Matheus Santos Melo, Thaís Tâmara Castro E Minuzzi-Souza, Laís de Morais Soares, Allan Dantas Dos Santos, Tainá Raiol, Ana Ribeiro
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引用次数: 0
摘要
目的：分析2013 - 2023年巴西联邦区人乳头瘤病毒（HPV）疫苗接种率、覆盖率和辍学率的时间趋势。方法：这是一项时间序列研究，使用巴西国家免疫规划和联邦区卫生部提供的数据。计算了疫苗接种率、覆盖率和放弃指标。采用分段线性回归方法对时间趋势进行分析。结果：共接种了705,823剂，女性484,386剂（68.6%），男性221,437剂（31.4%）。平均年百分比变化（AAPC）为-4.6，可信区间[95%CI] -8.3；-3.8)和覆盖率(AAPC -9.2；95% ci -12.4；-6.6)在研究期间有所下降。辍学率上升(AAPC 14.1；95%可信区间11.5;20.0)。尽管在男性中观察到辍学率下降(AAPC -7.7；95%可信区间-10.5;-5.4)，女性辍学率有所上升(AAPC 8.9；95%可信区间4.8;13.2)。结论：HPV疫苗接种率和覆盖率下降，辍学率上升，尤其是女性。必须优先考虑扭转这些趋势的战略。
Human papillomavirus vaccination access, coverage and dropout in the Federal District: a time series study, 2013-2023.
Objective: o analyze the temporal trend of human papillomavirus (HPV) vaccination access, coverage and dropout the Federal District, Brazil, from 2013 to 2023.
Methods: This is a time series study using data made available by the Brazilian National Immunization Program and the Federal District Health Department. Vaccination access, coverage and abandonment indicators were calculated. The segmented linear regression method was applied to analyze temporal trends.
Results: A total of 705,823 doses were administered, 484,386 (68.6%) in females and 221,437 (31.4%) in males. Access, with average annual percentage change (AAPC) of -4.6, (confidence interval [95%CI] -8.3; -3.8), and coverage (AAPC -9.2; 95% CI -12.4; -6.6) decreased during the study period. Dropout increased (AAPC 14.1; 95%CI 11.5; 20.0). Despite the reduction in dropout observed among males (AAPC -7.7; 95%CI -10.5; -5.4), there was an increase in dropout among females (AAPC 8.9; 95%CI 4.8; 13.2).
Conclusion: There was a reduction in HPV vaccination access and coverage and an increase in dropout rates, especially among females. Strategies to reverse these trends must be prioritized.
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