2020 年巴西各首都 24 个月大儿童甲肝疫苗接种覆盖率调查。

IF 2.5 Q1 Multidisciplinary
Epidemiologia e Servicos de Saude Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024v33e20231162.en
Winny Éveny Alves Moura, Karlla Antonieta Amorim Caetano, Juliana de Oliveira Roque E Lima, Lays Rosa Campos, Grazielle Rosa da Costa E Silva, José Cássio de Moraes, Ana Paula França, Carla Magda Allan Santos Domingues, Maria da Gloria Lima Cruz Teixeira, Sheila Araújo Teles, 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
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引用次数: 0

摘要

目的估计 24 个月大儿童的甲肝疫苗接种覆盖率,并确定与不接种疫苗相关的因素:这是一项按省会城市社会经济阶层分层抽样的调查(2020-2022 年),覆盖率估计值和 95% 置信区间 (95%CI),通过泊松回归使用流行率 (PR) 进行因素分析:在 31 001 名儿童中,甲型肝炎的覆盖率为 88.1%(95%CI 为 86.8;89.2)。57)、第四胎或第四胎以后出生(PR = 1.68; 95%CI 1.06; 2 .66)、未上托儿所/幼儿园(PR = 1.67; 95%CI 1.24;2.24)和母亲从事有偿工作(PR = 1.42; 95%CI 1.16;1.74)与未接种疫苗有关:结论:甲型肝炎疫苗接种率低于目标值(95%),这表明应考虑到社会阶层的特殊性:主要结果:甲肝疫苗接种率为 88%。监护人为移民的儿童(A/B 层)、亚洲人种/肤色儿童、第四胎或第四胎以后出生的儿童、未上托儿所/幼儿园的儿童以及母亲从事有偿工作的儿童(C/D 层)未接种疫苗的比例更高:本研究结果有助于卫生部和卫生部门监测疫苗接种覆盖率,并找出可能对甲型肝炎疫苗接种覆盖率产生负面影响的因素:需要进一步研究移民对甲肝疫苗接种和一般疫苗接种的影响。卫生管理人员应关注影响社会各阶层疫苗接种的不同因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hepatitis A vaccination coverage survey in 24-month-old children living in Brazilian capitals, 2020.

Objective: To estimate hepatitis A vaccination coverage in 24-month-old children and identify factors associated with non-vaccination.

Methods: This was a survey involving a sample stratified by socioeconomic strata in capital cities (2020-2022), with coverage estimates and 95% confidence intervals (95%CI), the factor analysis was performed using the prevalence ratio (PR) by means of Poisson regression.

Results: Among 31,001 children, hepatitis A coverage was 88.1% (95%CI 86.8;89.2). Regarding socioeconomic strata (A/B), the variable immigrant parents/guardians was associated with non-vaccination (PR = 1.91; 95%CI 1.09;3.37); in strata C/D, children of Asian race/skin color (PR = 4.69; 95%CI 2.30;9.57), fourth-born child or later (PR = 1.68; 95%CI 1.06;2 .66), not attending daycare/nursery (PR = 1.67; 95%CI 1.24;2.24) and mother with paid work (PR = 1.42; 95%CI 1.16;1.74) were associated with non-vaccination.

Conclusion: Hepatitis A coverage was below the target (95%), suggesting that specificities of social strata should be taken into consideration.

Main results: Hepatitis A vaccination coverage was 88%. Non-vaccination was greater in children with immigrant guardians (strata A/B); of Asian race/skin color, fourth-born child or later, those not attending daycare/nursery and mother with paid work (C/D strata).

Implications for services: The results of this study contributed to the Ministry of Health and Health Departments in monitoring vaccination coverage and identifying factors that may negatively impact hepatitis A vaccination coverage.

Perspectives: Further research is needed on the impact of migration on hepatitis A vaccination and vaccination in general. Health managers should be attentive to the different factors affecting vaccination among social strata.

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来源期刊
Epidemiologia e Servicos de Saude
Epidemiologia e Servicos de Saude PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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21 weeks
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