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

• Main Authors: Antonio Fernando Boing (Author), Alexandra Crispim Boing (Author), Ana Paula França (Author), José Cássio de Moraes (Author), Adriana Ilha da Silva (Author), Alberto Novaes Ramos Jr (Author), Andrea de Nazaré Marvão Oliveira (Author), Carla Magda Allan Santos Domingues (Author), Consuelo Silva de Oliveira (Author), Ethel Leonor Noia Maciel (Author), Ione Aquemi Guibu (Author), Isabelle Ribeiro Barbosa Mirabal (Author), Jaqueline Caracas Barbosa (Author), Jaqueline Costa Lima (Author), Karin Regina Luhm (Author), Karlla Antonieta Amorim Caetano (Author), Luisa Helena de Oliveira Lima (Author), Maria Bernadete de Cerqueira Antunes (Author), Maria da Gloria Teixeira (Author), Maria Denise de Castro Teixeira (Author), Maria Fernanda de Sousa Oliveira Borges (Author), Rejane Christine de Sousa Queiroz (Author), Ricardo Queiroz Gurgel (Author), Rita Barradas Barata (Author), Roberta Nogueira Calandrini de Azevedo (Author), Sandra Maria do Valle Leone de Oliveira (Author), Sheila Araújo Teles (Author), Silvana Granado Nogueira da Gama (Author), Sotero Serrate Mengue (Author), Taynãna César Simões (Author), Valdir Nascimento (Author), Wildo Navegantes de Araújo (Author)
• Format: Book
• Published: Ministério da Saúde do Brasil, 2024-08-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

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.

Item Description

2237-9622
10.1590/s2237-96222024v33e20231216.especial2.en