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巴西各市婴儿使用私营疫苗接种服务情况:2020 年国家疫苗接种情况调查。

Use of private vaccination services by infants in Brazilian municipalities: National Vaccine Coverage Survey 2020.

机构信息

Universidade Federal do Paraná, Programa de Pós-graduação em Saúde Coletiva, Curitiba, PR, Brazil.

Universidade Federal do Paraná, Curso de Medicina, Curitiba, PR, Brazil.

出版信息

Epidemiol Serv Saude. 2024 Nov 1;33(spe2):e20231203. doi: 10.1590/S2237-96222024v33e20231203.especial2.en. eCollection 2024.

Abstract

OBJECTIVE

To characterize the use of private services in infant vaccination and assess vaccination coverage according to the service used.

METHODS

: This was a national vaccination survey conducted in 2020 that estimated the use of private vaccination services and vaccination coverage among infants residing in state capitals and 12 inland municipalities.

RESULTS

: Of the 37,801 participants, 25.1% (95%CI 23.2;27.2) used private services at least once, with higher proportions in capitals, larger cities and in the South and Southeast regions. Socioeconomic and demographic differences were identified among families, based on the service used. The coverage for the set of vaccines administered up to 24 months was 60.3% (95%CI 58.6;62.0) in the public service and 59.5% (95%CI 55.9;63.0) in private services, and up-to-date vaccines, 10.3% (95%CI 9.1;11.6) and 9.4% (95%CI 7.4;11.8), respectively.

CONCLUSION

The use of private services was frequent, with low coverage for the set of vaccines, regardless of the type of service used, especially for up-to-date vaccines.

摘要

目的

描述婴儿疫苗接种中私人服务的使用情况,并根据所使用的服务评估疫苗接种覆盖率。

方法

这是 2020 年进行的一项全国性疫苗接种调查,估计了居住在州府和 12 个内陆城市的婴儿使用私人疫苗接种服务的情况和疫苗接种覆盖率。

结果

在 37801 名参与者中,25.1%(95%CI 23.2;27.2)至少使用过一次私人服务,首府、较大城市以及南部和东南部地区的比例更高。根据所使用的服务,确定了家庭之间的社会经济和人口统计学差异。在公共服务中,接种至 24 个月的疫苗系列的覆盖率为 60.3%(95%CI 58.6;62.0),在私人服务中为 59.5%(95%CI 55.9;63.0),而最新疫苗的覆盖率分别为 10.3%(95%CI 9.1;11.6)和 9.4%(95%CI 7.4;11.8)。

结论

私人服务的使用频率很高,无论所使用的服务类型如何,疫苗系列的覆盖率都很低,特别是最新疫苗的覆盖率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e84/11537176/e1f2af480350/2237-9622-ress-33-spe2-e20231203-f1-en.jpg

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