Francisco Priscila Maria Stolses Bergamo, Senicato Caroline, Donalisio Maria Rita, Barros Marilisa Berti de Azevedo
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
Cad Saude Publica. 2013 Mar;29(3):579-88. doi: 10.1590/s0102-311x2013000300015.
Women of reproductive age are the population of greatest interest for the prevention of congenital rubella syndrome. The aim of this study was to evaluate the prevalence of rubella vaccination in women and to identify factors associated and motives for non-adherence. A cross-sectional population-based study, in Campinas, São Paulo State, Brazil, in 2008/2009, was carried out with stratified random, two-stage cluster sampling. Of the 778 women aged 10 to 49 years, 83.8% (95%CI: 79.6-88.0) reported vaccination in life. Age group (20-39 years), per capita household income greater than 3 times the minimum wage and orientation of health care professionals about the vaccine, were positively associated with rubella vaccination. The main motives for non-adherence were lack of orientation of professionals about their importance (48.5%) and not consider it necessary (18.9%). The recommendation of professionals was the factor most strongly associated with women's adherence to vaccination. In this sense, an indication of vaccination by health care teams can increase the knowledge about the importance their and benefits.
育龄妇女是预防先天性风疹综合征最受关注的人群。本研究的目的是评估女性风疹疫苗接种率，并确定相关因素及未接种的原因。2008年至2009年，在巴西圣保罗州坎皮纳斯市开展了一项基于人群的横断面研究，采用分层随机两阶段整群抽样。在778名年龄在10至49岁的女性中，83.8%（95%置信区间：79.6 - 88.0）报告在生活中接种过疫苗。年龄组（20 - 39岁）、家庭人均收入高于最低工资的3倍以及医护人员对疫苗的指导，与风疹疫苗接种呈正相关。未接种的主要原因是专业人员未说明其重要性（48.5%）以及认为没有必要（18.9%）。专业人员的建议是与女性接种疫苗依从性最密切相关的因素。从这个意义上说，医护团队的疫苗接种指示可以增加她们对其重要性和益处的认识。
