巴西接受家庭收入转移计划财政支持的2岁以下儿童的疫苗接种覆盖率。
Vaccination coverage in children up to 2 years old, receiving financial support from the Family Income Transfer Program, Brazil.
作者信息
Barcelos Raquel Siqueira, Santos Iná S, Munhoz Tiago N, Blumenberg Cauane, Bortolotto Caroline C, Matijasevich Alicia, Salum Cristiane, Santos Júnior Hernane Guimarães Dos, Santos Letícia Marques Dos, Correia Luciano, Souza Marta Rovery de, Lira Pedro Israel Cabral de, Altafim Elisa, Macana Esmeralda Correa, Victora Cesar G
机构信息
Universidade Federal de Pelotas, Programa de Pós-graduação em Epidemiologia, Pelotas, RS, Brasil.
Universidade de São Paulo, Departamento de Medicina Preventiva, São Paulo, SP, Brasil.
出版信息
Epidemiol Serv Saude. 2021 Jul 9;30(3):e2020983. doi: 10.1590/S1679-49742021000300010. eCollection 2021.
OBJECTIVE
To assess vaccination coverage, based on the National Immunization Program schedule, among children receiving financial support from the Family Income Transfer Program, Brazil, according to the family socioeconomic status and maternal characteristics.
METHODS
3,242 children under 12 months old were assessed between August/2018 and April/2019, of whom 3,008 were reassessed between September/2019 and January/2020. The analyses were performed using multilevel models (level 3, Federative Unit; level 2, municipality; level 1, children).
RESULTS
Vaccination coverage was 2.5 fold higher in the first follow-up (61.0% - 95% CI 59.3;62.6%), compared to the second follow-up (24.8% - 95% CI 22.8;25.9%) (p<0.001). In the first follow-up, coverage was higher in the richest quintile (67.9%) and in children whose mothers had ≥9 years of schooling (63.3%). In the second follow-up, there were no differences. The highest coverage occurred between 0.5-2.5 (93.5%) and 12.5-15.5 months (34.4%), respectively, first and second follow-ups.
CONCLUSION
Low coverage was found, both in the first and second year of life.
目的
根据巴西家庭收入转移计划所资助儿童的家庭社会经济状况和母亲特征，依据国家免疫规划时间表评估疫苗接种覆盖率。
方法
2018年8月至2019年4月期间对3242名12个月以下儿童进行了评估，其中3008名儿童在2019年9月至2020年1月期间进行了重新评估。分析采用多水平模型（第3层，联邦单位；第2层，市；第1层，儿童）。
结果
第一次随访时的疫苗接种覆盖率（61.0% - 95%置信区间59.3；62.6%）比第二次随访时（24.8% - 95%置信区间22.8；25.9%）高2.5倍（p<0.001）。在第一次随访中，最富裕五分之一人群中的覆盖率较高（67.9%），母亲受教育年限≥9年的儿童中的覆盖率也较高（63.3%）。在第二次随访中，没有差异。第一次和第二次随访中，最高覆盖率分别出现在0.5 - 2.5个月（93.5%）和12.5 - 15.5个月（34.4%）。
结论
在生命的第一年和第二年，疫苗接种覆盖率均较低。
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