Monteiro Camila Nascimento, Gianini Reinaldo José, Stopa Sheila Rizzato, Segri Neuber José, Barros Marilisa Berti de Azevedo, Cesar Chester Luiz Galvão, Goldbaum Moisés
Núcleo de Indicadores e Sistemas de Informação, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Epidemiol Serv Saude. 2018;27(2):e2017272. doi: 10.5123/s1679-49742018000200006. Epub 2018 May 7.
to estimate the vaccination coverage against influenza and pneumonia and to analyze the utilization of Brazilian National Health System-SUS for vaccination in adults and elderly with self-reported diabetes in São Paulo, Brazil, in 2003, 2008 and 2015.
Cross-sectional studies with data from the ISA-Capital (population-based household surveys).
3,357, 3,271 and 4,043 were interviewed in 2003, 2008 and 2015; the prevalence of diabetes mellitus were 5.0% (2003), 6.4% (2008) and 7.7% (2015); fewer than half of people with diabetes, vaccinated against influenza (47.2%) and pneumonia (17.9%) in 2003, with a small increase in 2015 (59.2% and 26.1%, respectively); the majority of people who are vaccinated against influenza and pneumonia used SUS, 88.7% (2003) and 97.2% (2015) for influenza; 84.7% (2003) and 94.5% (2015) for pneumonia, without difference among age, sex, education level and ethnicity.
despite the low vaccination coverage against influenza and pneumonia in the population with diabetes mellitus since 2003 the utilization of SUS to vaccination has been progressively expanding.
评估2003年、2008年和2015年巴西圣保罗市自我报告患有糖尿病的成年人及老年人中流感和肺炎疫苗接种覆盖率,并分析巴西国家卫生系统(SUS)在疫苗接种方面的利用情况。
采用基于ISA - Capital(基于人群的家庭调查)数据的横断面研究。
2003年、2008年和2015年分别有3357人、3271人和4043人接受访谈;糖尿病患病率分别为5.0%(2003年)、6.4%(2008年)和7.7%(2015年);2003年,不到一半的糖尿病患者接种了流感疫苗(47.2%)和肺炎疫苗(17.9%),2015年略有增加(分别为59.2%和26.1%);接种流感和肺炎疫苗的大多数人使用SUS,流感疫苗接种者中使用SUS的比例为88.7%(2003年)和97.2%(2015年);肺炎疫苗接种者中使用SUS的比例为84.7%(2003年)和94.5%(2015年),在年龄、性别、教育水平和种族方面无差异。
尽管自2003年以来糖尿病患者中流感和肺炎疫苗接种覆盖率较低,但SUS在疫苗接种方面的利用一直在逐步扩大。