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Incomplete childhood immunization in Nigeria: a multilevel analysis of individual and contextual factors

Overview of attention for article published in BMC Public Health, March 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (93rd percentile)

Mentioned by

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4 news outlets
twitter
3 tweeters

Citations

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87 Dimensions

Readers on

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365 Mendeley
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Title
Incomplete childhood immunization in Nigeria: a multilevel analysis of individual and contextual factors
Published in
BMC Public Health, March 2017
DOI 10.1186/s12889-017-4137-7
Pubmed ID
Authors

Sulaimon T. Adedokun, Olalekan A. Uthman, Victor T. Adekanmbi, Charles S. Wiysonge

Abstract

Under-five mortality remains high in sub-Saharan Africa despite global decline. One quarter of these deaths are preventable through interventions such as immunization. The aim of this study was to examine the independent effects of individual-, community- and state-level factors on incomplete childhood immunization in Nigeria, which is one of the 10 countries where most of the incompletely immunised children in the world live. The study was based on secondary analyses of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (DHS). Multilevel multivariable logistic regression models were applied to the data on 5,754 children aged 12-23 months who were fully immunized or not (level 1), nested within 896 communities (level 2) from 37 states (level 3). More than three-quarter of the children (76.3%) were not completely immunized. About 83% of children of young mothers (15-24 years) and 94% of those whose mothers are illiterate did not receive full immunization. In the fully adjusted model, the chances of not being fully immunized reduced for children whose mothers attended antenatal clinic (adjusted odds ratio [aOR] = 0.49; 95% credible interval [CrI] = 0.39-0.60), delivered in health facility (aOR = 0.62; 95% CrI = 0.51-0.74) and lived in urban area (aOR = 0.66; 95% CrI = 0.50-0.82). Children whose mothers had difficulty getting to health facility (aOR = 1.28; 95% CrI = 1.02-1.57) and lived in socioeconomically disadvantaged communities (aOR = 2.93; 95% CrI = 1.60-4.71) and states (aOR = 2.69; 955 CrI =1.37-4.73) were more likely to be incompletely immunized. This study has revealed that the risk of children being incompletely immunized in Nigeria was influenced by not only individual factors but also community- and state-level factors. Interventions to improve child immunization uptake should take into consideration these contextual characteristics.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 365 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 365 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 93 25%
Student > Bachelor 37 10%
Student > Ph. D. Student 33 9%
Researcher 30 8%
Student > Postgraduate 30 8%
Other 50 14%
Unknown 92 25%
Readers by discipline Count As %
Medicine and Dentistry 109 30%
Nursing and Health Professions 68 19%
Social Sciences 22 6%
Agricultural and Biological Sciences 7 2%
Biochemistry, Genetics and Molecular Biology 7 2%
Other 36 10%
Unknown 116 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 37. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 May 2019.
All research outputs
#543,749
of 15,028,834 outputs
Outputs from BMC Public Health
#538
of 10,389 outputs
Outputs of similar age
#18,191
of 272,786 outputs
Outputs of similar age from BMC Public Health
#1
of 1 outputs
Altmetric has tracked 15,028,834 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 10,389 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.7. This one has done particularly well, scoring higher than 94% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,786 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them