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Association of basic vaccination with cognitive and learning ability among children: insights from the India Human Development Survey, 2004–05 and 2011–12

Published online by Cambridge University Press:  13 January 2021

William Joe
Affiliation:
Population Research Centre, Institute of Economic Growth, Delhi University (North Campus), Delhi, India
Ajay Kumar Verma*
Affiliation:
Population Research Centre, Institute of Economic Growth, Delhi University (North Campus), Delhi, India
*
*Corresponding author. Email: ajaykum.verma@gmail.com

Abstract

Basic vaccination is important to protect children from infectious diseases and illnesses. Adequate levels of vaccination coverage reduce the morbidity and mortality burden among children and promote their physical and mental development. This study aimed to assess the association between basic childhood vaccination and the cognitive and learning ability of school children in India. Nationally representative follow-up data on 6183 children from the Indian Human Development Surveys conducted in 2004–05 and 2011–12 (IHDS I & II) were analysed. Children aged 8–10 years who had received all basic vaccines by the age 12 months performed better in a maths test than partially vaccinated or unvaccinated children (OR: 1.87, 95% CI: 1.48, 2.35). Similarly, fully vaccinated children performed better in writing tasks than partially vaccinated or unvaccinated children (OR: 1.77, 95% CI: 1.44, 2.18). Likewise, fully vaccinated children had better reading skills than fully unvaccinated children (OR: 1.60, 95% CI: 1.23, 2.09). The results suggest that enhancing child vaccination coverage can have significant benefits beyond health and can potentially improve the long-term educational outcomes of children.

Type
Research Article
Copyright
© The Author(s) 2021. Published by Cambridge University Press

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References

Acharya, Y, Luke, N, Haro, M, Rose, W, Russell, P, Oommen, A and Minz, S (2019) Nutritional status, cognitive achievement, and educational attainment of children aged 8–11 in rural South India. PloS One 14(10), e0223001.CrossRefGoogle ScholarPubMed
Andre, FE, Booy, R, Bock, H, Clemens, J, Datta, S, John, T and Santosham, M (2008) Vaccination greatly reduces disease, disability, death and inequity worldwide. Bulletin of the World Health Organization 86, 140146.CrossRefGoogle ScholarPubMed
Anekwe, TD and Kumar, S (2012) The effect of a vaccination program on child anthropometry: evidence from India’s Universal Immunization Program. Journal of Public Health 34(4), 489497.CrossRefGoogle ScholarPubMed
Anekwe, TD, Newell, M, Tanser, F, Pillay, D and Bärnighausen, T (2015) The causal effect of childhood measles vaccination on educational attainment: a mother fixed-effects study in rural South Africa. Vaccine 33(38), 50205026.CrossRefGoogle ScholarPubMed
Berger, JT, Villalobos, M, Clark, A, Holubkov, R, Pollack, M, Berg, R A and Newth, CJ (2018) Cognitive development one year after infantile critical pertussis. Pediatric Critical Care Medicine 19(2), 89.CrossRefGoogle ScholarPubMed
Bhargava, A, Guntupalli, AM and Lokshin, M (2011) Health care utilization, socioeconomic factors and child health in India. Journal of Biosocial Science 43(6), 701.CrossRefGoogle ScholarPubMed
Bloom, DE, Canning, D and Shenoy, E (2011) The effect of vaccination on children’s physical and cognitive development in the Philippines. Applied Economics 44(21), 27772783.CrossRefGoogle Scholar
CDC (2014) Why are childhood vaccines so important? In Vaccines and Immunizations. Centers for Disease Control and Prevention. URL: https://www.cdc.gov/vaccines/vac-gen/howvpd.htm (accessed 16th May 2018).Google Scholar
Chen, HL, Lu, C, Chang, C, Chen, P, Chen, M, Hsu, N and Lin, W (2015) Structural deficits and cognitive impairment in tuberculous meningitis. BMC Infectious Diseases 15(1), 279.CrossRefGoogle ScholarPubMed
Davis, AG, Nightingale, S, Springer, P, Solomons, R, Arenivas, A, Wilkinson, R and Tuberculous Meningitis International Research Consortium (2019) Neurocognitive and functional impairment in adult and paediatric tuberculous meningitis. Wellcome Open Research 4(178), 178.CrossRefGoogle ScholarPubMed
Fernald, LC, Kariger, P, Hidrobo, M and Gertler, P (2012) Socioeconomic gradients in child development in very young children: evidence from India, Indonesia, Peru, and Senegal. Proceedings of the National Academy of Sciences of the USA 109 (Supplement 2), 1727317280.CrossRefGoogle ScholarPubMed
Goetghebuer, T, West, T, Wermenbol, V, Cadbury, A, Milligan, P, Lloyd-Evans, N and Weber, M (2000) Outcome of meningitis caused by Streptococcus pneumoniae and Haemophilus influenza type b in children in The Gambia. Tropical Medicine & International Health 5(3), 207213.CrossRefGoogle ScholarPubMed
Hamborsky, J, Kroger, A and Wolfe, C (eds) (2015) Epidemiology and Prevention of Vaccine-Preventable Diseases. The Pink Book, 13 th Edition US Department of Health and Human Services, Centers for Disease Control and Prevention.Google Scholar
IIPS (2017) National Family Health Survey (NFHS-4) 2015–16. International Institute for Population Sciences (IIPS), Mumbai, India.Google Scholar
Jit, M, Hutubessy, R, Png, M, Sundaram, N, Audimulam, J, Salim, S and Yoong, J (2015) The broader economic impact of vaccination: reviewing and appraising the strength of evidence. BMC Medicine 13(1), 209.CrossRefGoogle ScholarPubMed
Johri, M, Sylvestre, MP, Koné, GK, Chandra, D and Subramanian, SV (2019) Effects of improved drinking water quality on early childhood growth in rural Uttar Pradesh, India: a propensity-score analysis. PloS One 14(1), e0209054.CrossRefGoogle ScholarPubMed
Kim, R, Rajpal, S, Joe, W, Corsi, DJ, Sankar, R, Kumar, A and Subramanian, SV (2019) Assessing associational strength of 23 correlates of child anthropometric failure: an econometric analysis of the 2015–2016 National Family Health Survey, India. Social Science & Medicine 238, 112374.CrossRefGoogle ScholarPubMed
Largeron, N, Lévy, P, Wasem, J and Bresse, X (2015) Role of vaccination in the sustainability of healthcare systems. Journal of Market Access & Health Policy 3(1), 27043.CrossRefGoogle ScholarPubMed
Mina, MJ, Metcalf, C, De Swart, R, Osterhaus, ADME and Grenfell, BT (2015) Long-term measles-induced immunomodulation increases overall childhood infectious disease mortality. Science 348(6235), 694699.CrossRefGoogle ScholarPubMed
Mrozek-Budzyn, D, Majewska, R and Kiełtyka, A (2015) Early exposure to thimerosal-containing vaccines and children’s cognitive development. A 9-year prospective birth cohort study in Poland. European Journal of Pediatrics 174(3), 383391.CrossRefGoogle ScholarPubMed
Nandi, A, Deolalikar, AB, Bloom, DE and Laxminarayan, R (2019a) Haemophilus influenzae type b vaccination and anthropometric, cognitive, and schooling outcomes among Indian children. Annals of the New York Academy of Sciences 1449(1), 70.CrossRefGoogle ScholarPubMed
Nandi, A, Kumar, S, Shet, A, Bloom, DE and Laxminarayan, R (2020) Childhood vaccinations and adult schooling attainment: long-term evidence from India’s Universal Immunisation Programme. Social Science & Medicine, doi.org/10.1016/j.socscimed.2020.112885.CrossRefGoogle Scholar
Nandi, A, Shet, A, Behrman, JR, Black, MM, Bloom, DE and Laxminarayan, R (2019b) Anthropometric, cognitive, and schooling benefits of measles vaccination: longitudinal cohort analysis in Ethiopia, India, and Vietnam. Vaccine 37(31), 43364343.CrossRefGoogle ScholarPubMed
Orgill-Meyer, J and Pattanayak, SK (2020) Improved sanitation increases long-term cognitive test scores. World Development 132, 104975.CrossRefGoogle Scholar
Oskorouchi, HR, Sousa-Poza, A and Bloom, DE (2020) The long-term cognitive and schooling effects of childhood vaccinations in China. National Bureau of Economic Research Working Paper No. w27217.CrossRefGoogle Scholar
Ozawa, S, Clark, S, Portnoy, A, Grewal, S, Stack, ML, Sinha, A et al. (2017) Estimated economic impact of vaccinations in 73 low-and middle-income countries, 2001–2020. Bulletin of the World Health Organization 95(9), 629.CrossRefGoogle ScholarPubMed
Pasquale, AD, Preiss, S, Silva, FTD and Garçon, N (2015) Vaccine adjuvants: from 1920 to 2015 and beyond. Vaccines 3(2), 320343.CrossRefGoogle ScholarPubMed
Quilici, S, Smith, R and Signorelli, C (2015) Role of vaccination in economic growth. Journal of Market Access & Health Policy 3(1), 27044.CrossRefGoogle ScholarPubMed
Sclar, GD, Garn, JV, Penakalapati, G, Alexander, KT, Krauss, J, Freeman, MC et al. (2017) Effects of sanitation on cognitive development and school absence: a systematic review. International Journal of Hygiene and Environmental Health 220(6), 917927.CrossRefGoogle ScholarPubMed
Spears, D (2012) Height and cognitive achievement among Indian children. Economics & Human Biology 10(2), 210219.CrossRefGoogle ScholarPubMed
Vidmar, SI, Cole, TJ and Pan, H (2013) Standardizing anthropometric measures in children and adolescents with functions for egen: update. Stata Journal 13(2), 366378.CrossRefGoogle Scholar
Vikram, K, Vanneman, R and Desai, S (2012) Linkages between maternal education and childhood immunization in India. Social Science & Medicine 75(2), 331339.CrossRefGoogle ScholarPubMed
White, G, Ruther, M and Kahn, J (2016) Educational Inequality in India: an analysis of gender differences in reading and mathematics. IHDS Working Paper No. 2016-2. University of Maryland, College Park, USA.Google Scholar
World Health Organization (2019) Sanitation. URL: https://www.who.int/news-room/fact-sheets/detail/sanitation (accessed 14th June 2019).Google Scholar
Wulan, N, Smith, E, Prado, E, Apriatni, M, Muadz, H and Shankar, A (2015) The long-term impact of water and sanitation on childhood cognition. FASEB Journal 29 (Supplement 1), 899–892.CrossRefGoogle Scholar