Vaccination against human papillomavirus in Brazilian schoolchildren: National Survey of School Health, 2019

Silva, Isabella de Alcântara Gomes; Sá, Ana Carolina Micheletti Gomide Nogueira de; Prates, Elton Junio Sady; Malta, Deborah Carvalho; Matozinhos, Fernanda Penido; Silva, Tércia Moreira Ribeiro da

doi:10.1590/1518-8345.6296.3834

Isabella de Alcântara Gomes Silva

Obtaining data

Data analysis and interpretation

Drafting the manuscript

Critical review

Approval the final version

Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0003-4727-6664

Ana Carolina Micheletti Gomide Nogueira de Sá

Study concept and design

Obtaining data

Data analysis and interpretation

Statistical analysis

Drafting the manuscript

Critical review

Approval the final version

Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0002-0122-2727

Elton Junio Sady Prates

Study concept and design

Obtaining data

Data analysis and interpretation

Statistical analysis

Drafting the manuscript

Critical review

Approval the final version

Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0002-5049-186X

Deborah Carvalho Malta

Obtaining data

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Drafting the manuscript

Critical review

Approval the final version

Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil

Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil

http://orcid.org/0000-0002-8214-5734

Fernanda Penido Matozinhos

Study concept and design

Obtaining data

Drafting the manuscript

Critical review

Approval the final version

Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0003-1368-4248

Tércia Moreira Ribeiro da Silva

Study concept and design

Obtaining data

Data analysis and interpretation

Statistical analysis

Drafting the manuscript

Critical review

Approval the final version

Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil

http://orcid.org/0000-0002-5261-2266

Corresponding author: Tércia Moreira Ribeiro da Silva - E-mail: tercialud@gmail.com

Conflict of interest:

the authors have declared that there is no conflict of interest.

Associate Editor: Ricardo Alexandre Arcêncio.

Administrative dependency and large regions		Indicators
		Did know they had to get immunized		Distance or difficulty to go to the unit or service		Fear of vaccine reaction		Did not know what it was for		Did not believe in the effect of the vaccine		Mother, father, or guardian did not want to vaccinate them		Other reason
		% (95%CI)	aPR (95%CI)	% (95%CI)	aPR (95%CI)	% (95%CI)	aPR (95%CI)	% (95%CI)	aPR (95%CI)	% (95%CI)	aPR (95%CI)	% (95%CI)	aPR (95%CI)	% (95%CI)	aPR (95%CI)
Public	Brazil	49.2 (47.6;50.9)	1.6 (1.5;1.7)*	4.2 (3.4;4.9)	1.7 (1.3;2.2)*	7.3 (6.4;8.3)	0.7 (06;0.9)*	3.8 (3.1;4.4)	1.2 (0.9;1.5)	3.2 (2.5;38)	0.8 (0.7;1.1)	5.5 (4.6;6.4)	0.4 (0.3;0.4)*	25.4 (24;26.8)	0.7 (0.7;0.8)*
	North	46.3 (41.7;50.9)	1.0 (0.9;1.0)	7.9 (4.6;11.2)	2.3 (1.6;3.2)*	5.7 (4.0;7.4)	0.8 (0.6;1.0)	2.8 (1.6;4.1)	0.7 (0.5;1.0)	2.8 (1.5;4.1)	0.9 (0.5;1.4)	4.6 (3.0;6.3)	0.8 (0.5;1.2)	27.9 (24.6;31.2)	1.1 (0.9;1.2)
	Northeast	54.6 (52.0;57.2)	1.2 (1.1;1.2)*	4.5 (3.5;5.6)	1.2 (0.9;1.5)	6.8 (5.4;8.3)	0.9 (0.7;1.1)	3.3 (2.5;4.1)	0.9 (0.7;1.3)	2.4 (1.6;3.2)	0.7 (0.5;1.1)	3.1 (2.3;3.9)	0.4 (0.3;0.6)*	24.1 (21.9;26.2)	0.9 (0.8;1.0)
	Southeast	47.2 (43.8;50.6)	0.9 (0.9;1.0)	3.1 (1.8;4.4)	0.7 (0.4;0.9)*	7.8 (5.8;9.9)	1.1 (0.9;1.4)	3.4 (2.0 ;4.8)	0.9 (0.6;1.4)	3.9 (2.4;5.4)	1.3 (0.9;2.0)	7.8 (5.4;10.3)	1.7 (1.3;2.3)*	25.2 (22.2;28.1)	1.0 (0.9;1.2)
	South	46.3 (42.2;50.4)	0.9 (0.8;1.0)	1.6 (0.5;2.7)	0.3 (0.2;0.6)*	9.7 (6.9;12.5)	1.2 (0.9;1.7)	5.8 (3.5;8.2)	1.3 (0.9;2.0)	3.5 (2.2;4.8)	1.0 (0.7;1.6)	5.5 (3.8;7.3)	1.4 (1.0;1.8)	26.9 (23.2;30.7)	1.1 (1.0;1.3)
	Midwest	45.5 (42.2;48.9)	0.9 (0.8;0.9)*	4.7 (3.3;6.1)	1.0 (0.8;1.4)	7.0 (5.1;8.9)	1.0 (0.8;1.3)	5.7 (4.2;7.1)	1.4 (1.1;1.8)*	3.5 (2.4;4.7)	1.2 (0.8;1.7)	6.7 (4.7;8.8)	1.3 (1.1;1.8)*	25.3 (22.6;27.9)	1.0 (0.9;1.1)
Private	Brazil	31.4 (29.6;33.2)	0.6 (0.6;0.7)*	2.6 (2.0;3.1)	0.6 (0.5;0.7)*	10.2 (8.8;11.6)	1.4 (1.1;1.6)*	3.1 (2.5;3.7)	0.9 (0.7;1.1)	3.4 (2.8;4.1)	1.2 (0.9;1.5)	14.0 (12.5;15.5)	2.5 (2.2;3.0)*	34.8 (33.1;36.5)	1.4 (1.3;1.5)*
	North	40.9 (36.5;45.3)	1.3 (1.2;1.4)*	3.2 (1.9;4.5)	1.2 (0.8;2.0)	6.1 (4.4;7.9)	0.6 (0.4;0.8)*	2.9 (1.6;4.2)	0.8 (0.5;1.2)	2.7 (1.0;4.3)	0.8 (0.5;1.5)	11.2 (8.6;13.7)	0.8 (0.7;1.0)	32.0 (28.9;35.2)	0.9 (0.8;1.1)
	Northeast	34.9 (32.8;37.0)	1.1 (1.1;1.2)*	3.2 (2.4;4)	1.6 (1.1;2.3)*	7.8 (6.7;8.9)	1.6 (1.1;2.3)*	3.0 (2.3;3.8)	0.9 (0.7;1.2)	2.1 (1.5;2.7)	0.6 (0.4;0.8)*	12.2 (10.8;13.7)	0.8 (0.7;0.9)*	36.4 (34.3;38.4)	1.0 (1.0;1.3)
	Southeast	29.6 (25.9;33.4)	0.9 (0.8;1.0)	2.7 (1.6;3.8)	0.9 (0.5;1.3)	13.1 (10.0;16.2)	1.6 (1.2;2.0)	3.1 (2;4.2)	1.2 (0.8;1.7)	3.1 (2.0;4.2)	0.9 (0.6;1.3)	14.1 (10.9;17.3)	1.0 (0.9;1.2)	33.8 (30.4;37.2)	0.9 (0.8;1.1)
	South	24.5 (21.2;27.8)	0.8 (0.7;0.9)*	0.9 (0.2;1.5)	0.3 (0.2;0.6)*	9.2 (7.0;11.5)	0.8 (0.6;1.0)	3.1 (1.8;4.4)	0.9 (0.6;1.4)	7.2 (4.9;9.5)	2.2 (1.6;3.1)*	17.8 (14.7;20.8)	1.3 (1.1;1.5)*	36.9 (33.4;40.4)	1.1 (1.0;1.2)
	Midwest	32.5 (29.5;35.5)	1.0 (0.9;1.0)	2.3 (1.4;3.2)	1.0 (0.7;1.4)	7.9 (6.3;9.5)	0.8 (0.6;0.9)*	3.4 (2.3;4.6)	1.0 (0.7;1.4)	4.4 (3.0;5.8)	1.3 (0.8;1.7)	15.3 (12.8;17.8)	1.1 (0.9;1.3)	33.8 (30.8;36.7)	1.0 (0.9;1.1)

Regions and federative units^*		Indicators
		Did not know they had to take	Distance or difficulty to go to the unit or service	Fear of vaccine reaction	Did not know what it was for	Did not believe in the effect of the vaccine	Mother, father, or guardian did not want to vaccinate them	Other reason
		% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
North		46.0 (41.7;50.3)	7.6 (4.5;10.7)	5.7 (4.2;7.3)	2.8 (1.6;4.0)	2.8 (1.6;4.0)	5.0 (3.5;6.6)	28.1 (25.1;31.2)
	Rondônia	49.7 (45.1;54.2)	3.1 (1.6;4.6)	8.4 (5.6;11.3)	3.6 (1.6;5.6)	1.0 (0.3;1.7)	5.0 (3.3;6.8)	27.4 (23.6;31.2)
	Acre	44.2 (39.8;48.5)	2.6 (1.1;4.1)	11.4 (8.9;13.9)	3.7 (2.0;5.4)	2.1 (0.7;3.5)	7.1 (4.8;9.4)	26.2 (22.4;30.0)
	Amazonas	49.5 (43.1;56)	5.7 (2.3;9.1)	4.8 (2.6;7)	3.7 (1.3;6.0)	3.0 (1.0;5.0)	4.2 (2.0;6.4)	29.1 (23.5;34.6)
	Roraima	49.4 (44.0;54.7)	5.6 (3.2;7.9)	5.9 (3.5;8.3)	4.9 (2.4;7.3)	3.2 (0.4;5.9)	5.9 (3.7;8.2)	23.7 (18.8;28.6)
	Pará	43.3 (35.9;50.7)	10.2 (4.9;15.6)	4.8 (2.0;7.7)	2.0 (0.0;3.9)	3.5 (1.3;5.6)	5.0 (2.4;7.7)	29.1 (23.7;34.6)
	Amapá	50.2 (45.2;55.1)	3.6 (2.0;5.2)	6.3 (4.1;8.5)	4.8 (3.1;6.4)	1.8 (0.8;2.8)	8.2 (5.6;10.8)	23.0 (19.4;26.6)
	Tocantins	50.7 (42.6;58.8)	4.7 (2.0;7.4)	6.7 (4.2;9.2)	3.5 (1.9;5.0)	0.6 (^†;1.4)	3.0 (1.5;4.5)	26.3 (20.6;32)
Northeast		52.2 (49.9;54.5)	4.4 (3.5;5.3)	6.9 (5.6;8.2)	3.3 (2.6;4.0)	2.3 (1.6;3.1)	4.2 (3.5;4.9)	25.5 (23.6;27.5)
	Maranhão	52.8 (46;59.5)	7.3 (4.4;10.3)	5.7 (3.6;7.8)	3.8 (1.6;6.0)	2.1 (0.3;3.9)	1.9 (0.9;2.8)	24.0 (19.8;28.3)
	Piauí	60.4 (54.8;66.1)	2.8 (1.1;4.6)	4.0 (2.0;6.1)	2.6 (1.2;4.0)	2.9 (1.3;4.4)	2.5 (1.3;3.7)	23.6 (19.1;28.1)
	Ceará	49.4 (43.4;55.5)	4.2 (1.3;7)	7.4 (3.6;11.3)	2.9 (1.4;4.4)	3.4 (0.4;6.5)	2.9 (1.7;4.2)	29.1 (24.4;33.7)
	Rio Grande do Norte	48.3(44.4;52.2)	2.7 (1.4;4)	8.7 (6.1;11.3)	4.4 (2.4;6.4)	3.1 (1.7;4.5)	5.2 (3.8;6.6)	26.5 (23.0;30.0)
	Paraíba	53.3 (49.3;57.2)	4.3 (2.3;6.2)	5.3 (3.6;7.0)	2.2 (1.1;3.3)	2.0 (0.9;3.1)	6.7 (4.5;8.9)	24.9 (21.1;28.6)
	Pernambuco	55.6 (49.3;62)	3.9 (1.9;5.8)	5.5 (2.7;8.2)	2.8 (1.3;4.4)	2.3 (0.9;3.7)	5.3 (2.9;7.7)	24.0 (18.9;29.1)
	Alagoas	62.9 (57.3;68.6)	3.7 (1.3;6.0)	6.1 (3.5;8.7)	3.3 (1.4;5.2)	1.5 (^†;3.1)	2.9 (1.3;4.4)	18.9 (13.0;24.8)
	Sergipe	52.1 (46.9;57.4)	2.2 (1.0;3.4)	5.6 (3.6;7.5)	4.2 (2.1;6.4)	2.5 (0.9;4)	5.7 (4.1;7.3)	26.9 (23.4;30.5)
	Bahia	47.0 (41.3;52.7)	4.2 (2.0;6.4)	10.0 (5.6;14.4)	3.5 (1.5;5.4)	1.7 (0.2;3.3)	5.6 (3.5;7.8)	27.2 (21.1;33.3)
Southeast		44.2 (41.3;47.1)	3.0 (1.9;4.1)	8.7 (6.9;10.5)	3.4 (2.2;4.5)	3.7 (2.5;5)	8.9 (6.8;11.0)	26.6 (24.1;29.2)
	Minas Gerais	47.1(38.5;55.8)	3.2 (0.6;5.8)	3.3 (1.4;5.3)	5.9 (2.2;9.7)	3.5 (1.1;5.9)	5.6 (3.0;8.3)	28.2 (20.6;35.8)
	Espírito Santo	40.0 (32.8;47.3)	2.2 (0.4;3.9)	6.8 (3.4;10.2)	6.4 (2.7;10.1)	4.3 (1.1;7.4)	11.3 (6.6;15.9)	28.1 (21.7;34.4)
	Rio de Janeiro	36.9 (31.9;41.8)	4.3 (2.3;6.4)	12.7 (8.5;16.9)	3.8 (2.3;5.3)	3.2 (1.6;4.8)	9.4 (6.2;12.6)	28.1 (24.2;31.9)
	São Paulo	46.9 (43.0;50.7)	2.4 (0.9;3.9)	8.8 (6.3;11.4)	2.1 (0.5;3.6)	4.1 (2.0;6.2)	9.7 (6.1;13.2)	25.3 (21.8;28.8)
South		43.0 (39.4;46.6)	1.5 (0.5;2.4)	9.6 (7.2;12.0)	5.4 (3.5;7.4)	4.0 (2.9;5.2)	7.4 (5.8;9.0)	28.4 (25.2;31.6)
	Paraná	41.7 (34.6;48.8)	1.8 ^(†;3.6)	8.5 (4.3;12.8)	7.8 (2.8;12.8)	3.6 (1.7;5.6)	6.2 (3.5;8.9)	29.2 (22.5;36.0)
	Santa Catarina	35.3 (29.4;41.3)	1.2 (^†;2.3)	14.6 (8.7;20.5)	4.1 (1.7;6.4)	5.4 (3.0;7.8)	7.4 (4.6;10.3)	31.3 (25.5;37.0)
	Rio Grande do Sul	48.6 (43.3;53.9)	1.5 (^†;3.1)	7.4 (4.4;10.3)	4.7 (2.0;7.4)	3.5 (1.7;5.2)	8.1 (5.5;10.8)	26.2 (21.5;30.8)
Midwest		43.7 (40.8;46.7)	4.4 (3.2;5.6)	7.1 (5.5;8.8)	5.4 (4.1;6.6)	3.7 (2.6;4.7)	7.9 (6.1;9.7)	26.5 (24.1;28.8)
	Mato Grosso do Sul	44.9 (40.4;49.5)	2.6 (1.3;3.9)	8.5 (4.7;12.3)	7.9 (5.3;10.6)	5.9 (2.8;9.0)	5.8 (3.5;8.1)	24.3 (18.4;30.2)
	Mato Grosso	47.8 (41;54.6)	3.2 (1.2;5.2)	8.5 (3.9;13.1)	4.2 (0.7;7.6)	1.7 (0.2;3.2)	8.8 (4.0;13.6)	22.8 (17.3;28.4)
	Goiás	42.1 (37.7;46.4)	4.9 (2.8;7.0)	6.9 (4.8;9.0)	6.0 (4.1;7.9)	3.6 (2.0;5.3)	6.4 (4.5;8.4)	29.2 (25.8;32.6)
	Distrito Federal	40.7 (32.5;48.9)	6.6 (2.7;10.6)	4.4 (2.2;6.7)	3.0 (1.1;5.0)	4.3 (2.0;6.6)	12.4 (6.6;18.1)	27.0 (22.6;31.5)

[1] Corresponding author: Tércia Moreira Ribeiro da Silva - E-mail: tercialud@gmail.com

Brasil

Brasil

Vaccination against human papillomavirus in Brazilian schoolchildren: National Survey of School Health, 2019

Abstract

Objective:

Method:

Results:

Conclusion:

Highlights: