Epidemiologia e Serviços de Saúde (Oct 2024)

Hepatitis A vaccination coverage survey in 24-month-old children living in Brazilian capitals, 2020

  • Winny Éveny Alves Moura,
  • Karlla Antonieta Amorim Caetano,
  • Juliana de Oliveira Roque e Lima,
  • Lays Rosa Campos,
  • Grazielle Rosa da Costa e Silva,
  • José Cássio de Moraes,
  • Ana Paula França,
  • Carla Magda Allan Santos Domingues,
  • Maria da Gloria Lima Cruz Teixeira,
  • Sheila Araújo Teles,
  • Adriana Ilha da Silva,
  • Alberto Novaes Ramos Jr.,
  • Ana Paula França,
  • Andrea de Nazaré Marvão Oliveira,
  • Antonio Fernando Boing,
  • Carla Magda Allan Santos Domingues,
  • Consuelo Silva de Oliveira,
  • Ethel Leonor Noia Maciel,
  • Ione Aquemi Guibu,
  • Isabelle Ribeiro Barbosa Mirabal,
  • Jaqueline Caracas Barbosa,
  • Jaqueline Costa Lima,
  • José Cássio de Moraes,
  • Karin Regina Luhm,
  • Karlla Antonieta Amorim Caetano,
  • Luisa Helena de Oliveira Lima,
  • Maria Bernadete de Cerqueira Antunes,
  • Maria da Gloria Teixeira,
  • Maria Denise de Castro Teixeira,
  • Maria Fernanda de Sousa Oliveira Borges,
  • Rejane Christine de Sousa Queiroz,
  • Ricardo Queiroz Gurgel,
  • Rita Barradas Barata,
  • Roberta Nogueira Calandrini de Azevedo,
  • Sandra Maria do Valle Leone de Oliveira,
  • Sheila Araújo Teles,
  • Silvana Granado Nogueira da Gama,
  • Sotero Serrate Mengue,
  • Taynãna César Simões,
  • Valdir Nascimento,
  • Wildo Navegantes de Araújo

DOI
https://doi.org/10.1590/s2237-96222024v33e20231162.en
Journal volume & issue
Vol. 33, no. spe2

Abstract

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ABSTRACT Objective To estimate hepatitis A vaccination coverage in 24-month-old children and identify factors associated with non-vaccination. Methods This was a survey involving a sample stratified by socioeconomic strata in capital cities (2020-2022), with coverage estimates and 95% confidence intervals (95%CI), the factor analysis was performed using the prevalence ratio (PR) by means of Poisson regression. Results Among 31,001 children, hepatitis A coverage was 88.1% (95%CI 86.8;89.2). Regarding socioeconomic strata (A/B), the variable immigrant parents/guardians was associated with non-vaccination (PR = 1.91; 95%CI 1.09;3.37); in strata C/D, children of Asian race/skin color (PR = 4.69; 95%CI 2.30;9.57), fourth-born child or later (PR = 1.68; 95%CI 1.06;2 .66), not attending daycare/nursery (PR = 1.67; 95%CI 1.24;2.24) and mother with paid work (PR = 1.42; 95%CI 1.16;1.74) were associated with non-vaccination. Conclusion Hepatitis A coverage was below the target (95%), suggesting that specificities of social strata should be taken into consideration.

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