Risk factors for incomplete vaccination in children less than 18 months of age attending the nurseries of day-care centres in São Paulo, Brazil

• Autor(a) principal: Konstantyner, Tulio [UNIFESP]
• Data de Publicação: 2011
• Outros Autores: Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP], Rodrigues, Laura Cunha
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1016/j.vaccine.2011.10.020; http://repositorio.unifesp.br/handle/11600/34233
• topic: Risk factors; Day-care centres; Vaccination; Vaccine coverage; Health services accessibility; Infant

To estimate the proportion of children in day-care centres with incomplete vaccination and to identify associated risk factors, we conducted a cross-sectional study among 258 children less than 18 months of age attending public and philanthropic day-care centres in the city of São Paulo, Brazil. Interviews, blood collection and anthropometry were performed. Unconditional logistic regression was adjusted for incomplete vaccination risk factors. 10.9% of children had incomplete vaccination. Children who were born prematurely (OR = 4.27; p = 0.004), or were malnourished (OR = 4.99; p = 0.049), or lived in inadequate housing (OR = 2.88; p = 0.039), or whose mothers had had poor prenatal care (OR = 4.98; p = 0.040) were more likely to have incomplete vaccination. Opportunities are being missed to identify children with incomplete vaccination; strategies to enhance vaccination coverage should pay special attention to the needs of families living in inadequate housing; and health promotion actions in primary health facilities and day-care centres should be performed as concomitant activities. (C) 2011 Elsevier B.V. All rights reserved.