Vaccination coverage in children under one year of age and associated socioeconomic factors: maps of spatial heterogeneity

• Main Authors: Matheus Adriano Divino Pereira (Author), Luis Henrique Arroyo (Author), Maria Del Pilar Serrano Gallardo (Author), Ricardo Alexandre Arcêncio (Author), Josianne Dias Gusmão (Author), Gabriela Gonçalves Amaral (Author), Valéria Conceição de Oliveira (Author), Eliete Albano de Azevedo Guimarães (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2023-09-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

ABSTRACT Objective: to analyze vaccination coverage spatial distribution in children under one year old and the socioeconomic factors associated with meeting the recommended goals in Minas Gerais. Methods: an ecological study, carried out in 853 municipalities in the state. Pentavalent, poliomyelitis, meningococcal conjugate, yellow fever, rotavirus, and 10-valent pneumococcal conjugate vaccination coverage were analyzed. Scan statistics and multiple logistic regression were performed to identify spatial clusters and factors associated with meeting coverage goals. Results: spatial analysis revealed clusters with risk of low coverage for all vaccines. Number of families with per capita income of up to 1/2 wage, Minas Gerais Social Responsibility Index and percentage of the poor or extremely poor population were associated with meeting the established goals. Conclusions: the results are useful for designing interventions regarding the structuring of vaccination services and the implementation of actions to increase vaccination coverage in clusters with less propensity to vaccinate.

Item Description

1984-0446
10.1590/0034-7167-2022-0734