<![CDATA[Childhood immunization status is an important indicator of protection against vaccine-preventable diseases. Low immunization coverage among gold-mining families may be associated with predisposing, enabling, reinforcing, and inhibiting factors that influence parents’ decisions to immunize their children. This study aims to analyze the predisposing, enabling, reinforcing, and inhibiting factors associated with childhood immunization coverage among gold-mining families in Gampong Paya Ateuk, Pasie Raja, South Aceh. This quantitative study employed a cross-sectional design. A total of 72 respondents were selected using simple random sampling. The data were collected using questionnaires and analyzed through univariate and bivariate analyses using the Chi-square test, followed by multivariate analysis using multiple logistic regression. The bivariate analysis revealed significant associations between children’s immunization status and maternal knowledge, maternal attitudes toward immunization, access to and distance from health services, family support, parental busyness, and exposure to immunization-related hoaxes (p < 0.05). In contrast, immunization services were not significantly associated with immunization status (p = 0.077), nor was support from healthcare workers (p = 0.240). The multivariate analysis showed that maternal attitude (p = 0.045; Exp(B) = 11.015), family support (p = 0.001; Exp(B) = 10.246), and parental busyness (p = 0.018; Exp(B) = 6.181) were significantly associated with children’s immunization status, whereas maternal knowledge was not statistically significant (p = 0.096). Thus, the results show that maternal attitude is the strongest factor associated with immunization status. The study recommends strengthening immunization education, increasing family support, and providing more flexible immunization service schedules to improve childhood immunization coverage among gold-mining families.]]>
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