巴西中西部首府社会阶层的疫苗接种覆盖率：2017 年和 2018 年出生儿童的家庭调查。
Vaccine coverage by social strata in state capitals in the Brazilian Midwest region: a household survey of children born in 2017 and 2018.
机构信息
Universidade Federal de Mato Grosso, Faculdade de Enfermagem, Cuiabá, MT, Brazil.
Secretaria de Saúde de Marataízes, Vigilância em Saúde, Espírito Santo, ES, Brazil.
出版信息
Epidemiol Serv Saude. 2024 Nov 1;33(spe2):e20231308. doi: 10.1590/S2237-96222024v33e20231308.especial2.en. eCollection 2024.
OBJECTIVE
To analyze full vaccination coverage in live births in 2017 and 2018 in the capitals of the Midwest region of Brazil, according to social strata.
METHODS
Population-based household survey with cluster sampling. Full coverage in children at 12 and 24 months of age and sociodemographic factors were analyzed.
RESULTS
5,715 children were analyzed. Full coverage at 12 months of age was 67.9% (95%CI 65.4;70.4), while at 24 months it was 48.2% (95%CI 45.3;51.1). Pneumococcal vaccine had the highest vaccination coverage (91.3%), while the second dose of rotavirus vaccine had the lowest (74.2%). In Campo Grande, no vaccine reached coverage above 90%, with BCG (82.9%) and hepatitis B (82.1%) standing out. Campo Grande and Brasília had the worst vaccination coverage in the high social stratum (24 months of age).
CONCLUSION
Vaccination coverage in the Midwest was below 80%, falling short of the recommended target and associated with socioeconomic factors.
目的
根据社会阶层分析 2017 年和 2018 年巴西中西部首府活产儿的完全疫苗接种覆盖率。
方法
采用基于人群的整群抽样家庭调查。分析儿童在 12 个月和 24 个月时的完全覆盖情况和社会人口学因素。
结果
共分析了 5715 名儿童。12 个月时的完全覆盖率为 67.9%（95%CI 65.4%；70.4%），而 24 个月时的完全覆盖率为 48.2%（95%CI 45.3%；51.1%）。肺炎球菌疫苗的接种率最高（91.3%），而轮状病毒疫苗的第二剂接种率最低（74.2%）。在 Campo Grande，没有一种疫苗的覆盖率超过 90%，卡介苗（82.9%）和乙型肝炎（82.1%）尤为突出。在高社会阶层中，Campo Grande 和巴西利亚的疫苗接种覆盖率最差（24 个月时）。
结论
中西部地区的疫苗接种覆盖率低于 80%，未达到推荐目标，且与社会经济因素有关。
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