Luvisaro Bianca Maria Oliveira, da Silva Thales Philipe Rodrigues, Gusmão Josianne Dias, Ferraz Marcela Lencine, Nascimento Luciana Maiara Diogo, Gomes Larissa Pereira, Matozinhos Fernanda Penido
Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Department of Nursing in Women's Health, Paulista School of Nursing, Universidade Federal de São Paulo, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
BMC Infect Dis. 2025 Jan 7;25(1):34. doi: 10.1186/s12879-024-10263-w.
This study aimed to identify the associations between socioeconomic factors, the social environment, and human papillomavirus (HPV) vaccine coverage among adolescents in the state of Minas Gerais (MG), Brazil. This ecological study utilized secondary data from 853 municipalities in MG, covering female adolescents from 2014 to 2022 and male adolescents from 2017 to 2022, as provided by the information system of the National Immunization Program. Spatial statistical analysis was conducted to assess spatial dependence and identify spatial clusters of municipalities with high and low HPV vaccine coverage. The first and second dose coverage among male adolescents in most municipalities in MG was classified as very low (< 50%) or low (≥ 50% to < 80%). Among female adolescents, the majority of coverage rates were adequate (≥ 80%) or low (≥ 50% to < 80%). Socioeconomic factors, area-specific factors, and their interactions may influence HPV vaccination rates. The disparities in vaccination coverage rates observed across the state highlight the need for targeted interventions to increase coverage and reduce health issues, such as cervical cancer.
本研究旨在确定巴西米纳斯吉拉斯州（MG）青少年的社会经济因素、社会环境与人乳头瘤病毒（HPV）疫苗接种率之间的关联。这项生态学研究利用了MG州853个市的二手数据，这些数据涵盖了2014年至2022年的女性青少年以及2017年至2022年的男性青少年，由国家免疫规划信息系统提供。进行了空间统计分析，以评估空间依赖性，并确定HPV疫苗接种率高和低的市的空间聚集情况。MG州大多数市的男性青少年第一剂和第二剂疫苗接种率被归类为极低（<50%）或低（≥50%至<80%）。在女性青少年中，大多数接种率为充足（≥80%）或低（≥50%至<80%）。社会经济因素、特定地区因素及其相互作用可能会影响HPV疫苗接种率。该州观察到的疫苗接种率差异突出表明，需要采取有针对性的干预措施来提高接种率并减少诸如宫颈癌等健康问题。
