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Do household structure and household economic resources predict childhood immunization? Evidence from Jamaica and Trinidad and Tobago

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Abstract

This study assesses the influence of household structure and resource dilution characteristics on children’s immunization coverage in Jamaica and Trinidad and Tobago. The study has three objectives: (1) to compare the impact of different types of household structures (e.g., single parent, two-parent, cohabiting and extended) on child immunization; (2) to examine the effects of household income and resource dilution on child immunization; and (3) to determine whether household structure and resource dilution interact to affect child immunization in these contexts.

We use data from the Jamaica 1996 and Trinidad and Tobago 1997 Living Standards Measurement Study Survey and a series of logistic regression models to test hypotheses derived from the current child well-being literature. The results show that household income and household structures selectively predict children’s immunization coverage in both contexts, with significant interaction effects enhancing the interpretation for Jamaica. The key policy implications that emerge from this study are that household structure and income are crucial for understanding child immunization in the Caribbean.

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References

  • A.A. Afifi V. Clark (1996) Computer aided multivariate analysis Chapman and Hall London

    Google Scholar 

  • D. Ahlburg C. De Vita (1992) ArticleTitleNew realities of the American household Population Bulletin 67 1–50

    Google Scholar 

  • Ainsworth, M. (1989). Economic aspects of child fostering in Cote d’Ivoire. Paper presented at a conference on Household, Gender, Development and Economic Growth. Yale University, 4–6 September.

  • J.H. Aldrich F.D. Nelson (1984) Linear probability, logit and probit models. Sage University Paper Series on Quantitative Applications in the Social Sciences, Series No. 07-045 Sage Beverly Hills, CA

    Google Scholar 

  • P. Amato (1987) ArticleTitleHousehold processes in one-parent, stepparent and intact households: The child’s point of view Journal of Marriage and the Household 69 327–337

    Google Scholar 

  • R. Amin R.B. Hill S.A.T.P. Horton C. Kamara J. Chowdhury (1992) ArticleTitleImmunization coverage, infant morbidity and infant mortality in Freetown Sierra Leone Social Science and Medicine 35 IssueID7 851–856

    Google Scholar 

  • R. Angel M. Tienda (1982) ArticleTitleDeterminants of extended household structure: Cultural patterns or economic need American Journal of Sociology 87 IssueID6 1360–1383

    Google Scholar 

  • N.M. Astone S.S. McLanahan (1991) ArticleTitleHousehold structure, parental practices and high school completion American Sociological Review 56 IssueID3 309–320

    Google Scholar 

  • M. Jo. Bane (1986) Household composition and child poverty S. Danziger D. Wienberg (Eds) Fighting poverty Harvard University Press MA 209–231

    Google Scholar 

  • J.R. Behrman A.B. Deolalikar (1991) ArticleTitleThe poor and social sectors during a period of macroeconomic adjustment: Empirical evidence from Jamaica World Bank Economic Review 5 291–313

    Google Scholar 

  • S. Bianchi (1993) Children in poverty: Why are they poor? J. Chafel Particle125 (Eds) child poverty and public policy Urban Institute Washington D.C. 91–125

    Google Scholar 

  • N. Birdsall (1980) ArticleTitleThe cost of siblings: Child schooling in urban Columbia Research in Population Economics 2 115–150

    Google Scholar 

  • J. Blake (1955) Household instability and reproductive behavior in Jamaica Milbank Memorial Fund New York 24–41

    Google Scholar 

  • J. Blake (1961) Household Structure in Jamaica Free Press New York

    Google Scholar 

  • J. Blake (1981) ArticleTitleHousehold size and the quality of children Demography 18 621–662

    Google Scholar 

  • J. Blake (1985) ArticleTitleThe number of siblings and educational mobility American Sociological Review 50 94–105

    Google Scholar 

  • J. Blake (1989) Household size and achievement University of California Press Los Angeles, CA

    Google Scholar 

  • C. Bledsoe A.J. Brandon (1992) Child fosterage and child morality in sub-Saharan Africa E. Van de Walle G. Pison M.D. Sala Diakanda (Eds) Mortality and society in Africa Clarendon Press Oxford 279–330

    Google Scholar 

  • Bowman, B.T. & Zvetina, D. (1992). By the year 2000 all children in America will start school ready to learn: Social/emotional readiness. Manuscript prepared for the Goal 1 Resource Group on School Readiness for the National Education Goals Panel.

  • J. Bruce C.B. Lloyd A. Leonard P.L. Engle N. Duffy (1995) Households in focus: New perspective on mothers, fathers and children Population Council New York

    Google Scholar 

  • J. Bruce C.B. Lloyd (1996) Finding the ties that bind: Beyond headship and household L. Haddad J. Hoddinett H. Alderman (Eds) Intrahousehold resource allocation in de-HOUSEHOLD STRUCTURE AND HOUSEHOLD ECONOMIC RESOURCES 55 veloping countries, methods, model and policy Johns Hopkins University Press Baltimore MD

    Google Scholar 

  • D. Chernichovsky (1985) ArticleTitleSocio economic and demographic aspects of school enrollment and attendance in rural Botswana Economic Development and Cultural Change 33 319–332

    Google Scholar 

  • J.S. Coleman (1988) ArticleTitleSocial capital in the creation of human capital America Journal of Sociology 96 S95–S120

    Google Scholar 

  • J. Coreil (1983) ArticleTitleAllocation of household resources for health care in rural Haiti Social Science and Medicine 17 IssueID11 709–719

    Google Scholar 

  • D.A. Dawson (1991) ArticleTitleHousehold structure and children’s health and well-being: Data from the 1988 national health interview survey on child health Journal of Marriage and the Household 53 573–586

    Google Scholar 

  • D. De Graff R.E. Bilsborow A.N. Herrin (1996) ArticleTitleChildren’s education in the Phillipines: Does high fertility matter? Population Research and Policy Review 15 219–267

    Google Scholar 

  • A. De Maris (1991) ArticleTitleA framework for the interpretation of first order interactions in logit modeling Psychological Bulletin 110 557–570

    Google Scholar 

  • A. De Maris (1995) ArticleTitleA tutorial in logistic regression Journal of Marriage and the Household 57 956–968

    Google Scholar 

  • S. Desai (1992) ArticleTitleChildren at risk: The role of household structure in Latin America and West Africa Population and Development Review 18 IssueID4 689–717

    Google Scholar 

  • S. Desai (1993) The impact of family size on children’s nutritional status: Insights from a comparative perspective, Working Paper #46 Population Council New York

    Google Scholar 

  • S. Desai D. Jain (1994) ArticleTitleMaternal employment and changes in household dynamics: The social context of women’s work in rural South India Population and Development Review 20 IssueID1 115–136

    Google Scholar 

  • S. Desai A. Soumya (1988) ArticleTitleMaternal education and child health: Is there a strong causal relationship? Demography 35 IssueID1 71–81

    Google Scholar 

  • S. De Vos (1987) ArticleTitleLatin American household in comparative perspective Population Studies 41 501–517

    Google Scholar 

  • D.B. Downey (1995) ArticleTitleWhen bigger is not better: Household size, parental resources and children’s educational performance American Sociological Review 60 766–761

    Google Scholar 

  • D.J. Eggebeen D.T. Lichter (1991) ArticleTitleRace, household structure and changing poverty among American children American Sociological Review 56 801–807

    Google Scholar 

  • A. EggebeenD. Snyder W. Manning (1996) ArticleTitleChildren in single father households in demographic perspective Journal of Household Issues 17 IssueID6 661–665

    Google Scholar 

  • Findley, S.E. & Williams, L. (1991). Women who go and women who stay: Reflections of household migration processes in a changing world. ILO Working Paper No. 176. Population and Labor Policies Program.

  • A. Gage (1997) ArticleTitleFamilial and socio economic influences on children’s well being: An examination of pre-school children in Kenya Social Sciences and Medicine 65 IssueID12 1811–1828

    Google Scholar 

  • A.J. Gage A.E. Sommerfelt P.L. Piani (1997) ArticleTitleHousehold structure and childhood Gomes immuniation in Niger in Nigeria Demography 36 IssueID2 295–309

    Google Scholar 

  • M. Gomes (1984) ArticleTitleHousehold size and educational attainment in Kenya Population and Development Review 10 IssueID4 647–660

    Google Scholar 

  • G.L. Greif (1985) ArticleTitleSingle fathers rearing children Journal of Marriage and the Family 67 811–825

    Google Scholar 

  • Hada, S. (1993). Household structure, female headship and children’s welfare in Jamaica. Ph.D. Dissertation. University of Toronto.

  • D. Heer (1985) ArticleTitleEffects of sibling number on child outcomes Annual Review of Sociology 11 IssueID85 27–67

    Google Scholar 

  • S. Horton (1986b) ArticleTitleChild nutrition and household size in the Philippines Journal of Development Economics 23 IssueID1 161–176

    Google Scholar 

  • S. Horton (1988a) ArticleTitleBirth order and child nutritional status: Evidence from the Philippines Economic Development and Cultural Change 36 341–353

    Google Scholar 

  • S. Horton B.D. Miller (1989) The effects of gender of household head on food expenditure: Evidence from low income households in Jamaica University of Toronto Toronto

    Google Scholar 

  • J.B. Justus (1981) Women’s role in West Indian society: The black woman cross-culturally Schenkman Press Cambridge, MA

    Google Scholar 

  • E. Kennedy P. Peters (1992) ArticleTitleHousehold food security and child nutrition: The interaction of income and gender of the head of household World Development 20 1077–1085

    Google Scholar 

  • K. Kostemans (1994) Assessing the quality of anthropometric data: Background and illustrated guidelines for survey managers. Living Standards Measurement Study Survey Working Paper #101 World Bank Washington D.C

    Google Scholar 

  • F. Krein A.H. Beller (1988) ArticleTitleThe educational attainment of children from single parent households: Differences by exposure gender, and race Demography 25 IssueID2 221–236

    Google Scholar 

  • D. Lichter (1997) ArticleTitlePoverty and inequality among children Annual Review of Sociology 23 121–165

    Google Scholar 

  • C. Lloyd S. Desai (1992) ArticleTitleChildren’s living arrangement in developing countries Population Research and Policy Review 11 193–216

    Google Scholar 

  • C.B. Lloyd (1993) Household and gender issues for population policy. Population Council Research Paper #68 Population Council New York

    Google Scholar 

  • B. Lloyd C. A. Gage-Brandon (1993) ArticleTitleWomen’s role in maintaining households: Household welfare and sexual inequality in Ghana Population Studies 67 115–131

    Google Scholar 

  • C. Lloyd (1995) Household structure and child poverty?What are the connections?.Working Paper #76 Population Council New York

    Google Scholar 

  • C. Lloyd (1996) Investing in the next generation: The implications of high fertility at the level of the family, Working Paper #63 Population Council New York

    Google Scholar 

  • C. Lloyd A.K. Blanc (1995) Children’s schooling in sub-Saharan Africa: The role of fathers, mothers and others. Population Council Working Paper #78 Population Council New York

    Google Scholar 

  • F. Louat M.E Grosh J. Vander Gaag (1993) Welfare implications of female headship in Jamaican households Living Standards Measurement Study Working Paper, No. 96. The World Bank Washington DC

    Google Scholar 

  • W.D. Manning D.T. Lichter (1996) Cohabitation and children’s well-being .Population Research Institute Working Paper Pennsylvania State University Pennsylvania

    Google Scholar 

  • SE. Mayer (1997) What money can’t buy: Household income and children’s life chances Harvard University Press Cambridge MA

    Google Scholar 

  • S. McLanahan K. Booth (1989) ArticleTitleMother only households: Problems, reproduction and politics Journal of Marriage and the Household. 51 557–580

    Google Scholar 

  • S. McLanahan G. Sandefur (1994) Growing up with a single parent: What hurts, what helps Harvard University Press Cambridge MA

    Google Scholar 

  • S. McRae (1993) Cohabiting mothers: Changing marriage and motherhood Policy Studies Institute London

    Google Scholar 

  • InstitutionalAuthorNamePopulation Reference Bureau (1999) 1999 World population data sheet: Demographic data and estimates for the countries and regions of the world Population Reference Bureau Washington, D.C

    Google Scholar 

  • B. Powell L. Carr Steelman (1990) ArticleTitleBeyond sibship size, sibling poverty ,sex composition and educational outcomes Social Forces. 69 IssueID1 181–206

    Google Scholar 

  • InstitutionalAuthorNamePrimary Health Care (1978) Presented at the international conference on primary healthcare, Alma Ata World Health Organization Geneva

    Google Scholar 

  • K. Richter (1988) ArticleTitleUnion patterns and children’s living arrangement in Latin America Demography 25 IssueID6 553–566

    Google Scholar 

  • Z. Sathar C. Lloyd (1996) ArticleTitleWho gets primary schooling in Pakistan: Inequalities among and within families The Pakistan Development Review. 32 IssueID2 103–136

    Google Scholar 

  • BR. Schiller (1996) The economics of poverty and discrimination Prentice Hall Englewood Cliffs NJ

    Google Scholar 

  • Y. Shavit JL. Pierce (1991) ArticleTitleSibship size and educational attainment in two parent and extended households American Sociological Review 56 IssueID3 321–330

    Google Scholar 

  • J. Strauss (1986) The effects of household and community characteristics on the nutrition of preschool kids: Evidence from rural Cote d’ivoire. Living Standards Measurement study Working Paper #60 World Bank Washington D.C.

    Google Scholar 

  • C. Sutton S. Makiesky-Barrow (1985) Social inequality and sex status in Barbados F.C. Steady (Eds) The black woman cross-culturally. Schenkman Brooks Rochester 469–497

    Google Scholar 

  • E. Thomson T.L. Hanson S.S. McLanahan (1996) ArticleTitleHousehold structure and child wellbeing: Economic resources versus parental behaviors Social Forces 73 IssueID1 221–262

    Google Scholar 

  • M. Tienda R.J. Salazar (1982) ArticleTitleLas familias encabezadas por mujeres y la formacion de nucleos extensos: Una referencia al Peru Economia y Demografiass 16 IssueID1 64–89

    Google Scholar 

  • InstitutionalAuthorNameUnited Nations Children’s Fund (UNICEF) (1988) The state of the world’s children Oxford University Press New York

    Google Scholar 

  • J. Valadez L.H. Weld (1992) ArticleTitleMaternal recall error of child vaccination status in a developing nation American Journal of Public Healthss 82 IssueID1 120–122

    Google Scholar 

  • InstitutionalAuthorNameWorld Bank (1995) Trinidad and Tobago: Poverty and unemployment in an oil based economy.Report #14382-TR World Bank Washington D.C

    Google Scholar 

  • InstitutionalAuthorNameWorld Bank (1998) Jamaica survey of living conditions 1988–1996: Basic information. World Bank Report World Bank Washington D.C

    Google Scholar 

  • World Health Organization (WHO)&Ministry of Health, Government of Sierra Leone (1973– 1975). Infant and early childhood mortality in relation to fertility patterns. Report on an adhoc survey in Greater Freetown, theWestern Area andMakeni in the Northern Providence, Sierra Leone.

  • L.L. Wu (1996) ArticleTitleEffects of family instability, income and income instability on the risk of a premarital birth American Sociological Review 61 386–606

    Google Scholar 

  • Wyss, B. (1995). Gender and economic support for Jamaican households: Implications for children’s living standards. MA: University of Massachusetts, Department of Economics (Dissertation).

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Correspondence to Jacinta Bronte-Tinkew.

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Bronte-Tinkew, J., Dejong, G.F. Do household structure and household economic resources predict childhood immunization? Evidence from Jamaica and Trinidad and Tobago. Popul Res Policy Rev 24, 27–57 (2005). https://doi.org/10.1007/s11113-005-0368-x

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