Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/12774 |
Resumo: | Vaccination is considered one of the most cost-effective and most effective measures in healthcare services. On the other hand, some population groups that live in geographic and cultural isolation have been showing low rates of vaccination. In Brazil, there are no data evaluating adherence to vaccines recommended by the National Program for the Immunization of Unified Health System, better known by the acronym SUS considering children from rural and traditional communities. Therefore, this study aimed to evaluate vaccination coverage according to the national calendar of vaccination of children for the first year of life, and their distributions in space and trends in time in children living in rural settlements, communities of quilombolas, and riverside dwellers in the state of Goiás, born from 2010 to 2017. This is an epidemiological, retrospective cohort study, carried out in 40 municipalities of Goiás, followed by an ecological study. The sample consisted of 616 children born between 2010 and 2017, residents of a settled, quilombolas or riverside dwellers community in Goiás. To calculate the vaccination coverage, the percentage of children with a complete general vaccination schedule or by the vaccine was considered, with a 95% confidence interval. In the time-series, trend analysis was estimated for communities according to mesoregions of Goiás, and for this purpose, the Prais-Winsten linear regression was used, with robust variance. Trends were classified as increasing, decreasing, or stationary, according to the p-value and regression coefficient. The spatial distribution of vaccination coverage, according to the mesoregions of Goiás, was carried out along the time-series. In total, 616 children had their vaccine data evaluated, most were male (53.7%) and belonging to the quilombolas community (54.7%). The overall vaccination coverage for the recommended vaccines during the first year of life at 12 months and at 18 months was 52.4% (CI95%: 48.5% - 56.3%) and 57.8% (CI95%: 53.9% - 61.6%), respectively. For children born in 2017, just the yellow fever vaccine and measles/mumps/rubella vaccine had vaccination coverage > 90%. According to the birth cohort from 2010 to 2017, in Goiás, of the ten vaccines evaluated, six showed an increasing trend in vaccination coverage (POLIO, 10-valent pneumococcal, human rotavirus, meningococcal, yellow fever, and measles/mumps/rubella). Considering the spatial and temporal distribution, according to the mesoregions where the communities are located, a decreasing trend for vaccination coverage was only observed in the Center Goiano mesoregion for the hepatitis B vaccine. In the North Goiano mesoregion, increasing temporal trends were observed for most vaccine coverage, the exception was for BCG and measles/mumps/rubella vaccines. Despite this, the North Goiano mesoregion was the only one in which no vaccine achieved 90% coverage in the period of birth cohort 2016/2017. The results present an unequal scenario in the access to vaccination services for rural populations and traditional Brazilians and point to the need for urgent strategies to achieve and ensure equity in health for a group with distinct traditions and characteristics of the urban population of Brazil. |
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Caetano, Karlla Antonieta Amorimhttp://lattes.cnpq.br/0112036159794570Rosso, Claci Fátima Weirichhttp://lattes.cnpq.br/1137218060736306Caetano, Karlla Antonieta AmorimPagotto, ValériaMinamisava, RuthPessoni, Grécia CarolinaJunqueira, Ana Luiza Netohttp://lattes.cnpq.br/4064099047752153Lima, Juliana de Oliveira Roque e2023-04-24T11:36:32Z2023-04-24T11:36:32Z2021-08-05LIMA, J. O. R. Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017. 2021. 143 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2021.http://repositorio.bc.ufg.br/tede/handle/tede/12774ark:/38995/001300000bqkdVaccination is considered one of the most cost-effective and most effective measures in healthcare services. On the other hand, some population groups that live in geographic and cultural isolation have been showing low rates of vaccination. In Brazil, there are no data evaluating adherence to vaccines recommended by the National Program for the Immunization of Unified Health System, better known by the acronym SUS considering children from rural and traditional communities. Therefore, this study aimed to evaluate vaccination coverage according to the national calendar of vaccination of children for the first year of life, and their distributions in space and trends in time in children living in rural settlements, communities of quilombolas, and riverside dwellers in the state of Goiás, born from 2010 to 2017. This is an epidemiological, retrospective cohort study, carried out in 40 municipalities of Goiás, followed by an ecological study. The sample consisted of 616 children born between 2010 and 2017, residents of a settled, quilombolas or riverside dwellers community in Goiás. To calculate the vaccination coverage, the percentage of children with a complete general vaccination schedule or by the vaccine was considered, with a 95% confidence interval. In the time-series, trend analysis was estimated for communities according to mesoregions of Goiás, and for this purpose, the Prais-Winsten linear regression was used, with robust variance. Trends were classified as increasing, decreasing, or stationary, according to the p-value and regression coefficient. The spatial distribution of vaccination coverage, according to the mesoregions of Goiás, was carried out along the time-series. In total, 616 children had their vaccine data evaluated, most were male (53.7%) and belonging to the quilombolas community (54.7%). The overall vaccination coverage for the recommended vaccines during the first year of life at 12 months and at 18 months was 52.4% (CI95%: 48.5% - 56.3%) and 57.8% (CI95%: 53.9% - 61.6%), respectively. For children born in 2017, just the yellow fever vaccine and measles/mumps/rubella vaccine had vaccination coverage > 90%. According to the birth cohort from 2010 to 2017, in Goiás, of the ten vaccines evaluated, six showed an increasing trend in vaccination coverage (POLIO, 10-valent pneumococcal, human rotavirus, meningococcal, yellow fever, and measles/mumps/rubella). Considering the spatial and temporal distribution, according to the mesoregions where the communities are located, a decreasing trend for vaccination coverage was only observed in the Center Goiano mesoregion for the hepatitis B vaccine. In the North Goiano mesoregion, increasing temporal trends were observed for most vaccine coverage, the exception was for BCG and measles/mumps/rubella vaccines. Despite this, the North Goiano mesoregion was the only one in which no vaccine achieved 90% coverage in the period of birth cohort 2016/2017. The results present an unequal scenario in the access to vaccination services for rural populations and traditional Brazilians and point to the need for urgent strategies to achieve and ensure equity in health for a group with distinct traditions and characteristics of the urban population of Brazil.A vacinação é considerada uma das medidas com melhor custo-benefício e mais efetivas dos serviços de saúde. Por outro lado, alguns grupos populacionais que vivem em isolamento geográfico e cultural, vêm apresentando baixas taxas de vacinação. No Brasil, não existem dados avaliando a adesão às vacinas preconizadas pelo Programa Nacional de Imunizações do Sistema Único de Saúde (SUS), considerando crianças de comunidades rurais e tradicionais. Portanto, este estudo teve como objetivo avaliar as coberturas vacinais, segundo o calendário nacional de vacinação da criança para o primeiro ano de vida, suas distribuições no espaço e tendências no tempo, para crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017. Trata-se de um estudo epidemiológico, coorte retrospectiva, realizado em 40 municípios de Goiás, seguido de um estudo ecológico. A amostra foi formada por 616 crianças nascidas entre 2010 e 2017, residentes em alguma comunidade assentada, quilombola ou ribeirinha de Goiás. Para o cálculo das coberturas vacinais, foi considerado o percentual de crianças com esquema vacinal completo ou por vacina, avaliado aos 12 e 18 meses de idade, com intervalo de 95% de confiança. Na série temporal, a análise de tendência foi estimada para as comunidades segundo as mesorregiões de Goiás e para tal foi utilizada a regressão linear de Prais-Winsten, com variância robusta. As tendências foram classificadas como crescentes, decrescentes ou estacionárias, de acordo com o valor de p e coeficiente de regressão. A distribuição espacial das coberturas vacinais, segundo as mesorregiões de Goiás, foi realizada ao longo das séries temporais. No total, 616 crianças tiveram os dados vacinais avaliados, a maioria era do sexo masculino (53,7%) e pertencente à comunidade quilombola (54,7%). A cobertura vacinal completa para as vacinas recomendadas durante o primeiro ano de vida aos 12 meses e aos 18 meses foi de 52,4% (IC95%: 48,5% - 56,3%) e 57,8% (IC95%: 53,9% - 61,6%), respectivamente. Para crianças nascidas em 2017, somente as vacinas contra febre amarela e contra sarampo/caxumba/rubéola apresentaram cobertura vacinal > 90%. Segundo a coorte de nascimento de 2010 a 2017, em Goiás, das dez vacinas avaliadas, seis apresentaram tendência crescente nas coberturas vacinais (poliomielite, pneumocócica 10 valente, rotavírus humano, meningocócica C, febre amarela e sarampo/caxumba/rubéola). Considerando a distribuição espacial e temporal, segundo as mesorregiões de localização das comunidades, tendência decrescente para cobertura vacinal somente foi observada na mesorregião Centro Goiano e para a vacina contra hepatite B. Na mesorregião Norte Goiano observou-se tendências temporais crescentes para a maioria das coberturas vacinais, com exceção para as vacinas BCG e sarampo/caxumba/rubéola. Apesar disso, a mesorregião Norte Goiano foi a única em que nenhuma vacina alcançou a cobertura de 90%, no período da coorte de nascimento 2016/2017. Os resultados apresentam um cenário desigual no acesso aos serviços de vacinação para populações específicas rurais e tradicionais brasileiras e apontam para a necessidade de estratégias urgentes que alcancem e garantam a equidade em saúde para um grupo com tradições e características distintas da população urbana do Brasil.Submitted by Marlene Santos (marlene.bc.ufg@gmail.com) on 2023-04-20T20:28:37Z No. of bitstreams: 2 Tese - Juliana de Oliveira Roque e Lima - 2021.pdf: 5037867 bytes, checksum: 3f1104c1552005965149655d0e75d833 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2023-04-24T11:36:32Z (GMT) No. of bitstreams: 2 Tese - Juliana de Oliveira Roque e Lima - 2021.pdf: 5037867 bytes, checksum: 3f1104c1552005965149655d0e75d833 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5)Made available in DSpace on 2023-04-24T11:36:32Z (GMT). No. of bitstreams: 2 Tese - Juliana de Oliveira Roque e Lima - 2021.pdf: 5037867 bytes, checksum: 3f1104c1552005965149655d0e75d833 (MD5) license_rdf: 805 bytes, checksum: 4460e5956bc1d1639be9ae6146a50347 (MD5) Previous issue date: 2021-08-05OutroporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RMG)Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessCobertura vacinalPopulação ruraEsquemas de imunizaçãoProgramas de imunizaçãoVaccination coverageRural populationImmunization scheduleImmunization programsCIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICACobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017Vaccination coverage in settled children, quilombolas and riverside dwellers in the state of Goiás, born from 2010 to 2017info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis43500500500500143795reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALTese - Juliana de Oliveira Roque e Lima - 2021.pdfTese - Juliana de Oliveira Roque e Lima - 2021.pdfapplication/pdf5037867http://repositorio.bc.ufg.br/tede/bitstreams/bd013e82-8dd1-4240-a6f3-86f568d14f49/download3f1104c1552005965149655d0e75d833MD53CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805http://repositorio.bc.ufg.br/tede/bitstreams/2fcd0da4-5a70-4db7-9329-09d93db40bc1/download4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repositorio.bc.ufg.br/tede/bitstreams/b6be0866-8aec-4753-87f4-b831c4188f42/download8a4605be74aa9ea9d79846c1fba20a33MD51tede/127742023-04-24 08:36:33.04http://creativecommons.org/licenses/by-nc-nd/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internationalopen.accessoai:repositorio.bc.ufg.br:tede/12774http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2023-04-24T11:36:33Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)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 |
dc.title.pt_BR.fl_str_mv |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 |
dc.title.alternative.eng.fl_str_mv |
Vaccination coverage in settled children, quilombolas and riverside dwellers in the state of Goiás, born from 2010 to 2017 |
title |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 |
spellingShingle |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 Lima, Juliana de Oliveira Roque e Cobertura vacinal População rura Esquemas de imunização Programas de imunização Vaccination coverage Rural population Immunization schedule Immunization programs CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
title_short |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 |
title_full |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 |
title_fullStr |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 |
title_full_unstemmed |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 |
title_sort |
Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017 |
author |
Lima, Juliana de Oliveira Roque e |
author_facet |
Lima, Juliana de Oliveira Roque e |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Caetano, Karlla Antonieta Amorim |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0112036159794570 |
dc.contributor.advisor-co1.fl_str_mv |
Rosso, Claci Fátima Weirich |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/1137218060736306 |
dc.contributor.referee1.fl_str_mv |
Caetano, Karlla Antonieta Amorim |
dc.contributor.referee2.fl_str_mv |
Pagotto, Valéria |
dc.contributor.referee3.fl_str_mv |
Minamisava, Ruth |
dc.contributor.referee4.fl_str_mv |
Pessoni, Grécia Carolina |
dc.contributor.referee5.fl_str_mv |
Junqueira, Ana Luiza Neto |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4064099047752153 |
dc.contributor.author.fl_str_mv |
Lima, Juliana de Oliveira Roque e |
contributor_str_mv |
Caetano, Karlla Antonieta Amorim Rosso, Claci Fátima Weirich Caetano, Karlla Antonieta Amorim Pagotto, Valéria Minamisava, Ruth Pessoni, Grécia Carolina Junqueira, Ana Luiza Neto |
dc.subject.por.fl_str_mv |
Cobertura vacinal População rura Esquemas de imunização Programas de imunização |
topic |
Cobertura vacinal População rura Esquemas de imunização Programas de imunização Vaccination coverage Rural population Immunization schedule Immunization programs CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Vaccination coverage Rural population Immunization schedule Immunization programs |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA |
description |
Vaccination is considered one of the most cost-effective and most effective measures in healthcare services. On the other hand, some population groups that live in geographic and cultural isolation have been showing low rates of vaccination. In Brazil, there are no data evaluating adherence to vaccines recommended by the National Program for the Immunization of Unified Health System, better known by the acronym SUS considering children from rural and traditional communities. Therefore, this study aimed to evaluate vaccination coverage according to the national calendar of vaccination of children for the first year of life, and their distributions in space and trends in time in children living in rural settlements, communities of quilombolas, and riverside dwellers in the state of Goiás, born from 2010 to 2017. This is an epidemiological, retrospective cohort study, carried out in 40 municipalities of Goiás, followed by an ecological study. The sample consisted of 616 children born between 2010 and 2017, residents of a settled, quilombolas or riverside dwellers community in Goiás. To calculate the vaccination coverage, the percentage of children with a complete general vaccination schedule or by the vaccine was considered, with a 95% confidence interval. In the time-series, trend analysis was estimated for communities according to mesoregions of Goiás, and for this purpose, the Prais-Winsten linear regression was used, with robust variance. Trends were classified as increasing, decreasing, or stationary, according to the p-value and regression coefficient. The spatial distribution of vaccination coverage, according to the mesoregions of Goiás, was carried out along the time-series. In total, 616 children had their vaccine data evaluated, most were male (53.7%) and belonging to the quilombolas community (54.7%). The overall vaccination coverage for the recommended vaccines during the first year of life at 12 months and at 18 months was 52.4% (CI95%: 48.5% - 56.3%) and 57.8% (CI95%: 53.9% - 61.6%), respectively. For children born in 2017, just the yellow fever vaccine and measles/mumps/rubella vaccine had vaccination coverage > 90%. According to the birth cohort from 2010 to 2017, in Goiás, of the ten vaccines evaluated, six showed an increasing trend in vaccination coverage (POLIO, 10-valent pneumococcal, human rotavirus, meningococcal, yellow fever, and measles/mumps/rubella). Considering the spatial and temporal distribution, according to the mesoregions where the communities are located, a decreasing trend for vaccination coverage was only observed in the Center Goiano mesoregion for the hepatitis B vaccine. In the North Goiano mesoregion, increasing temporal trends were observed for most vaccine coverage, the exception was for BCG and measles/mumps/rubella vaccines. Despite this, the North Goiano mesoregion was the only one in which no vaccine achieved 90% coverage in the period of birth cohort 2016/2017. The results present an unequal scenario in the access to vaccination services for rural populations and traditional Brazilians and point to the need for urgent strategies to achieve and ensure equity in health for a group with distinct traditions and characteristics of the urban population of Brazil. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-08-05 |
dc.date.accessioned.fl_str_mv |
2023-04-24T11:36:32Z |
dc.date.available.fl_str_mv |
2023-04-24T11:36:32Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
LIMA, J. O. R. Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017. 2021. 143 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2021. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/12774 |
dc.identifier.dark.fl_str_mv |
ark:/38995/001300000bqkd |
identifier_str_mv |
LIMA, J. O. R. Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017. 2021. 143 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2021. ark:/38995/001300000bqkd |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/12774 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
43 |
dc.relation.confidence.fl_str_mv |
500 500 500 500 |
dc.relation.department.fl_str_mv |
14 |
dc.relation.cnpq.fl_str_mv |
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openAccess |
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Programa de Pós-graduação em Enfermagem (FEN) |
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UFG |
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Brasil |
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Universidade Federal de Goiás |
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Repositório Institucional da UFG |
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tasesdissertacoes.bc@ufg.br |
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