Complete vaccination coverage of children born in 2017-2018, living in urban areas of state capitals and in 12 inland cities in Brazil: a population-based survey from a retrospective cohort study.

IF 2.5 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024v33e20231101.especial2.en

José Cássio de Moraes, Ana Paula França, Ione Aquemi Guibu, Rita Barradas Barata, Carla Magda Allan Santos Domingues, Maria da Gloria Teixeira, 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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Abstract

Objective: To estimate vaccination coverage in children born between 2017-2018, living in urban areas of state capitals, the Federal District and 12 inland municipalities in Brazil, and to identify associated factors.

Methods: This was a household survey conducted between 2020-2022, among children up to 24 months old. Vaccination coverage was estimated according to family, maternal and child characteristics.

Results: Among the 37,801 children in the sample, complete coverage (doses administered) was 60.1% (95%CI 58.6;61.6) and 6.1% (95%CI 5.4;7.0) had not received any vaccines. Coverage was lower among children of mothers with lower level of education (OR = 0.70; 95%CI 0.54;0.90) and in those who experienced delays in receiving any vaccine by 6 months old (OR = 0.28; 95%CI 0.24;0.32).

Conclusion: Vaccination coverage is below the expected levels. Effective communication strategies are needed to reinforce the importance of routine vaccination, prevent delays and abandonment of the vaccination schedule, in order to recover the high coverage levels achieved in past decades.

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居住在巴西各州首府城区和 12 个内陆城市的 2017-2018 年出生儿童的疫苗接种覆盖率：一项基于人口的回顾性队列研究调查。

目的估计居住在巴西各州首府、联邦区和12个内陆市的城市地区的2017-2018年间出生儿童的疫苗接种覆盖率，并确定相关因素：这是一项在 2020-2022 年间进行的家庭调查，调查对象为 24 个月以下的儿童。根据家庭、母亲和儿童的特征估算疫苗接种覆盖率：在样本中的 37801 名儿童中，完全接种率（接种剂量）为 60.1%（95%CI 58.6;61.6），6.1%（95%CI 5.4;7.0）的儿童未接种任何疫苗。受教育程度较低的母亲的子女接种率较低（OR = 0.70; 95%CI 0.54;0.90），而6个月大时迟迟未接种任何疫苗的母亲的子女接种率也较低（OR = 0.28; 95%CI 0.24;0.32）：结论：疫苗接种覆盖率低于预期水平。需要采取有效的沟通策略来加强常规疫苗接种的重要性，防止疫苗接种计划的延误和放弃，以恢复过去几十年中实现的高覆盖率水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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