Evidence map›Paper›PMID 41408843›Full record

ArticleInternational journal of epidemiology2026

Coverage and inequalities in COVID-19 and influenza vaccination in Brazil: a nationwide cross-sectional survey.

Mariangela F Silveira, Otávio Leão, Julio Croda, Eder Gatti, Ethel Maciel, Nisia T Lima, Fernando Vinholes Siqueira, Pedro C Hallal, Cesar G Victora

Abstract read
In one paragraph

Article in International journal of epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. COVID-19: lessons from Brazil.International journal of epidemiology · 2026
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mariangela F SilveiraPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Otávio LeãoDepartment of Health and Kinesiology, College of Applied Health Sciences, University of Illinois Urbana Champaign, Champaign, IL, United States.
Julio CrodaSchool of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Eder GattiMinistry of Health of Brazil, Secretariat of Health and Environmental Surveillance, Brasília-Federal District, Brazil.
Ethel MacielNursing Department, Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brazil.
Nisia T LimaCasa de Oswaldo Cruz/Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Fernando Vinholes SiqueiraPost-Graduate Program in Physical Education, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Pedro C HallalDepartment of Health and Kinesiology, College of Applied Health Sciences, University of Illinois Urbana Champaign, Champaign, IL, United States.
Cesar G VictoraPost-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID 0000-0002-2465-2180

Funding

Brazilian Ministry of Health 25/2023
6 · The paper itself

Abstract

This nationwide cross-sectional survey in Brazil investigated COVID-19 and influenza vaccination coverage and inequalities. Data from 33 250 interviews conducted between March and June 2024 in 133 sentinel cities revealed high overall coverage: 90.2% for at least one dose of COVID-19 vaccine and 82.6% for influenza. However, significant disparities emerged. COVID-19 vaccination coverage increased with age, was higher among women and Whites, and strongly associated with higher education levels and wealth. Influenza vaccine coverage showed a U-shaped pattern by age and was lower among evangelicals compared with Catholics. Geographic variations were observed, with the Southeast region exhibiting the highest coverage and the North and Center-West the lowest. Co-coverage analysis indicated that 76.7% of participants received both vaccines. Reasons for non-vaccination included lack of belief in vaccine efficacy, concerns about side effects, and lack of access to healthcare. The findings highlight the need for targeted public health interventions to address vaccine hesitancy and inequalities in access, particularly focusing on specific subgroups such as evangelicals, Indigenous populations, and individuals with lower socioeconomic status.

Indexed as

COVID-19COVID-19 VaccinesHealthcare DisparitiesInfluenza, HumanInfluenza VaccinesVaccinationVaccination CoverageAdolescentAdultAgedBrazilCross-Sectional StudiesFemaleHumansMaleMiddle AgedCOVID-19 VaccinesInfluenza VaccinesBrazilCOVID-19 vaccinescross-sectional surveyinfluenza vaccinesvaccination coveragevaccination hesitancy

Identifiers

PMID41408843
PMCPMC12712384

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.