ArticleInternational journal for equity in health2014
Socioeconomic inequalities are still a barrier to full child vaccine coverage in the Brazilian Amazon: a cross-sectional study in Assis Brasil, Acre, Brazil.
Article in International journal for equity in health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Rotavirus vaccine coverage, completion, and compliance: A systematic literature review.Human vaccines & immunotherapeutics · 2025Pooled it
- Vaccine equity in low and middle income countries: a systematic review and meta-analysis.International journal for equity in health · 2022Pooled it
- The global effect of maternal education on complete childhood vaccination: a systematic review and meta-analysis.BMC infectious diseases · 2017Pooled it
- Socioeconomic inequality in second-dose measles vaccination dropout among children aged 15-35 months in East Africa: A decomposition analysis of a recent Demographic Health Survey.Human vaccines & immunotherapeutics · 2026Article
- Effectiveness and feasibility of vaccination interventions for Indigenous and hard-to-reach populations in Latin America and the Caribbean: a systematic review and meta-analysis.Therapeutic advances in vaccines and immunotherapy · 2026Review
- Decomposition of socioeconomic inequalities in zero-dose children aged 12-23 months in India.Scientific reports · 2025Article
- Access to Vaccines in Floodplains and Hard-to-Reach Areas of the Brazilian Amazon: The Contribution of Street-Level Bureaucrats and the Use of Social Technologies.International journal of environmental research and public health · 2025Article
- Social inequalities and full vaccination coverage at 24 months - 2017-2018 live birth cohort: National Vaccination Coverage Survey, 2020.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Article
- Decomposition Analysis of Socioeconomic Inequalities in Vaccination Dropout in Remote and Underserved Settings in Ethiopia.The American journal of tropical medicine and hygiene · 2024Article
- Vaccination coverage, barriers and vaccine hesitancy in children up to 24 months old: a population survey in a state capital in the Western Amazon.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2024Article
- High coverage and timeliness of vaccination of children under 6 years of age in Risaralda, Colombia.Human vaccines & immunotherapeutics · 2023Article
- Studies on the Child Handbook in Brazil: a scoping review.Revista de saude publica · 2023Article
- Municipality-level measles, mumps, and rubella (MMR) vaccine coverage and deprivation in Brazil: A nationwide ecological study, 2006 to 2020.PLOS global public health · 2023Article
- National Vaccine Coverage Survey 2020: methods and operational aspects.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Leaving No Child Behind: Decomposing Socioeconomic Inequalities in Child Health for India and South Africa.International journal of environmental research and public health · 2021Article
- Do socioeconomic factors driveOne health (Amsterdam, Netherlands) · 2020Article
- Vaccination against Hepatitis B: A Scoping Review.Asian Pacific journal of cancer prevention : APJCP · 2020Article
- Article
- Vaccine coverage within the first year of life and associated factors with incomplete immunization in a Brazilian birth cohort.Archives of public health = Archives belges de sante publique · 2020Article
- Bolsa Família program and incomplete childhood vaccination in two Brazilian cohorts.Revista de saude publica · 2020Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVaccines are very important to reduce morbidity and mortality by preventable infectious diseases, especially during childhood. Optimal coverage is not always achieved, for several reasons. Here we assessed vaccine coverage for the first 12 months of age in children between 12 and 59 months old, residing in the urban area of a small Amazonian city, and factors associated with incomplete vaccination.
methodsA census was performed in the urban area of Assis Brasil, in the Brazilian Amazon, in January 2010, with mothers of 282 children aged 12 to 59 months old, using structured interviews and data from vaccination cards. Mixed logistic regression was used to determine factors associated with incomplete vaccination schemes.
resultsOnly 82.6% of all children had a completed the basic vaccine scheme for the first year of life. Vaccine coverage ranged from 52.7% coverage (oral rotavirus vaccine) to 99.7% coverage (for Bacille Calmette-Guérin). The major deficiencies occurred in doses administered after the first six months of life. Incomplete vaccination was associated with not having enough income to buy a house (aOR = 2.12, 95% CI 1.06-4.21), low maternal schooling (aOR = 2.60, 95% CI 1.28 - 5.29) , and time of residence of the child in the urban area of the city (aOR = 0.73, 95% CI 0.55 - 0.95).
conclusionsThis study showed that vaccine coverage in the first twelve months of life in Assis Brasil is similar to other areas in the Amazon and it is below the coverage postulated by the Brazilian Ministry of Health. Low vaccine coverage was associated with socioeconomic inequities that still prevail in the Brazilian Amazon. Short and long-term strategies must be taken to update child vaccines and increase vaccine coverage in the Amazon.
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