Banca de QUALIFICAÇÃO: ELIENE ROBERTA ALVES DOS SANTOS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : ELIENE ROBERTA ALVES DOS SANTOS
DATE: 27/03/2024
TIME: 16:00
LOCAL: https://meet.google.com/gak-cwua-ioy
TITLE:

VACCINE COVERAGE ACCORDING TO RACE OR SKIN COLOR IN CHILDREN BORN IN 2017-2018 IN NATAL, RIO GRANDE DO NORTE

KEY WORDS:

Vaccination coverage. Socioeconomic Disparities in Health. Access to Health Services. Health of Ethnic Minorities. Cross-sectional Studies.

PAGES: 73
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Introduction: Immunization represents a major advance in health technology as it is a low-cost intervention and contributes to reducing child morbidity and mortality. In Brazil, in recent years, vaccination coverage among children under 1 year of age has been lower than the targets recommended by the PNI. Race or skin color is a marker of social inequalities and is considered an important predictor of the health of a population. Objective: To analyze vaccination coverage up to 24 months of age according to race or skin color in children born in 2017-2018 in the city of Natal/RN. Methods: Quantitative, retrospective cohort research, whose data used in the study came from the vaccination coverage survey carried out in the city of Natal/RN, based on a multicentric survey, covering the 26 Brazilian capitals plus the Federal District, carried out by the Centro de Studies Augusto Leolpoldo Ayrosa Galvão (CEALAG). The population was made up of live births in 2017 and 2018, residing in the urban area of Natal/RN. The sample size was defined based on the calculations adopted by the WHO for vaccination coverage surveys, using the parameters of 95% confidence, an expected vaccination coverage of 70% and a design effect of 1.4. The collection took place digitally based on the identification of the family and the child and the questionnaire was applied based on the information in the child's vaccination booklet. The data were analyzed using Poisson regression. Results: Children with dark skin (black and brown) are mostly from a low level of C-D family consumption (80.44%) and are children of mothers with low education (24.58%). Among black children, there is less confidence in vaccines (95.09%) and less belief that vaccines are important for the child's health (97.01%), characterizing greater vaccine hesitancy. There was lower vaccination coverage among black children for timely doses of vaccines that should be taken after the first year of life, as well as complete coverage without yellow fever (RP=0.21; 95% CI 0.04-0.90) . Conclusion: Children with black skin were at greater risk of not completing vaccinations in the first year of life. The black population is socially vulnerable and these inequalities can be explained by the structural racism that manifests itself in the health field, linked to the racial or ethnic characteristics of a group.

COMMITTEE MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Externa ao Programa - 4113406 - HELLYDA DE SOUZA BEZERRA - UFRNExterna à Instituição - TALITA ARAUJO DE SOUZA - SESAP