Risk factors for incomplete vaccination in children less than 18 months of age attending the nurseries of day-care centres in Sao Paulo, Brazil

Author(s)

Konstantyner, Tulio ^[1] ; de Aguiar Carrazedo Taddei, Jose Augusto ^[1] ; Rodrigues, Laura Cunha ^[2]

Affiliation

^[1] Univ Fed Sao Paulo, BR-04040032 Sao Paulo - Brazil

^[2] Univ London London Sch Hyg & Trop Med, London WC1E 7HT - England

• Document type: Journal article
• Source: Vaccine; v. 29, n. 50, p. 9298-9302, NOV 21 2011.
• Web of Science Citations: 9

Abstract

To estimate the proportion of children in day-care centres with incomplete vaccination and to identify associated risk factors, we conducted a cross-sectional study among 258 children less than 18 months of age attending public and philanthropic day-care centres in the city of Sao Paulo, Brazil. Interviews, blood collection and anthropometry were performed. Unconditional logistic regression was adjusted for incomplete vaccination risk factors. 10.9% of children had incomplete vaccination. Children who were born prematurely (OR = 4.27; p = 0.004), or were malnourished (OR = 4.99; p = 0.049), or lived in inadequate housing (OR = 2.88; p = 0.039), or whose mothers had had poor prenatal care (OR = 4.98; p = 0.040) were more likely to have incomplete vaccination. Opportunities are being missed to identify children with incomplete vaccination; strategies to enhance vaccination coverage should pay special attention to the needs of families living in inadequate housing; and health promotion actions in primary health facilities and day-care centres should be performed as concomitant activities. (C) 2011 Elsevier Ltd. All rights reserved. (AU)

• FAPESP's process: 06/02597-0 - Impact of training for public/philanthropic day care center educators on hygienic-dietetic practices and on health/nutrition of infants
• Grantee: Jose Augusto de Aguiar Carrazedo Taddei
• Support Opportunities: Regular Research Grants