From: Vaccine equity in low and middle income countries: a systematic review and meta-analysis
Attribute | # Studies | Meta-analysis Result | Heterogeneity |
---|---|---|---|
Urban/Rural | 24 | No significant pooled effect | Wide heterogeneity between countries with, for example, all studies in China suggesting a positive risk ratio and all studies in Ethiopia suggesting a negative risk ratio. |
Gender | 26 | Significant risk ratio to being fully vaccinated given female com-pared to male of 0.97 (95%CI [0.95, 0.99]) suggesting females are 3% (95%CI[1%,5%]) less likely to be vaccinated than their male counterparts | General consensus between countries and time periods with almost all studies either spanning one or with significantly negative risk ratio. |
Education | 16 | Risk ratio to a child being vaccinated given their mother has no formal education compared to having any education level ie. primary or above, as 0.73 (95%CI [0.64, 0.84]); this model fit is significant. This implies that children are 27% (95%CI [16%,36%]) less likely to be fully vaccinated if their mother has no formal education. | General consensus between countries and time periods with almost all studies either spanning one or with significantly negative risk ratio. Only two studies had a significantly positive risk ratio, in the Gambia and Malawi [50, 68]. |
Wealth | 18 | Risk ratio of 0.73 (95%CI [0.63, 0.84]) to being vaccinated ifin the poorest wealth quintile compared to richest; individuals in the poorest subpopulations are 27% (95%CI [16%,37%]) less likely to be fully vaccinated than those in the richest. | General consensus between countries and time periods with almost all studies either spanning one or with significantly negative risk ratio. Only two studies had a significantly positive risk ratio, in the Gambia and China [48, 50]. |
Marital Status | 7 | No significant pooled effect | General consensus between countries and time periods, almost all studies had risk ratios spanning one. One study had a significantly positive risk ratio [24] which covered Sub-Saharan Africa. |