Lemos Patrícia de Lima, Oliveira Júnior Gilmar Jorge de, Souza Nidyanara Francine Castanheira de, Silva Izadora Martins da, Paula Izabella Paes Gonçalves de, Silva Karoline Cordeiro, Costa Fernanda Camargo, Arruda Poliana Duarte da Silva, Oliveira Washington Júnior, Kaiabi Poãn Trumai, Passarelli Michelli Clarisse Alves, Andrade Amanda Cristina de Souza, Takano Olga Akiko
Universidade Federal de Mato Grosso, Cuiabá, MT, Brazil.
Universidade Federal de Mato Grosso, Rondonópolis, MT, Brazil.
Rev Paul Pediatr. 2021 Nov 12;40:e2020300. doi: 10.1590/1984-0462/2022/40/2020300. eCollection 2021.
To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso.
Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes.
The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41-86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75-5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04-3.57).
It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.
分析2015年出生在马托格罗索州朗多诺波利斯市的儿童12月龄前疫苗接种未按时完成的相关因素。
于2017年8月至2018年2月进行人群调查,采用世界卫生组织推荐的方法收集常规疫苗接种信息。在分析相关因素时,参考了卫生部国家免疫规划的建议。进行单因素分析,p<0.20的相关因素纳入多因素分析,采用个体变量分层纳入及收入极端值集中的背景指标。
12月龄前疫苗接种未按时完成率为82.03%(95%可信区间78.41 - 86.63)。在最终模型中,以下因素仍独立相关:家中有一个或多个兄弟姐妹(比值比3.18;95%可信区间1.75 - 5.76)以及在过去30天内未接受社区卫生工作者访视(比值比1.93;95%可信区间1.04 - 3.57)。
除了需要加强家庭健康策略与儿童照料者之间的联系外,有必要针对每种疫苗的推荐间隔积极寻找疫苗接种延迟的儿童。