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

Autor(es)

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

Afiliação do(s) autor(es)

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

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

• Tipo de documento: Artigo Científico
• Fonte: Vaccine; v. 29, n. 50, p. 9298-9302, NOV 21 2011.
• Citações Web of Science: 9

Resumo

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)

• Processo FAPESP: 06/02597-0 - Impacto do treinamento de educadoras de creches públicas/filantrópicas nas práticas higiênico-dietéticas e na saúde/nutrição dos lactentes
• Beneficiário: Jose Augusto de Aguiar Carrazedo Taddei
• Modalidade de apoio: Auxílio à Pesquisa - Regular