Epidemiologia e Serviços de Saúde (Aug 2024)
Racial inequalities in child vaccination and barriers to vaccination in Brazil among live births in 2017 and 2018: an analysis of a retrospective cohort of the first two years of life
- Antonio Fernando Boing,
- Alexandra Crispim Boing,
- Ana Paula França,
- José Cássio de Moraes,
- 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
Affiliations
- Antonio Fernando Boing
- ORCiD
- Alexandra Crispim Boing
- ORCiD
- Ana Paula França
- ORCiD
- José Cássio de Moraes
- ORCiD
- Adriana Ilha da Silva
- ORCiD
- Alberto Novaes Ramos Jr.
- ORCiD
- Ana Paula França
- ORCiD
- Andrea de Nazaré Marvão Oliveira
- ORCiD
- Antonio Fernando Boing
- ORCiD
- Carla Magda Allan Santos Domingues
- ORCiD
- Consuelo Silva de Oliveira
- ORCiD
- Ethel Leonor Noia Maciel
- ORCiD
- Ione Aquemi Guibu
- ORCiD
- Isabelle Ribeiro Barbosa Mirabal
- ORCiD
- Jaqueline Caracas Barbosa
- ORCiD
- Jaqueline Costa Lima
- ORCiD
- José Cássio de Moraes
- ORCiD
- Karin Regina Luhm
- ORCiD
- Karlla Antonieta Amorim Caetano
- ORCiD
- Luisa Helena de Oliveira Lima
- ORCiD
- Maria Bernadete de Cerqueira Antunes
- ORCiD
- Maria da Gloria Teixeira
- ORCiD
- Maria Denise de Castro Teixeira
- ORCiD
- Maria Fernanda de Sousa Oliveira Borges
- ORCiD
- Rejane Christine de Sousa Queiroz
- ORCiD
- Ricardo Queiroz Gurgel
- ORCiD
- Rita Barradas Barata
- ORCiD
- Roberta Nogueira Calandrini de Azevedo
- ORCiD
- Sandra Maria do Valle Leone de Oliveira
- ORCiD
- Sheila Araújo Teles
- ORCiD
- Silvana Granado Nogueira da Gama
- ORCiD
- Sotero Serrate Mengue
- ORCiD
- Taynãna César Simões
- ORCiD
- Valdir Nascimento
- ORCiD
- Wildo Navegantes de Araújo
- ORCiD
- DOI
- https://doi.org/10.1590/s2237-96222024v33e20231216.especial2.en
- Journal volume & issue
-
Vol. 33,
no. spe2
Abstract
ABSTRACT Objective To describe timely vaccination completion and obstacles in the first 24 months of life in Brazil, examining associations with maternal race/skin color. Methods Study participants were 37,801 children born in 2017 and 2018 included in the National Immunization Coverage Survey. We calculated prevalence and 95% confidence intervals for timely vaccine completeness and obstacles at 5, 12 and 24 months of life, according to maternal race/skin color. Associations were analyzed using logistic regression. Results 7.2% (95%CI 6.3;8.2) of mothers faced difficulties in taking their children to be vaccinated, and 23.4% (95%CI 21.7;25.1) were not vaccinated when taken. These proportions were 75% (95%CI 1.25;2.45) and 97% (95%CI 1.57;2.48) higher, respectively, among Black mothers. At least one vaccination was delayed among 49.9% (95%CI 47.8;51.9) and 61.1% (95%CI 59.2;63.0) of children by 5 and 12 months, respectively. These rates were higher among Black/mixed race mothers. Conclusion There are racial inequalities in both the obstacles faced and in vaccination rates in Brazil.
Keywords
