Keywords
Vaccine hesitancy
Primary health care
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To evaluate parents’ behaviors and attitudes regarding childhood vaccination. Methods: This is a descriptive cross-sectional study, conducted with 200 parents of children aged 0 to 11 years old, registered in family health units. Users completed a questionnaire about childhood vaccinations. The data were subjected to descriptive statistical analysis. Results: The sample, with a mean age of 31.7 ± 7.8 years, had a female majority (95%), where 44% had primary education and 46% secondary education. The majority of families (64.5%) with income below the minimum wage. Parents believed that it would be better for their children to receive fewer doses of vaccines at a time (44%), and 31% parents were concerned about adverse events following vaccination. Parents reported having delayed vaccinating their children (28%), and 12% failed to vaccinate their children. The majority (85.6%) of parents believed it was important to follow the vaccination schedule and declared their intention to vaccinate their children in the future (95%), in addition, 95% trusted the vaccination information received from health professionals. Conclusion: Delaying and failing to vaccinate children are common behaviors. Parents have paradoxical attitudes regarding their children's vaccines, although they are concerned about the effectiveness and safety of vaccines, they mentioned their intention to vaccinate their children.
References
ARAÚJO BO, et al. Educação permanente em saúde na Estratégia Saúde da Família: construção de saberes e práticas em busca da resolubilidade. Rev. Saúde Col. UEFS. 2022; 12(1).
BARBIERI CLA e COUTO MT. Decision-making on childhood vaccination by highly educated parents. Rev Saude Pública 2015; 49: 18.
BRASIL. Conselho Nacional de Secretaria de Saúde. A queda na Imunização no Brasil. Ver. Consensus/Saúde em Foco. 2017;25. Disponível em: https ://conass.org.br. Acesso em: 03 de novembro de 2024.
BRASIL. Conselho Nacional do Ministério Público. 2024. Disponível em: https ://www.cnmp.mp.b r/portal/institucional/comissoes/comissaodasaude/pactonacionalpelaconsciencia-vacinal/estudo-sobre-a-consciencia-vacinal-no-brasil. Acessado em: 03 de novembro de 2024.
BRASIL. Ministério da Saúde. DATASUS Tecnologia de Informação a Serviço do SUS. 2023. Disponível em: < http ://tabnet.datasus.gov.br/cgi/dhdat.exe?bd_pni/cpnibr.def>. Acesso em: 02 de novembro de 2024.
CÉSARE N, et al. Longitudinal profiling of the vaccination coverage in Brazil reveals a recent change in the patterns hallmarked by differential reduction across regions. International Journal of Infectious Diseases. 2020; 98: 275-280.
DOMINGUES CM, et al. 46 anos do Programa Nacional de Imunizações: uma história repleta de conquistas e desafios a serem superados. Cad. Saúde Pública, 2020; 36: 1-17.
DUBÉ E, et al. Underlying factors impacting vaccine hesitancy in high income countries: a review of qualitative studies. Expert Rev Vaccines. 2018; 17(11): 989–1004.
GJINI E, et al. Parents' and caregivers' role toward childhood vaccination in Albania: assessment of predictors of vaccine hesitancy. Ann Ig. 2023; 35(1): 75-83.
GOLDSTEIN S, et al. Health communication and vaccine hesitancy. Vaccine, 2015; 33(34): 4212-14.
GUALANO MR, et al. Attitude and beliefs towards compulsory vaccination: a systematic review. Hum Vaccin Immunother. 2019; 15(4): 918-31.
HENRIKSON NB, et al. Longitudinal trends in vaccine hesitancy in a cohort of mothers surveyed in Washington State, 2013– 2015. Public Health Reports. 2017; 132(4): 451- 54.
HUSSAIN A, et al. The Anti-vaccination Movement: A Regression in Modern Medicine. Cureus. 2018; 10(7): 2919.
LARSON HJ, et al. The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey. EBioMedicine. 2016; 12: 295-30.
LARSON HJ, et al. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012. Vaccine. 2014; 32(19): 2150–2159.
LIMA MMO, et al. Parents’ or legal guardians’ beliefs and attitudes about childhood vaccination: a scoping review. Rev Bras Enferm. 2024; 77(4): 20240126.
LOKE AY, et al. The uptake of human papillomavirus vaccination and its associated factors among adolescents: a systematic review. J Prim Care Community Health. 2017; 8: 349-62.
MACDONALD NE e SAGE. Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015; 33(34): 4161-4.
MARSHALL S, et al. Parent attitudes about childhood vaccines: point prevalence survey of vaccine hesitancy in an Irish population. Pharmacy. 2021; 9(4).
MARVILA GÉ, et al. Associated factors with vaccine hesitancy in mothers of children up to two years old in a Brazilian city. PLOS Glob Public Health. 2023; 3(6): 2026.
MAYEROVÁ D e ABBAS K. Oportunidade de imunização infantil e confiança na vacina por fonte de informações de saúde, características maternas, socioeconômicas e geográficas na Albânia. 9 BMC Saude Pública. 2021; 21(1): 1724.
NOUR RA. Systematic Review of Methods to Improve Attitudes Towards Childhood Vaccinations. Cureus. 2019; 11(7): 5067.
OLIVEIRA IO, et al. Anti- vaccination movements in the world and in Brazil. Revista da Sociedade Brasileira de Medicina Tropical. 2022; 55.
OMS. Organização Mundial da Saúde. Agenda de Imunização 2030; 2021.
PIVETTI M, et al. Vaccines and autism: a preliminary qualitative study on the beliefs of concerned mothers in Italy. Int J Qualit Stud Health Wellbeing. 2020; 15(1): 1754086.
SANTOS JÚNIOR CJ e COSTA PJ. Adaptação transcultural e validação para o português (Brasil) do Parent Attitudes About Childhood Vaccine (PACV). Ciênc. saúde coletiva. 2022; 27(5): 2057-70.
SANTOS JÚNIOR CJ, et al. Hesitação vacinal e a ‘pandemia’ dos não vacinados: o que fazer para enfrentar a nova “Revolta da vacina”? Medicina. 2022; 55(1).
SATO APS. What is the importance of vaccine hesitancy in the drop of vaccination coverage in Brazil? Rev. Saúde Pública. 2018; 52: 1-9.
SBP. Sociedade Brasileira de Pediatria. Os desafios das coberturas vacinais e o fenômeno da hesitação. Departamento Científico de Imunizações (Gestão 2022-2024). 2024. Disponível em: https ://www.sbp.com.br. Acesso em: 15 de novembro de 2024.
SILVEIRA MF, et al. The emergence of vaccine hesitancy among upper-class Brazilians: Results from four birth cohorts, 1982-2015. Vaccine. 2020 Jan 16; 38(3): 482-488.
WEINBERG GA e SZILAGYI PG. Vaccine epidemiology: efficacy, effectiveness, and the translational research roadmap. J Infect Dis. 2010; 201: 1607-10.
WHO. World Health Organization. Ten threats to global health in 2019. 2019 [cited Jul 2020]. Available from: https ://www.who.int/. Acesso em: 10 de novembro 2024.
YAKUB O, et al. Attitudes to vaccination: a critical review. Social Scienci e Medicine. 2014; 112: 1- 11.
ZORZETTO R. As razões da queda na vacinação. Pesqui. Fapesp. 2018; (270):19-24.