Mira Johri|S. V. Subramanian|Marie?Pierre Sylvestre|Sakshi Dudeja|Dinesh Chandra|Georges Karna Koné|Jitendar Kumar Sharma|Smriti Pahwa
Association between maternal health literacy and child vaccination in India: a cross-sectional study
Centre Hospitalier de l’Université de Montréal|Université de Montréal|China Population and Development Research Center|Centre Hospitalier de l’Université de Montréal|Université de Montréal|Pratham|Pratham|Centre Hospitalier de l’Université de Montréal|National Health Systems Resource Centre|Government of India|Ministry of Health and Family Welfare|Pratham
h3backgroundh3 education mothers may improve child health investigated whether maternal health literacy rapidly modifiable factor related mother9s education associated children9s receipt vaccines two underserved indian communities h3methodsh3 crosssectional surveys urban rural site assessed health literacy using indian child health promotion materials outcome receipt three doses diphtheriatetanuspertussis dtp3 vaccine used multivariate logistic regression investigate relationship maternal health literacy vaccination status independently site sites adjusted models considered maternal age maternal paternal education child sex birth order household religion wealth quintile rural analyses used multilevel models adjusted service delivery characteristics urban analyses represented cluster characteristics fixed effects h3resultsh3 rural analysis included 1170 women 60 villages urban analysis included 670 women nine slum clusters site crude adjusted models revealed positive association maternal health literacy dtp3 rural site adjusted 157 95 ci 111 221 p0010 medium health literacy or130 95 ci 089 191 p0172 high health literacy urban site adjusted 110 95 ci 065 188 p0705 medium health literacy or206 95 ci 106 399 p0032 high health literacy h3conclusionsh3 study settings maternal health literacy independently associated child vaccination initiatives targeting health literacy could improve vaccination coverage