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Geographic influences on the uptake of infant immunisations: 1: concepts, models and aggregate analyses.

Senior, M. L. and New, S. J. and Gatrell, Tony and Francis, B. J. (1993) Geographic influences on the uptake of infant immunisations: 1: concepts, models and aggregate analyses. Environment and Planning A, 25 (3). pp. 425-436. ISSN 1472-3409

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Abstract

This is the first of two papers in which the effects on the uptake of immunisation of transport, time - space, and gender-role constraints, among a wider range of influences, are assessed statistically. A critique of a paper by Jarman et al leads to the formulation of an improved conceptual and statistical framework for analyses of uptake. Within this framework, the possibility of explaining immunisation uptake by using readily available data at the District Health Authority scale is reevaluated. Results suggest that analyses solely at this highly aggregate scale are plagued by the statistical problem of overdispersion, and cannot provide reliable explanations of uptake. Rather, it is argued, disaggregate or, preferably, multilevel analyses are required. Such analyses form the subject matter of the second paper.

Item Type: Article
Journal or Publication Title: Environment and Planning A
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Departments: Faculty of Health and Medicine > Health Research
Faculty of Science and Technology > Mathematics and Statistics
ID Code: 19661
Deposited By: ep_ss_importer
Deposited On: 11 Nov 2008 09:37
Refereed?: Yes
Published?: Published
Last Modified: 09 Apr 2014 20:23
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/19661

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