worldwide in 2011 lived in India (32%), Nigeria (14%) and Indonesia (7%). Overall immunization coverage in India was 61% in 2009. Few studies have explored the role of parental attitudes in children's vaccination.
  
  
  OBJECTIVE
  To explore the correlates of completion of routine vaccination among children in Mysore City, India.
  
  
  METHODS
  A two-stage probability sample of 800 girls aged 11-15 years was selected from 12 schools in Mysore to take home questionnaires to be completed by their parents. The questionnaire elicited information on socio-demographic characteristics, attitudes and practices relevant to vaccination. Bivariate and multivariable logistic regression analyses were performed to identify factors independently associated with completion of routine vaccination.
  
  
  RESULTS
  Of the 797 (99.6%) parents who completed questionnaires, 29.9% reported completing all routine vaccinations for their children. Parents who had obtained optional vaccinations for their children (adjusted odds ratio [AOR]: 4.56; 95% confidence interval [CI]: 3.09-6.74), who believed in vaccines' effectiveness (2.50; 1.19-5.28) and who asked doctors or nurses about vaccination (2.07; 1.10-3.90) were significantly more likely to report complete vaccination, after controlling for all other factors. Belief that the disease was more protective than vaccination was independently associated with lower likelihood of vaccination series completion (0.71; 0.52-0.96). No other attitudinal or socio-demographic factors were associated with vaccine completion.
  
  
  CONCLUSIONS
  Interest and belief in vaccine effectiveness are important facilitators motivating parents to obtain full vaccination for their children in India.
authors.affiliation: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, USA.
authors.forename: Soumyadeep
authors.initials: S
authors.lastname: Mukherjee
authors.affiliation: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, USA; Public Health Research Institute of India, Mysore, India. Electronic address: pmadhiva@fiu.edu.
authors.forename: Purnima
authors.initials: P
authors.lastname: Madhivanan
authors.affiliation: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, USA.
authors.forename: Tan
authors.initials: T
authors.lastname: Li
authors.affiliation: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, USA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Albatineh
authors.affiliation: Public Health Research Institute of India, Mysore, India.
authors.forename: Vijaya
authors.initials: V
authors.lastname: Srinivas
authors.affiliation: Public Health Research Institute of India, Mysore, India.
authors.forename: Poornima
authors.initials: P
authors.lastname: Jaykrishna
authors.affiliation: Public Health Research Institute of India, Mysore, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Arun
authors.affiliation: Robert Stempel College of Public Health and Social Work, Florida International University, Miami, USA; Public Health Research Institute of India, Mysore, India.
authors.forename: Karl
authors.initials: K
authors.lastname: Krupp
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India / Q000453:epidemiology; D030361:Papillomavirus Infections / Q000517:prevention & control* / Q000821:virology; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D012494:Sampling Studies; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control* / Q000821:virology; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines
keywords: Barriers; Facilitators; India; Parental attitudes; Vaccination