AI Article Synopsis
- The study examines polio vaccination coverage in 35 municipalities of Vale do Paraíba, São Paulo, comparing data from 2015 and 2019.
- The average vaccination coverage decreased from 107.7% in 2015 to 94.2% in 2019, with a significant increase in municipalities categorized as having low coverage.
- There was a reduction in the number of factors that correlated spatially with vaccination rates, indicating a worsening trend in polio vaccination across the region.
Article Abstract
Objective: To analyze vaccination coverage (VC) for polio in the municipalities of Vale do Paraíba in the State of São Paulo.
Methods: This is an ecological and exploratory study of VC in 35 municipalities using a spatial approach; VC data were obtained from the IT Department of the Unified Health System (DATASUS), for the years 2015 and 2019, and categorized into Low (VC<95%) and ideal (≥95%). Information was obtained on gross domestic product (GDP), professional rates and number of basic health units (UBS) and maternal data such as age, marital status (MS) and education. Univariate and bivariate Moran indices were estimated for the years 2015 and 2019, and thematic maps were created for CV values.
Results: The average VC values were 107.7%±27.2 in 2015, and 94.2%±27.8 in 2019 (p<0.05). In 2015 vs. 2019, there were 10 vs. 25 municipalities in the Low category. In 2015, the variables VC, number of UBS, age, education, and MS were spatially correlated, but in 2019 only maternal age and education were spatially correlated. The bivariate Moran was significant and negative for VC in 2019 with maternal education. There was an increase in municipalities with worsening VC values.
Conclusions: The spatial approach identified a decrease in polio vaccination coverage in the studied region.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251449 | PMC |
| http://dx.doi.org/10.1590/1984-0462/2024/42/2023137 | DOI Listing |
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