Universidade de Taubaté, Taubaté, SP, Brazil.
Universidade Estadual Paulista "Júlio de Mesquita Filho", Guaratinguetá, SP, Brazil.
Rev Paul Pediatr. 2024 Jul 8;42:e2023137. doi: 10.1590/1984-0462/2024/42/2023137. eCollection 2024.
To analyze vaccination coverage (VC) for polio in the municipalities of Vale do Paraíba in the State of São Paulo.
This is an ecological and exploratory study of VC in 35 municipalities using a spatial approach; VC data were obtained from the IT Department of the Unified Health System (DATASUS), for the years 2015 and 2019, and categorized into Low (VC<95%) and ideal (≥95%). Information was obtained on gross domestic product (GDP), professional rates and number of basic health units (UBS) and maternal data such as age, marital status (MS) and education. Univariate and bivariate Moran indices were estimated for the years 2015 and 2019, and thematic maps were created for CV values.
The average VC values were 107.7%±27.2 in 2015, and 94.2%±27.8 in 2019 (p<0.05). In 2015 vs. 2019, there were 10 vs. 25 municipalities in the Low category. In 2015, the variables VC, number of UBS, age, education, and MS were spatially correlated, but in 2019 only maternal age and education were spatially correlated. The bivariate Moran was significant and negative for VC in 2019 with maternal education. There was an increase in municipalities with worsening VC values.
The spatial approach identified a decrease in polio vaccination coverage in the studied region.
分析圣保罗州瓦尔迪帕拉伊巴地区各城市的脊髓灰质炎疫苗接种覆盖率（VC）。
这是一项使用空间方法对 35 个城市 VC 的生态和探索性研究；VC 数据来自统一卫生系统信息技术处（DATASUS），年份为 2015 年和 2019 年，并分为低（VC<95%）和理想（≥95%）。获取了国内生产总值（GDP）、专业费率和基本卫生单位（UBS）数量以及产妇年龄、婚姻状况（MS）和教育等信息。对 2015 年和 2019 年进行了单变量和双变量莫兰指数估计，并为 CV 值创建了主题地图。
2015 年平均 VC 值为 107.7%±27.2%，2019 年为 94.2%±27.8%（p<0.05）。2015 年和 2019 年，低类别中分别有 10 个和 25 个城市。2015 年，VC、UBS 数量、年龄、教育和 MS 等变量具有空间相关性，但 2019 年只有产妇年龄和教育具有空间相关性。2019 年 VC 的双变量 Moran 是显著的，且与产妇教育呈负相关。具有恶化 VC 值的城市数量有所增加。
空间方法发现研究区域脊髓灰质炎疫苗接种覆盖率下降。
