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[巴西米纳斯吉拉斯州一岁以下儿童的疫苗接种覆盖率]

[Vaccination coverage in children under one year of age in Minas Gerais state, Brazil].

作者信息

Souza Janaina Fonseca Almeida, Silva Thales Philipe Rodrigues da, Silva Tércia Moreira Ribeiro da, Amaral Carolina Dourado, Ribeiro Elice Eliane Nobre, Vimieiro Aline Mendes, Oliveira Mayra Martho Moura de, Matozinhos Fernanda Penido

机构信息

Secretaria de Estado da Saúde de Minas Gerais. Rodovia Papa João Paulo II 4143, Serra Vede. 31630-900 Belo Horizonte MG Brasil.

Programa de Pós-Graduação em Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais (UFMG). Belo Horizonte MG Brasil.

出版信息

Cien Saude Colet. 2022 Sep;27(9):3659-3667. doi: 10.1590/1413-81232022279.07302022. Epub 2022 May 18.

Abstract

The scope of this article is to analyze vaccination coverage rates in children under one year of age during the period from 2015 to 2020 in the state of Minas Gerais (MG). It involved an ecological, time-series study on vaccination coverage in children under 1 year of age, considering the 28 Regional Health Management/Superintendencies (GRS/SRS) of MG as the unit of analysis. The following immunobiological vaccine coverage was analyzed: Bacillus Calmette and Guérin, human rotavirus, pneumococcal 10, pentavalent, meningococcus C, yellow fever, and polio vaccines. The Prais-Winsten autoregressive model was employed for trend analysis. The year 2020 stands out, as it presented the lowest proportion of GRS and SRS that reached the recommended vaccine coverage goals for the immunobiologicals analyzed. Regarding the analysis of the coverage trend, 8 of the 28 GRS/SRS showed a decreasing trend for at least 5 of the 7 immunobiologicals evaluated. We observed a downward trend in the vaccination coverage of at least five immunobiologicals in eight of the GRS/SRS, with emphasis on the Pentavalent vaccine, which showed a downward trend in vaccination coverage in 60.71% of the GRS and SRS.

摘要

本文的范围是分析2015年至2020年期间米纳斯吉拉斯州(MG)一岁以下儿童的疫苗接种覆盖率。这是一项关于一岁以下儿童疫苗接种覆盖率的生态时间序列研究,将MG的28个区域卫生管理/监督机构(GRS/SRS)作为分析单位。分析了以下免疫生物疫苗的覆盖率:卡介苗、人轮状病毒疫苗、10价肺炎球菌疫苗、五价疫苗、C群脑膜炎球菌疫苗、黄热病疫苗和脊髓灰质炎疫苗。采用普赖斯-温斯坦自回归模型进行趋势分析。2020年尤为突出,因为达到所分析免疫生物制品推荐疫苗接种覆盖率目标的GRS和SRS比例最低。关于覆盖率趋势分析,28个GRS/SRS中有8个在评估的7种免疫生物制品中至少有5种呈现下降趋势。我们观察到8个GRS/SRS中至少5种免疫生物制品的疫苗接种覆盖率呈下降趋势,其中五价疫苗尤为明显,60.71%的GRS和SRS的五价疫苗接种覆盖率呈下降趋势。

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