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Socio-economic inequality underpins inequity in influenza vaccination uptake between public and private secondary schools: an Australian population-based study

Huong Le, Christopher C. Blyth, Clement Schlegel, Jo-Anne Morgan, Francis Mitrou, Ha Nguyen, Rachel Foong, Samantha Carlson, Catherine Hughes, Bette Liu and Hannah C. Moore

No 1740, GLO Discussion Paper Series from Global Labor Organization (GLO)

Abstract: Background: Socio-economic inequality and vaccination inequity have long been critical issues. However, no studies have explored the gap in influenza vaccination uptake between public and private schools. Importantly, the extent to which socio-economic inequality translates into vaccination uptake inequity has not been quantified. We investigate influenza vaccination uptake among school-aged Australian children in 2023, compare uptake between public and private schools, and assess the role of socio-economic inequality in vaccination uptake inequity. Methods: We analysed whole-of-population linked immunisation, census, and administrative data. Multivariable logistic regression was used to identify key uptake predictors, and the Oaxaca-Blinder decomposition was used to identify factors driving uptake inequity between public and private schools. Findings: Of 9.5 million influenza vaccination doses administered, only 0.7 million (7%) were given to school-aged children (5-

Keywords: Socioeconomic Inequality; Vaccination; School Sector; Children; Administrative Data (search for similar items in EconPapers)
JEL-codes: I12 I14 I18 I24 J13 (search for similar items in EconPapers)
Date: 2026
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