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Analysis of vaccination status of preschool children in Teresina (PI), Brazil
Ana Catharina Nunes Fernandes1, Keila Rejane Oliveira Gomes1, Telma Maria Evangelista de Araújo1
1Universidade Federal do Piauí, Teresina, PI, Brazil.
Insights
Childhood immunization delays and non-vaccination affect 24.9% of preschoolers. Young caregivers and infrequent childcare visits are linked to these delays, highlighting the need for stronger primary healthcare support.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Immunization is a key strategy for reducing child mortality.
- Despite its importance, vaccination delays and non-vaccination are increasing concerns.
- This study addresses the critical issue of childhood immunization status.
Purpose of the Study:
- To analyze the immunization status of preschool children in Teresina, Piauí.
- To identify factors associated with delayed or missed vaccinations in this population.
Main Methods:
- A cross-sectional study was conducted with 542 children aged 2-6 years.
- Data were collected via forms and vaccination card scanning.
- Statistical analyses included descriptive statistics, Pearson's χ2 Test, Fisher's Exact Test, and multiple logistic regression.
Main Results:
- The frequency of delayed vaccination or non-vaccination was 24.9%.
- Young caregivers (under 24 years) and low frequency of childcare consultations were significantly associated with vaccination delays (p < 0.05).
- No association was found with the child's experience in the vaccination room or the Family Health Strategy implementation.
Conclusions:
- Strengthening primary healthcare is crucial to reduce vaccination delays and non-vaccination.
- Healthcare professionals should actively guide and encourage parents/caregivers to adhere to vaccination schedules.
- Addressing caregiver-related factors is essential for improving childhood immunization coverage.
Introduction:
Immunization is a priority action of the Ministry of Health for contributing to reducing child mortality; however, studies show increased vaccination delays and non-vaccination.
Objective:
This study aims to analyze the immunization status of preschool children in Teresina - PI.
Methods:
Cross-sectional study involving 542 children, aged 2-6 years, enrolled in local public schools in four Municipal Childhood Education Centers selected at random, following the proportional division by regions of the city. Data were collected through a pre-coded and pre-tested form, in addition to scanning the children's vaccination card. For univariate descriptive statistical analysis, Pearson's χ2 Test and Fisher's Exact Test were used, and for multivariate analysis, multiple logistic regression was conducted using SPSS version 17.0. The study complied with the ethical aspects in accordance with current legislation.
Results:
The frequency of delayed vaccination/non-vaccination was 24.9%. The average of non-administered vaccines was 1.7 (SD ± 1.2) and of delayed vaccines was 3.3 (SD ± 1.6). The binomial logistic regression model showed a significant association (p < 0.05) between young caregivers (under 24 years) and low frequency in childcare consultations with delayed vaccination/non-vaccination. There was no association with the variables related to the experience of children in the vaccination room and with the implementation of the Family Health Strategy.
Conclusion:
Ensuring and strengthening primary healthcare actions are essential tools to reduce non-vaccination and vaccine delays. Professionals who care for children in vaccination rooms need to sensitize themselves to guide and encourage parents/caregivers to meet the vaccination schedules without delays or errors.
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