Employment and Socioeconomic Factors Associated With Children's Up-to-Date Vaccination Status

Clin Pediatr (Phila). 2017 Apr;56(4):348-356. doi: 10.1177/0009922816660540. Epub 2016 Jul 28.


This study examined whether additional information on parents' employment and household characteristics would help explain the differences in children's up-to-date (UTD) vaccination status using the 2008 National Immunization Survey and its associated Socioeconomic Status Module. After controlling for basic sociodemographic factors in multivariable analyses, parent's work schedules and ease of taking time off from work were not associated with UTD vaccination status among 19- to 35-month-old children. We also conducted a stratified analysis to test the heterogeneous effects of the factors among children at 3 age-restricted maternal education levels and found the benefit of paid sick leave had a significant association only among families where the mother had a college degree. Families who had moved since the child's birth, especially if the mother had high school or lower education, were less likely to have children UTD on the vaccine series.

Keywords: employment; socioeconomic factors; up-to-date vaccination status.

MeSH terms

  • Adult
  • Employment / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Sick Leave
  • Social Class
  • Socioeconomic Factors*
  • Vaccination / statistics & numerical data*
  • Young Adult