Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil
Discrimination and limited access to healthcare services in remote areas can affect vaccination coverage. Therefore, this study aimed to estimate vaccination coverage for children living in quilombola communities and rural settlements in the central region of Brazil during their first year of life a...
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-04-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/11/4/838 |
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| author | Juliana de Oliveira Roque e Lima Valéria Pagotto Bárbara Souza Rocha Paulo Sérgio Scalize Rafael Alves Guimarães Márcio Dias de Lima Leandro Nascimento da Silva Michele Dias da Silva Oliveira Winny Éveny Alves Moura Sheila Araújo Teles Claci Fátima Weirich Rosso Karlla Antonieta Amorim Caetano |
| author_facet | Juliana de Oliveira Roque e Lima Valéria Pagotto Bárbara Souza Rocha Paulo Sérgio Scalize Rafael Alves Guimarães Márcio Dias de Lima Leandro Nascimento da Silva Michele Dias da Silva Oliveira Winny Éveny Alves Moura Sheila Araújo Teles Claci Fátima Weirich Rosso Karlla Antonieta Amorim Caetano |
| author_sort | Juliana de Oliveira Roque e Lima |
| collection | DOAJ |
| description | Discrimination and limited access to healthcare services in remote areas can affect vaccination coverage. Therefore, this study aimed to estimate vaccination coverage for children living in quilombola communities and rural settlements in the central region of Brazil during their first year of life and to analyze the factors associated with incomplete vaccination. An analytical cross-sectional study was conducted on children born between 2015 and 2017. The percentage of children who received all vaccines recommended by the National Immunization Program in Brazil by 11 months and 29 days was used to calculate immunization coverage. Children who received the following vaccines were considered as having a complete basic vaccination schedule: one dose of BCG; three doses of Hepatitis B, of Diphtheria-Tetanus-Pertussis (DPT), of <i>Haemophilus influenzae</i> type b (Hib), and of Poliovirus (Polio); two doses of Rotavirus, of 10-valent pneumococcal (PCV10), and of Serogroup C meningococcal conjugate (MenC); and one dose of Yellow Fever (YF). Measles-mumps-rubella (MMR) and other doses recommended at or after 12 months were not included. Consolidated logistic regression was used to identify factors associated with incomplete vaccination coverage. Overall vaccination coverage was 52.8% (95% CI: 45.5–59.9%) and ranged from 70.4% for the Yellow Fever vaccine to 78.3% for the Rotavirus vaccine, with no significant differences between the quilombola and settler groups. Notably, the likelihood of incomplete general vaccination coverage was higher among children who did not receive a visit from a healthcare professional. Urgent strategies are required to achieve and ensure health equity for this unique and traditionally distinct group with low vaccination coverage. |
| first_indexed | 2024-03-11T04:26:59Z |
| format | Article |
| id | doaj.art-46d861c357f34819937ed221c4dc6b3c |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-11T04:26:59Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-46d861c357f34819937ed221c4dc6b3c2023-11-17T21:42:27ZengMDPI AGVaccines2076-393X2023-04-0111483810.3390/vaccines11040838Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central BrazilJuliana de Oliveira Roque e Lima0Valéria Pagotto1Bárbara Souza Rocha2Paulo Sérgio Scalize3Rafael Alves Guimarães4Márcio Dias de Lima5Leandro Nascimento da Silva6Michele Dias da Silva Oliveira7Winny Éveny Alves Moura8Sheila Araújo Teles9Claci Fátima Weirich Rosso10Karlla Antonieta Amorim Caetano11Faculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilSchool of Civil and Environmental Engineering, Federal University of Goiás, Goiânia 74605-220, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilFederal Institute of Education, Science, and Technology of Goiás, Goiânia 74055-110, GO, BrazilMunicipal Health Department, Goiânia 74884-092, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia 74605-080, GO, BrazilDiscrimination and limited access to healthcare services in remote areas can affect vaccination coverage. Therefore, this study aimed to estimate vaccination coverage for children living in quilombola communities and rural settlements in the central region of Brazil during their first year of life and to analyze the factors associated with incomplete vaccination. An analytical cross-sectional study was conducted on children born between 2015 and 2017. The percentage of children who received all vaccines recommended by the National Immunization Program in Brazil by 11 months and 29 days was used to calculate immunization coverage. Children who received the following vaccines were considered as having a complete basic vaccination schedule: one dose of BCG; three doses of Hepatitis B, of Diphtheria-Tetanus-Pertussis (DPT), of <i>Haemophilus influenzae</i> type b (Hib), and of Poliovirus (Polio); two doses of Rotavirus, of 10-valent pneumococcal (PCV10), and of Serogroup C meningococcal conjugate (MenC); and one dose of Yellow Fever (YF). Measles-mumps-rubella (MMR) and other doses recommended at or after 12 months were not included. Consolidated logistic regression was used to identify factors associated with incomplete vaccination coverage. Overall vaccination coverage was 52.8% (95% CI: 45.5–59.9%) and ranged from 70.4% for the Yellow Fever vaccine to 78.3% for the Rotavirus vaccine, with no significant differences between the quilombola and settler groups. Notably, the likelihood of incomplete general vaccination coverage was higher among children who did not receive a visit from a healthcare professional. Urgent strategies are required to achieve and ensure health equity for this unique and traditionally distinct group with low vaccination coverage.https://www.mdpi.com/2076-393X/11/4/838vaccination coveragerural populationimmunization schedules |
| spellingShingle | Juliana de Oliveira Roque e Lima Valéria Pagotto Bárbara Souza Rocha Paulo Sérgio Scalize Rafael Alves Guimarães Márcio Dias de Lima Leandro Nascimento da Silva Michele Dias da Silva Oliveira Winny Éveny Alves Moura Sheila Araújo Teles Claci Fátima Weirich Rosso Karlla Antonieta Amorim Caetano Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil Vaccines vaccination coverage rural population immunization schedules |
| title | Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil |
| title_full | Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil |
| title_fullStr | Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil |
| title_full_unstemmed | Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil |
| title_short | Low Vaccine Coverage and Factors Associated with Incomplete Childhood Immunization in Racial/Ethnic Minorities and Rural Groups, Central Brazil |
| title_sort | low vaccine coverage and factors associated with incomplete childhood immunization in racial ethnic minorities and rural groups central brazil |
| topic | vaccination coverage rural population immunization schedules |
| url | https://www.mdpi.com/2076-393X/11/4/838 |
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