Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional study

Background: Immunization in pregnant women is essential to help controlling and avoiding preventable diseases. Aim: Analyzing some factors associated with non-vaccination against tetanus in pregnant women who gave birth in maternity hospitals in Belo Horizonte City, Minas Gerais State, Brazil. Metho...

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Main Authors: Ana Paula Vieira Faria, Thales Philipe Rodrigues da Silva, Ed Wilson Rodrigues Vieira, Sheila Aparecida Ferreira Lachtim, Edna Maria Rezende, Fernanda Penido Matozinhos
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535221001282
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author Ana Paula Vieira Faria
Thales Philipe Rodrigues da Silva
Ed Wilson Rodrigues Vieira
Sheila Aparecida Ferreira Lachtim
Edna Maria Rezende
Fernanda Penido Matozinhos
author_facet Ana Paula Vieira Faria
Thales Philipe Rodrigues da Silva
Ed Wilson Rodrigues Vieira
Sheila Aparecida Ferreira Lachtim
Edna Maria Rezende
Fernanda Penido Matozinhos
author_sort Ana Paula Vieira Faria
collection DOAJ
description Background: Immunization in pregnant women is essential to help controlling and avoiding preventable diseases. Aim: Analyzing some factors associated with non-vaccination against tetanus in pregnant women who gave birth in maternity hospitals in Belo Horizonte City, Minas Gerais State, Brazil. Methods: Cross-sectional study carried out with database deriving from the research titled “Born in Belo Horizonte: Survey on childbirth”, which was developed in public and private hospitals. Sample was calculated by taking into consideration the total number of births recorded in each investigated maternity hospital - the final sample comprised 481 mothers. Descriptive population statistics were used for data analysis purposes, whereas Poisson regression model was used to estimate factors associated with non-vaccination against tetanus during pregnancy. Results: The prevalence of puerperal women subjected to at least 2 doses of tetanus vaccine reached 59.2%. Adjusted analyses have shown that not living with a partner has increased by 1.58 times the prevalence of women who did not take tetanus vaccine, on average; that the prevalence of women who were not vaccinated has decreased by 0.65 times after each prenatal consultation, on average; that prenatal consultations with nurses have reduced by 0.52 times the prevalence of women who did not take the tetanus vaccine, on average. Conclusion: Almost half of puerperal women were not vaccinated against tetanus during pregnancy. It is essential identifying specific groups to help implementing and expanding preventive actions, such as immunization for pregnant women. Despite advances in public health policies, authorities still face challenges to expand vaccination coverage in the investigated state, as well as to strengthen the national immunization program to help increasing tetanus vaccination rates among pregnant women.
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spelling doaj.art-f08da3fab7ad4b3a8c8bb4f22d62d4ef2022-12-21T18:13:13ZengElsevierPublic Health in Practice2666-53522021-11-012100203Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional studyAna Paula Vieira Faria0Thales Philipe Rodrigues da Silva1Ed Wilson Rodrigues Vieira2Sheila Aparecida Ferreira Lachtim3Edna Maria Rezende4Fernanda Penido Matozinhos5Escola de Enfermagem, Universidade Federal de Minas Gerais, Avenue Alfredo Balena, 190 – Campus Saúde – Bairro Santa Efigênia, CEP 30130-100, Belo Horizonte, Minas Gerais, BrazilPost-Graduate Program in Health Sciences - Child and Adolescent Health, Medical School, Universidade Federal de Minas Gerais, Avenue Alfredo Balena, 190 – Campus Saúde – Bairro Santa Efigênia, CEP 30130-100, Belo Horizonte, Minas Gerais, BrazilDepartment of Maternal Nursing and Public Health, Escola de Enfermagem, Universidade Federal de Minas Gerais, Avenue Alfredo Balena, 190 – Campus Saúde – Bairro Santa Efigênia, CEP 30130-100, Belo Horizonte, Minas Gerais, BrazilDepartment of Maternal Nursing and Public Health, Escola de Enfermagem, Universidade Federal de Minas Gerais, Avenue Alfredo Balena, 190 – Campus Saúde – Bairro Santa Efigênia, CEP 30130-100, Belo Horizonte, Minas Gerais, BrazilDepartment of Maternal Nursing and Public Health, Escola de Enfermagem, Universidade Federal de Minas Gerais, Avenue Alfredo Balena, 190 – Campus Saúde – Bairro Santa Efigênia, CEP 30130-100, Belo Horizonte, Minas Gerais, Brazil; State Secretariat of Health of Minas Gerais - Technical Reference of the Tuberculosis Program at the Regional Superintendence os Belo Horizonte, Minas Gerais, BrazilDepartment of Maternal Nursing and Public Health, Escola de Enfermagem, Universidade Federal de Minas Gerais, Avenue Alfredo Balena, 190 – Campus Saúde – Bairro Santa Efigênia, CEP 30130-100, Belo Horizonte, Minas Gerais, Brazil; Corresponding author.Background: Immunization in pregnant women is essential to help controlling and avoiding preventable diseases. Aim: Analyzing some factors associated with non-vaccination against tetanus in pregnant women who gave birth in maternity hospitals in Belo Horizonte City, Minas Gerais State, Brazil. Methods: Cross-sectional study carried out with database deriving from the research titled “Born in Belo Horizonte: Survey on childbirth”, which was developed in public and private hospitals. Sample was calculated by taking into consideration the total number of births recorded in each investigated maternity hospital - the final sample comprised 481 mothers. Descriptive population statistics were used for data analysis purposes, whereas Poisson regression model was used to estimate factors associated with non-vaccination against tetanus during pregnancy. Results: The prevalence of puerperal women subjected to at least 2 doses of tetanus vaccine reached 59.2%. Adjusted analyses have shown that not living with a partner has increased by 1.58 times the prevalence of women who did not take tetanus vaccine, on average; that the prevalence of women who were not vaccinated has decreased by 0.65 times after each prenatal consultation, on average; that prenatal consultations with nurses have reduced by 0.52 times the prevalence of women who did not take the tetanus vaccine, on average. Conclusion: Almost half of puerperal women were not vaccinated against tetanus during pregnancy. It is essential identifying specific groups to help implementing and expanding preventive actions, such as immunization for pregnant women. Despite advances in public health policies, authorities still face challenges to expand vaccination coverage in the investigated state, as well as to strengthen the national immunization program to help increasing tetanus vaccination rates among pregnant women.http://www.sciencedirect.com/science/article/pii/S2666535221001282Pregnant womenTetanus toxoidVaccinationVaccination in pregnant womenVaccine coverageVaccines
spellingShingle Ana Paula Vieira Faria
Thales Philipe Rodrigues da Silva
Ed Wilson Rodrigues Vieira
Sheila Aparecida Ferreira Lachtim
Edna Maria Rezende
Fernanda Penido Matozinhos
Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional study
Public Health in Practice
Pregnant women
Tetanus toxoid
Vaccination
Vaccination in pregnant women
Vaccine coverage
Vaccines
title Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional study
title_full Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional study
title_fullStr Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional study
title_full_unstemmed Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional study
title_short Factors associated with tetanus vaccination in pregnant women living in Minas Gerais State, Brazil: A cross-sectional study
title_sort factors associated with tetanus vaccination in pregnant women living in minas gerais state brazil a cross sectional study
topic Pregnant women
Tetanus toxoid
Vaccination
Vaccination in pregnant women
Vaccine coverage
Vaccines
url http://www.sciencedirect.com/science/article/pii/S2666535221001282
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