0219/2021 - Vacinação para influenza em idosos na pandemia COVID-19: estudo de base populacional em 133 cidades brasileiras Influenza vaccination in the elderly during the COVID-19 pandemic: A population-based study in 133 Brazilian cities
Imunizações de rotina durante pandemias podem ser prejudicadas; este estudo estimou a cobertura vacinal para influenza em idosos durante a COVID-19 através do EPICOVID-19, inquérito populacional realizado em 133 cidades sentinela dos 26 estados brasileiros e Distrito Federal. Selecionou-se 25 setores censitários por cidade, amostragem proporcional ao tamanho, 10 domicílios por setor e uma pessoa por domicílio, aleatoriamente; 8.265 idosos (? 60 anos) foram entrevistados e responderam se haviam sido vacinados contra gripe em 2020. A cobertura foi 82,3% (IC95% 80,1; 84,2), sem diferenças por sexo, idade ou região; maiores coberturas ocorreram nos mais ricos (84,7% versus 80,1% nos mais pobres) e nos mais escolarizados (87,3% versus 83,2% nos menos escolarizados); menor cobertura nos indígenas (56,9% versus coberturas superiores a 80% nos demais grupos étnicos). Houve associação positiva com número de comorbidades entre homens, mas não entre mulheres. A maioria vacinou-se na rede pública (97,5%), sendo a rede privada mais utilizada na região Sul, pelos mais escolarizados e mais ricos. Conclui-se que a cobertura vacinal ficou sete pontos percentuais abaixo da meta governamental (90%), e que desigualdades devem ser revertidas em futuras campanhas.
Palavras-chave:
cobertura vacinal, vírus da influenza, idosos, infecções por coronavírus
Abstract:
Routine immunizations during pandemics can be harmed; this study estimated the influenza vaccination coverage in the elderly during the COVID-19 through the EPICOVID-19, a population study conducted in 133 citiesthe 26 Brazilian states and Federal District. We ed 25 census tracts with probability proportional to the size of the tract, 10 households by census tracts and one random person interviewed; 8,262 elderly (≥60 years old) were interviewed and asked whether they had had a flu vaccine in 2020. Vaccination coverage was 82.3% (CI95%=80.1; 84.2) with no difference by sex, age, and region; higher vaccination coverage was observed in the richest (84.7% versus 80.1% in the poorest), and among those with higher schooling (87.3% versus 83.2% less schooling); lower coverage among indigenous (56.9% versus > 80% among other ethnic groups). Positive association existed with number of comorbidities for men, but not for women. Most of those vaccinated (97.5%) received the vaccine in the public health system. The private was chosen mostly in the South region, by the rich and by those with more schooling. Vaccination coverage was seven percentage points lower than the government target (90%), and inequalities should be reverted in future campaigns.
Influenza vaccination in the elderly during the COVID-19 pandemic: A population-based study in 133 Brazilian cities
Resumo (abstract):
Routine immunizations during pandemics can be harmed; this study estimated the influenza vaccination coverage in the elderly during the COVID-19 through the EPICOVID-19, a population study conducted in 133 citiesthe 26 Brazilian states and Federal District. We ed 25 census tracts with probability proportional to the size of the tract, 10 households by census tracts and one random person interviewed; 8,262 elderly (≥60 years old) were interviewed and asked whether they had had a flu vaccine in 2020. Vaccination coverage was 82.3% (CI95%=80.1; 84.2) with no difference by sex, age, and region; higher vaccination coverage was observed in the richest (84.7% versus 80.1% in the poorest), and among those with higher schooling (87.3% versus 83.2% less schooling); lower coverage among indigenous (56.9% versus > 80% among other ethnic groups). Positive association existed with number of comorbidities for men, but not for women. Most of those vaccinated (97.5%) received the vaccine in the public health system. The private was chosen mostly in the South region, by the rich and by those with more schooling. Vaccination coverage was seven percentage points lower than the government target (90%), and inequalities should be reverted in future campaigns.
Menezes, A.M.B, Hallal, P.C, Silveira, M.F, Wehrmeister, F. C., Horta, B. L., Barros, A. J. D. de, Hartwig, F. P., Oliveira, P. D., Vidaletti, L. P., Mesenburg, M. A., Jacques N, Barros, F. C., Victora, C. G.. Vacinação para influenza em idosos na pandemia COVID-19: estudo de base populacional em 133 cidades brasileiras. Cien Saude Colet [periódico na internet] (2021/jun). [Citado em 27/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/vacinacao-para-influenza-em-idosos-na-pandemia-covid19-estudo-de-base-populacional-em-133-cidades-brasileiras/18118?id=18118
