Spatial clusters and social inequities in Covid-19 vaccine coverage among children in Brazil

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2023, Volume and Issue: unknown

Published: April 28, 2023

Abstract This study examined the spatial distribution and social inequalities in COVID-19 vaccine coverage among children aged 5-11 Brazil. First second dose was calculated for all Brazilian municipalities analyzed by geographic region deciles based on human development index (HDI-M) expected years of schooling at 18 age. Multilevel models were used to determine variance partition coefficient, bivariate local Moran`s I statistic assess association. Results showed significant differences rates municipalities, with lower North Midwest regions. Municipalities HDI had consistently rates. Bivariate clustering analysis identified extensive concentrations Northern Northeastern regions low development, while some clusters Southeast South located areas high HDI-M. These findings highlight persistent municipal-level Brazil need targeted interventions improve access underserved areas.

Language: Английский

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Receipt of COVID-19 vaccine in preterm-born children aged 3-7 in China

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: July 20, 2023

Objectives To determine the COVID-19 vaccination rate in preterm-born children aged 3–7 China and influential factors, identify vaccination-related adverse reactions, clarify reasons behind parental refusal of to their children. Methods This cross-sectional study was conducted parents different regions through WeChat. Results Of 1,924 Chinese included this study, 1,552 (80.7%) had been vaccinated against COVID-19, with a higher eastern China. Children older than 4 years, kids kindergartens primary schools, living or western China, whose fathers received at least one dose vaccine tended be after adjusting for other covariates. Conversely, urban areas, annual family income < 50,000 CNY more 300,000 CNY, premature who underwent hospital transfers, underlying diseases were less likely get vaccinated. Adverse reactions occurred 59/1,552 (3.8%) Parents 118/372 (31.7%) expressed concerns over vaccination. Other like absence information about place where they could mentioned as well. Conclusions rarely most them mild among 3–7. Higher coverage can achieved are provided scientific data benefits vaccination, contraindications precautions, sites.

Language: Английский

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Factors Associated with Receipt and Parental Intent for COVID-19 Vaccination of Children Ages 5–11 years

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2022, Volume and Issue: unknown

Published: June 27, 2022

ABSTRACT Background and Objectives COVID-19 vaccine was first recommended for children ages 5–11 years on November 2, 2021. This report describes vaccination coverage parental intent to vaccinate their child years, overall, by sociodemographic characteristics, social behavioral drivers of vaccination, the fourth month after recommendation. Methods We analyzed data from 5,438 interviews conducted in February 2022 National Immunization Survey-Child COVID Module (NIS-CCM), a national random-digit-dial cellular telephone survey households with children. Results 30.9% were vaccinated ≥1 dose vaccine, 35.2% unvaccinated parent reported they probably or definitely would get unsure, 33.9% not vaccinated. Vaccination differed variables, including income, health insurance status, rurality. Parental also ethnicity race. Concern about getting confidence importance safety positively associated receipt Conclusions By program less than one-third vaccinated, lower some subgroups. An additional had who open vaccinating child. Efforts address concerns regarding convey might improve coverage.

Language: Английский

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Immigrant Status and Hesitancy Toward the Use of Covid-19 Vaccines and Drug Treatments Developed for Children

Population Research and Policy Review, Journal Year: 2024, Volume and Issue: 43(1)

Published: Jan. 31, 2024

Language: Английский

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Association of social vulnerability index and masking adherence among children enrolled in COVID-19 community research partnership study

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 8, 2024

Abstract Background Individuals with high social vulnerability index (SVI) have poorer outcomes COVID-19. Masking reduces transmission of COVID-19 among children, but how SVI plays a role in masking behavior is unknown. We aimed to measure the association adherence children during pandemic. Methods conducted multi-site, prospective syndromic surveillance study aged 2 – 17 years Southeastern United States by daily electronic surveys which solicited symptoms COVID-19-like illness, infection or exposure SARS-CoV-2, habits, and any receipt vaccines. Parents/guardians submitted for their children; adolescents 13 older could opt submit own surveys. Multivariable univariate linear models were used associations different predictors such as adherence. Results One thousand four hundred sixty-one from 6 states 55 counties predominately North South Carolina included analysis. Most cohort 5 11 old, non-Hispanic White, urban counties, low-moderate SVI. Overall decreased over time, had higher throughout period compared younger children. Children who resided greater than those suburban rural counties. was both low medium Conclusions Despite being at risk more severe COVID-19, lower levels Our findings highlight opportunities improved targeted messaging these vulnerable communities.

Language: Английский

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