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巴西两岁以下儿童的疫苗接种覆盖率和遗弃率:一项时间序列研究
Rossana Marchese Bittencourt Enore1, Bruna Hinnah Borges Martins de Freitas1, Ronaldo Antonio da Silva1
1Universidade Federal do Mato Grosso, Cuiabá, MT, Brazil.
概括
巴西儿童疫苗接种覆盖率在2015年至2021年期间大幅下降. 这一趋势,以及某些疫苗的放弃率不断上升,凸显了儿童免疫计划面临的重大公共卫生挑战.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 免疫接种计划 免疫接种计划
背景情况:
- 儿童疫苗接种对于预防疾病至关重要.
- 监测疫苗接种覆盖率和放弃率对于公共卫生至关重要.
- 巴西在维持高疫苗接种率方面面临着挑战.
研究的目的:
- 分析疫苗接种覆盖率的趋势.
- 为了评估疫苗接种放弃率.
- 检查2015年至2021年巴西两岁以下儿童的数据.
主要方法:
- 时间序列生态研究设计.
- 从国家免疫计划 (2015-2021) 信息系统中提取的数据.
- 用于趋势分析的Prais-Winsten技术.
主要成果:
- 平均接种疫苗覆盖率为76.96%,有下降趋势 (APC=-5.12%).
- 覆盖率从2015年的88.85%下降到2021年的62.35%.
- 整体放弃率从2015年的24.00%下降到2021年的9.01%.
结论:
- 疫苗接种覆盖率显示了巴西大多数疫苗的停滞或下降趋势.
- 例外的是南/东南地区的黄热病疫苗.
- 在特定地区,脑膜炎球菌C和BCG疫苗的放弃率增加.
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