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Title: Risk factors for incomplete vaccination in children less than 18 months of age attending the nurseries of day-care centres in São Paulo, Brazil
Authors: Konstantyner, Tulio [UNIFESP]
Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]
Rodrigues, Laura Cunha
Universidade Federal de São Paulo (UNIFESP)
Univ London London Sch Hyg & Trop Med
Keywords: Risk factors
Day-care centres
Vaccine coverage
Health services accessibility
Issue Date: 21-Nov-2011
Publisher: Elsevier B.V.
Citation: Vaccine. Oxford: Elsevier B.V., v. 29, n. 50, p. 9298-9302, 2011.
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 São 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 B.V. All rights reserved.
ISSN: 0264-410X
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