{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:58:42Z","timestamp":1765727922557,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study examined trends in absolute and relative socio\u2010economic, gender and geographical inequalities in the coverage of polio immunisation in Guinea, West Africa, from 1999 to 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the 1999, 2005 and 2012 Guinea Demographic and Health Survey and the 2016 Guinea Multiple Indicator Cluster Survey were analysed using the World Health Organization's health equity assessment toolkit. We disaggregated polio immunisation coverage using five equity stratifiers: household economic status, maternal educational level, place of residence, child's gender and region. The four summary measures used were the difference, ratio, population attributable risk and population attributable fraction. A 95% confidence interval (CI) was constructed around point estimates to measure statistical significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 4778 1\u2010year\u2010old children were included. Polio immunisation coverage in 1999, 2005, 2012 and 2016 were 43.4%, 50.7%, 51.2% and 38.6%, respectively. Socio\u2010economic and geographical inequalities in polio immunisation favoured children with educated mothers who came from richer families living in urban areas. There were also differences in the eight regions over the 1999\u20132016\u00a0study period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Targeting children from disadvantaged subgroups must be prioritised to ensure equitable immunisation services that help to eradicate polio in Guinea.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16076","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T18:50:45Z","timestamp":1629399045000},"page":"3334-3342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Demographic and health surveys showed widening trends in polio immunisation inequalities in Guinea"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4550-3261","authenticated-orcid":false,"given":"Betregiorgis","family":"Zegeye","sequence":"first","affiliation":[{"name":"HaSET Maternal and Child Health Research Program Shewarobit Field Office Shewarobit Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0756-7280","authenticated-orcid":false,"given":"Ziad","family":"El\u2010Khatib","sequence":"additional","affiliation":[{"name":"Department of Global Public Health Karolinska Institutet Stockholm Sweden"},{"name":"World Health Programme Universit\u00e9 du Qu\u00e9bec en Abitibi\u2010T\u00e9miscamingue (UQAT Rouyn\u2010Noranda Qc Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5356-901X","authenticated-orcid":false,"given":"Olanrewaju","family":"Oladimeji","sequence":"additional","affiliation":[{"name":"Department of Public Health Walter Sisulu University Eastern Cape South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7415-895X","authenticated-orcid":false,"given":"Bright Opoku","family":"Ahinkorah","sequence":"additional","affiliation":[{"name":"School of Public Health Faculty of Health University of Technology Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6617-237X","authenticated-orcid":false,"given":"Edward Kwabena","family":"Ameyaw","sequence":"additional","affiliation":[{"name":"School of Public Health Faculty of Health University of Technology Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9734-9054","authenticated-orcid":false,"given":"Abdul\u2010Aziz","family":"Seidu","sequence":"additional","affiliation":[{"name":"Department of Population and Health University of Cape Coast Cape Coast Ghana"},{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University Townsville QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8484-9225","authenticated-orcid":false,"given":"Eugene","family":"Budu","sequence":"additional","affiliation":[{"name":"Department of Population and Health University of Cape Coast Cape Coast Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4876-6043","authenticated-orcid":false,"given":"Sanni","family":"Yaya","sequence":"additional","affiliation":[{"name":"School of International Development and Global Studies University of Ottawa Ottawa ON Canada"},{"name":"The George Institute for Global Health Imperial College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"WHO.Does polio still exist: Is it curable?2020. Available at: https\/\/www.who.int\/westernpacific\/news\/q\u2010a\u2010detail\/does\u2010polio\u2010still\u2010exist\u2010is\u2010it\u2010curable. Accessed on 12 Feb 2021."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2020.10.002"},{"volume-title":"Immunization Agenda 2030: A Global Strategy To Leave No One Behind","year":"2020","author":"World Health Organization","key":"e_1_2_9_4_1"},{"key":"e_1_2_9_5_1","unstructured":"GAVI.The vaccine alliance. Achieving the Sustainable Development Goals: six reasons why immunisation matters. Available at:org\/achieving\u2010the\u2010sustainable\u2010development\u2010goals\u2010six\u2010reasons\u2010why\u2010immunisation\u2010matters. Accessed on 4 May 2021."},{"key":"e_1_2_9_6_1","unstructured":"Fulfilling the health agenda for women and children: the 2014 report.Geneva:World Health Organization.2014. 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