Epidemiologia e Servicos de Saude最新文献

{"title":"The use of psychiatric medications and associated factors among people receiving care at a transgender outpatient clinic in Southern Brazil, 2021-2022.","authors":"Bruna Dos Passos Gimenes, Adalvane Nobres Damaceno, Andrei Fernandes da Rocha, Guilherme Lamperti Thomazi, Gabriela Tizianel Aguilar","doi":"10.1590/S2237-96222024v33e2024170.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024170.especial.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of psychiatric medication use and sociodemographic factors, including gender identity, age, race/skin color, education level, formal employment, and access to Primary Health Care (PHC) centers, among individuals receiving care at a transgender outpatient clinic in Southern Brazil.</p><p><strong>Methods: </strong>: This was a cross-sectional study using administrative data from the information systems of the Municipal Health Department of Porto Alegre, the capital city of Rio Grande do Sul state, collected between 2021 and 2022.</p><p><strong>Results: </strong>: This study analyzed 629 records of individuals who accessed the outpatient clinic and found a 29% prevalence (95%CI 25;32) of psychiatric medication use, with the most frequent class being psychoanaleptics (45%), especially fluoxetine (31%).</p><p><strong>Conclusion: </strong>In addition to a trend toward mixed-race race/skin color and incomplete elementary school, transgender people aged 40 to 49 years and with access to a Primary Health Care center were more likely to use psychiatric medications.</p><p><strong>Main results: </strong>Prevalence of 29% (95%CI 25;32) of psychiatric medication use was observed, with a higher likelihood among individuals aged 40 to 49 years, with access to primary healthcare centers. Low education level and mixed-race/skin color showed significant effect sizes. The most frequently dispensed drug class was psychoanaleptics (45%), with fluoxetine (31%) standing out.</p><p><strong>Implications for services: </strong>This study can be replicated in other transgender outpatient clinics across Brazil and should contribute to broadening the discussion on mental healthcare for the transgender population.</p><p><strong>Perspectives: </strong>The findings highlight the importance of interdisciplinary approaches to healthcare and underscore the need to assess the effectiveness of public mental health policies for the transgender population.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024170"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study.","authors":"Claudia Renata Dos Santos Barros, Elaine Monteiro Matsuda, Aline Borges Moreira da Rocha, Giselle Ibete Silva López-Lopes, Norberto Camilo Campos, Luís Fernando de Macedo Brígido, Katia Cristina Bassichetto, Maria Amelia de Sousa Mascena Veras","doi":"10.1590/S2237-96222024v33e2024412.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024412.especial.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze factors associated with detectable HIV viremia among transgender women/transvestites (TWT) in five Brazilian capitals.</p><p><strong>Methods: </strong>: This was a cross-sectional study using data from a sample of TWT with HIV-positive serology and detectable viral load (VL), between 2019 and 2021. The dependent and independent variables were, respectively: viral load measurement, socioeconomic/demographic characteristics; alcohol/drug use; and self-perceived mental health. Poisson regression with robust variance was used.</p><p><strong>Results: </strong>: A total of 425 TWT tested positive for HIV and underwent VL measurement, 179 (42.0%) presented detectable viremia. Factors positively associated with detectability were: younger age (PR=2.26; 95%CI 1.13;4.51), poorer housing conditions (PR=2.72; 95%CI 1.30;5.68) and poor/very poor mental health (PR=1.70; 95%CI 1.08;2.66). The use of antiretroviral drugs was a protective factor against detectability (PR=0.29; 95%CI 0.30;0.61).</p><p><strong>Conclusion: </strong>The factors associated with unsuppressed viral load highlight vulnerability related to gender identity that have a negative impact, despite the majority of participants being on antiretroviral therapy (ART).</p><p><strong>Main results: </strong>People aged 20-29 who were homeless or unstable and those who reported poor or very poor mental health were more likely to have a detectable viral load. ARV drug use was a protective factor.</p><p><strong>Implications for services: </strong>The identification of predictors for detectable viral load enables the design of appropriate strategies for monitoring and linking vulnerable people to health services, ensuring effective implementation.</p><p><strong>Perspectives: </strong>It is necessary to develop educational strategies that take into account important social issues to improve awareness about undetectable viral load in HIV prevention among the transgender population, especially among younger people.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024412"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the completion of syphilis treatment among transgender women and travestis, in five Brazilian capitals, 2019-2021: a multicenter cross-sectional study.","authors":"Luis Fernando Gomes Carreira, Maria A S Veras, Adele Schwartz Benzaken, Rita Suely Bacuri de Queiroz, Edilene Peres Real Silveira, Elaine Lopes de Oliveira, Katia Cristina Bassichetto, Aline Borges Moreira da Rocha, Bow Suprasert, Erin C Wilson, Willi McFarland","doi":"10.1590/S2237-96222024v33e2024294.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024294.especial.en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the previous history of syphilis in transgender women and travestis (TWTs) and identify factors associated with treatment incompleteness.</p><p><strong>Methods: </strong>: This was a multicenter cross-sectional study conducted between 2019 and 2021, with participants recruited through respondent-driven sampling, in five Brazilian capitals. Dependent variable: \"reported syphilis treatment in the last year\", \"no/incomplete\" or \"complete\". A multivariate-logistic model was used to identify factors associated with completeness.</p><p><strong>Results: </strong>: Of the 1,317 participants, 16.0% reported previous history of syphilis. Of these, 68.9% were Black, 54.6% earned up to 1 minimum wage and 61.1% completed the treatment. Treatment completion was lower in São Paulo (42.7%) and among those who experienced verbal abuse (53.6%; ORa 0.46; 95%CI 0.25;0.85).</p><p><strong>Conclusion: </strong>In this sample, both the prevalence of self-reported syphilis and the proportion of participants who reported not having started/completed treatment were high. It is essential to identify the barriers faced by TWTs that hinder healthcare access, and identify their needs in order to ensure adequate diagnosis and treatment.</p><p><strong>Main results: </strong>Of the 16% of participants who reported a previous diagnosis of syphilis, only one-third completed the treatment. Residents of São Paulo were less likely to complete it compared to those from other cities, and those who had experienced verbal abuse.</p><p><strong>Implications for services: </strong>There is a need for healthcare professionals to receive training focused on specific needs of TWTs , including respect for their social names, extended opening hours, point-of-care strategy and alternatives for the administration of intramuscular benzathine penicillin injections.</p><p><strong>Perspectives: </strong>It is crucial to develop new, more effective therapeutic methods for syphilis treatment and deepen research on the impacts of discrimination and stigma on transgender women and travestis' access to healthcare, especially diagnosis and treatment of sexually transmitted infections.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024294"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal trend and characteristics of notifications of self-inflicted and interpersonal violence in the transgender population in Brazilian municipalities, 2015-2022.","authors":"Kelly Roberta Estrela Marinho Neto, Jeane Tomazelli, Vania Reis Girianelli","doi":"10.1590/S2237-96222024v33e2024296.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024296.especial.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the temporal trend and characteristics of notifications of violence among the transgender population from 2015 to 2022 in Brazilian municipalities.</p><p><strong>Methods: </strong>This was a repeated panel epidemiological study, based on violence incidents reported among the transgender population aged 20 to 59 years, available in the Notifiable Health Conditions Information System. An annual temporal trend analysis was performed by means of generalized linear regression, using the Prais-Winsten method and spatial distribution of notifying municipalities in Brazil.</p><p><strong>Results: </strong>Notifications of violence in the transgender population decreased during the period (1.7%; β = -0.07; p = 0.010), but there was an increase in the number of notifying municipalities (45.8%), self-inflicted violence (28.9%; β = 2.21; p < 0.001) and sexual violence (β = 0.79; p < 0.001). The majority of perpetrators were male and in an affective relationship, especially with transgender women (43.4%; p < 0.001).</p><p><strong>Conclusion: </strong>Notification of violence does not yet fully reflect the reality of this population, but it represents the first step towards visibility and addressing the issue.</p><p><strong>Main results: </strong>Notifications of violence against transgender people accounted for 1.7% of the total. Self-inflicted and sexual violence increased from 2015 to 2022. Almost half of Brazilian municipalities have already been reporting cases of violence against this population.</p><p><strong>Implications for services: </strong>Continuous and high-quality notification will contribute to monitoring and understand violence in this population group, enabling the adaptation of services to meet their specific needs.</p><p><strong>Perspectives: </strong>The development of research on the transgender population will allow for a better understand and guidance of specific health actions for this group. Information on violence against this population is crucial for informing public policies.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024296"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the impact of the COVID-19 pandemic on the productivity of teaching hospitals in Brazil.","authors":"Maria Stella de Castro Lobo, Marcos Pereira Estellita Lins, Henrique de Castro Rodrigues, Gabriel Martins Soares","doi":"10.1590/S2237-96222024v33e20231176.en","DOIUrl":"10.1590/S2237-96222024v33e20231176.en","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the influence of the COVID-19 pandemic on the productivity of general teaching hospitals in Brazil, by region and legal entity, and to propose parameters of care.</p><p><strong>Methods: </strong>This was an observational study by means of mathematical modeling with data envelopment analysis and Malmquist index, using data on inputs and healthcare output before (2019) and during (2021) the pandemic.</p><p><strong>Results: </strong>A total of 149 general teaching hospitals were analyzed, 32 of which were considered efficient. There was a decrease in productivity across all regions and legal entity. To bring all inefficient hospitals to the efficiency frontier generated by the model, there is a need to increase output by 2,205,856 (96.5%) hospitalizations and 872,264 (107.4%) surgeries.</p><p><strong>Conclusion: </strong>The decline in hospital productivity resulted from the social commitment of hospitals during the pandemic, with a change in the care delivery pattern. The mathematical model used allows for the generation of parameters to facilitate the efficient recovery of care services after the end of public health emergency, and can be applied to hospital planning.</p><p><strong>Main results: </strong>The COVID-19 pandemic led to a reduction in productivity of general teaching hospitals in Brazil across all regions and in all legal entity types. In order to recover, these hospitals will need to increase their average hospitalizations by 96.5% and surgeries by 107.4%.</p><p><strong>Implications for services: </strong>The study presents a methodology that can be adapted and replicated in the management of healthcare services in the country, by defining an efficiency score and calculating the parameters, in a scenario of care recovery following the end of the public health emergency.</p><p><strong>Perspectives: </strong>Additional qualitative analysis and application of DEA- Malmquist in subsequent years will validate dynamic planning, which considers multiple fluctuations and the influence of new factors and contexts that impact productivity (such as the pandemic).</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231176"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use and filling out of the child health booklet among beneficiaries of the Bolsa Família Program in Salvador-Bahia, Brazil: a cross-sectional study, 2023.","authors":"Claudia Nery Teixeira Palombo, Márcia Maria Carneiro Oliveira, Maria Carolina Ortiz Whitaker, Ráren Paulo da Silva Araújo, Carolina de Jesus Santos, Mariana Cavalcante Brotas Passos, Clariana Vitória Ramos de Oliveira, Ednir Assis Souza","doi":"10.1590/S2237-96222024V33E2024498.EN","DOIUrl":"10.1590/S2237-96222024V33E2024498.EN","url":null,"abstract":"<p><strong>Objective: </strong>To compare child health booklet (CHB) use and filling out among mothers who were or were not Bolsa Família Program (BFP) beneficiaries.</p><p><strong>Methods: </strong>Cross-sectional study with mothers of children <6years attending health centers in Salvador, Bahia, Brazil, between January-February/2023. The CHB was evaluated regarding its use (having a CHB, having it in hand, and having read it) and filling out (growth curves, development monitoring forms, and vaccination completeness). Descriptive statistics and the chi-square test were used.</p><p><strong>Results: </strong>Of the 411 study participants, 66% were BFP beneficiaries. Significant differences were found between the groups regarding CHB use: having a CHB (p < 0.001), having it in hand (p = 0.037), and having read it (p < 0.001). Significant difference in vaccination completeness was found (p = 0.005).</p><p><strong>Conclusion: </strong>There was a significant difference in CHB use and vaccination completeness when comparing mothers who were BFP beneficiaries and those who were not.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e2024498"},"PeriodicalIF":2.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with deaths by tuberculosis in the state of Mato Grosso, 2011-2020: retrospective cohort study.","authors":"Vanessa da Silva Lopes, Rodrigo de Macedo Couto, Alexandre Peron da Luz, Pãmela Rodrigues de Souza Silva, Jaqueline Costa Lima","doi":"10.1590/S2237-96222024V33E20231402.EN","DOIUrl":"10.1590/S2237-96222024V33E20231402.EN","url":null,"abstract":"<p><strong>Objective: </strong>To investigate factors associated with tuberculosis deaths in Mato Grosso state, Brazil, from 2011 to 2020.</p><p><strong>Methods: </strong>Retrospective cohort study with data obtained from the Notifiable Health Conditions Information System and the Mortality Information System. Deaths were qualified using probabilistic linkage and analyzed using Poisson regression.</p><p><strong>Results: </strong>12,331 cases and 525 deaths were identified over 10 years. The factors associated with death were: age ≥60 years (RR: 7.70; 95%CI 1.91;31.04), incomplete elementary and high school education (RR: 3.66; 95%CI 1.34;9.96), illiteracy (RR: 4.50; 95%CI 1.60;12.66), homeless population (RR: 2.41; 95%CI 1.34;4.35), alcohol use (RR: 1.45; 95%CI 1.04;2.02), male sex (RR: 1.48; 95%CI 1.04;2.09) and tobacco use (RR: 1.32; 95%CI 0.98;1.77). Laboratory confirmation was a protective factor.</p><p><strong>Conclusion: </strong>Risk of death was higher in men over 60 years old, with low education levels, in vulnerable situations, and who used alcohol/tobacco.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231402"},"PeriodicalIF":2.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity, nutritional status and socioeconomic factors in the transgender population: a cross-sectional study in the Metropolitan Region of Baixada Santista, Brazil, 2023.","authors":"Ísis Gois, Magnus Régios Dias da Silva, Barbara Iansã de Lima Barroso, Carla Gianna Luppi, Denise Leite Vieira, Katia Cristina Bassichetto","doi":"10.1590/S2237-96222024v33e2024371.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024371.especial.en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the distribution of nutritional status and food insecurity among the adult transgender population in the Baixada Santista region of the state of São Paulo and to identify associated factors.</p><p><strong>Methods: </strong>This was a cross-sectional study using data from the research project entitled Mapping the Transgender Population in Baixada Santista of the state of São Paulo, conducted through a structured questionnaire administered between August and December 2023. The outcomes were nutritional status and food and nutrition insecurity (FNI). The association analysis was performed using Fisher's exact test.</p><p><strong>Results: </strong>A total of 237 people took part in the study. High prevalence of FNI was associated with an income of less than 2 minimum wages (p < 0.001), difficulty finding a job (p < 0.001) and lack of family support related to gender (p = 0.001). Difficulty reading/writing (p = 0.025) and proximity to an open-air market (p = 0.033) were negatively or positively associated with adequate nutritional status, respectively.</p><p><strong>Conclusion: </strong>The high prevalence of FNI among the most vulnerable population and the adequate nutritional status associated with proximity to open-air markets indicate the need for policies aimed at reducing inequities and expand access to adequate food.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024371"},"PeriodicalIF":2.5,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where are the trans masculinities in the SUS? Sociodemographic and access profile of trans men and transmasculine individuals linked to the Transgender Outpatient Clinic in Porto Alegre, Rio Grande do Sul state, Brazil, 2019-2021.","authors":"Guilherme Lamperti Thomazi, Gabriela Tizianel Aguilar, Andrei Fernandes da Rocha, Nathália Pacífico de Carvalho, Matheus Neves","doi":"10.1590/S2237-96222024v33e2024133.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024133.especial.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the sociodemographic and access profile of trans men and transmasculine individuals linked to the Transgender Outpatient Clinic in Porto Alegre, capital city of the state of Rio Grande do Sul.</p><p><strong>Methods: </strong>This was a descriptive cross-sectional study based on data from users registered with the service between 2019 and 2021.</p><p><strong>Results: </strong>Of the 418 people included, 384 (91.2%) identified as trans men and 34 (8.8%) as transmasculine individuals. The majority were of White race/skin color (77.9%) and 16.4% had a right to name and gender rectification. Scheduled appointments were the predominant mode of access (84.0%). Among the trans men, 188 (49.0%) had utilized primary healthcare services prior to receiving care at the outpatient clinic.</p><p><strong>Conclusion: </strong>The users were predominantly young, White, with higher levels of education, and were minimally engaged in the formal labor market. The existence of a service staffed with qualified and sensitized professionals can enhance the access of this population to the Brazilian National Health System (Sistema Único de Saúde - SUS).</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024133"},"PeriodicalIF":2.5,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaccination coverage, barriers and vaccine hesitancy in children up to 24 months old: a population survey in a state capital in the Western Amazon.","authors":"Thaiane Rodrigues de Oliveira Macedo, Maria Fernanda de Sousa Oliveira Borges, Ilce Ferreira da Silva, Ana Paula França, José Cássio de Moraes, Adriana Ilha da Silva, Alberto Novaes Ramos, Ana Paula França, Andrea de Nazaré Marvão Oliveira, Antonio Fernando Boing, Carla Magda Allan Santos Domingues, Consuelo Silva de Oliveira, Ethel Leonor Noia Maciel, Ione Aquemi Guibu, Isabelle Ribeiro Barbosa Mirabal, Jaqueline Caracas Barbosa, Jaqueline Costa Lima, José Cássio de Moraes, Karin Regina Luhm, Karlla Antonieta Amorim Caetano, Luisa Helena de Oliveira Lima, Maria Bernadete de Cerqueira Antunes, Maria da Gloria Teixeira, Maria Denise de Castro Teixeira, Maria Fernanda de Sousa Oliveira Borges, Rejane Christine de Sousa Queiroz, Ricardo Queiroz Gurgel, Rita Barradas Barata, Roberta Nogueira Calandrini de Azevedo, Sandra Maria do Valle Leone de Oliveira, Sheila Araújo Teles, Silvana Granado Nogueira da Gama, Sotero Serrate Mengue, Taynãna César Simões, Valdir Nascimento, Wildo Navegantes de Araújo","doi":"10.1590/S2237-96222024v33e20231295.especial2.en","DOIUrl":"10.1590/S2237-96222024v33e20231295.especial2.en","url":null,"abstract":"<p><strong>Objective: </strong>To estimate vaccination coverage, identify barriers and hesitancy to vaccinating children up to 24 months, born between 2017-2018, living in the urban area of Rio Branco, Acre, Brazil.</p><p><strong>Methods: </strong>Population survey carried out from 2020 to 2021, which assessed sociodemographic characteristics and vaccination status among children.</p><p><strong>Results: </strong>Among 451 included children, vaccination coverage was below 80%. Meningococcal C vaccine had the lowest coverage for administered doses (76.3%; 95%CI 70.5;81.3) and doses on time (27.4%; 95%CI 23.1;32.1). The statements \"vaccines cause serious adverse reactions\" (26.4%; 95%CI 18.1;36.8) and \"you don't need vaccination for diseases that no longer exist\" (22%; 95%CI 15.7;29.8) were the most frequent regarding vaccination hesitancy. Lack of vaccines was the main barrier to care (86.6%; 95%CI 71.8;94.3).</p><p><strong>Conclusion: </strong>Vaccination coverage in children born in 2017-2018 was below the target recommended for the full schedule of administered doses, both valid and timely administered.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe2","pages":"e20231295"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}