Vaccination and adolescent knowledge: health education and disease prevention

Viegas, Selma Maria da Fonseca; Sampaio, Fabiana de Castro; Oliveira, Patrícia Peres de; Lanza, Fernanda Moura; Oliveira, Valéria Conceição de; Santos, Walquíria Jesusmara dos

doi:10.1590/1413-81232018242.30812016

Selma Maria da Fonseca Viegas

Universidade Federal de São João del-Rei. R. Sebastião Gonçalves Coelho 400/sala 207/bl, Chanadour. 35501-296 Divinópolis MG, Brasil. selmaviegas@ufsj.edu.br

Fabiana de Castro Sampaio

Universidade Federal de São João del-Rei. R. Sebastião Gonçalves Coelho 400/sala 207/bl, Chanadour. 35501-296 Divinópolis MG, Brasil. selmaviegas@ufsj.edu.br

Patrícia Peres de Oliveira

Universidade Federal de São João del-Rei. R. Sebastião Gonçalves Coelho 400/sala 207/bl, Chanadour. 35501-296 Divinópolis MG, Brasil. selmaviegas@ufsj.edu.br

Fernanda Moura Lanza

Universidade Federal de São João del-Rei. R. Sebastião Gonçalves Coelho 400/sala 207/bl, Chanadour. 35501-296 Divinópolis MG, Brasil. selmaviegas@ufsj.edu.br

Valéria Conceição de Oliveira

Universidade Federal de São João del-Rei. R. Sebastião Gonçalves Coelho 400/sala 207/bl, Chanadour. 35501-296 Divinópolis MG, Brasil. selmaviegas@ufsj.edu.br

Walquíria Jesusmara dos Santos

Universidade Federal de São João del-Rei. R. Sebastião Gonçalves Coelho 400/sala 207/bl, Chanadour. 35501-296 Divinópolis MG, Brasil. selmaviegas@ufsj.edu.br

Collaborations

SMF Viegas participated in study conception and design, data collection, analysis and interpretation, extension, drafting this manuscript, and in the critical revision and approval of the version submitted for publication. FC Sampaio participated in the study and extension activities, data analysis and interpretation, and in drafting this manuscript. PP Oliveira participated in the study and extension activities, data interpretation, and in drafting and the critical revision of this manuscript. FM Lanza participated in data analysis and interpretation and in drafting and the critical revision of this manuscript. VC Oliveira participated in the extension activities, data interpretation, and in drafting and the critical revision of this manuscript. WJ Santos participated in drafting and the critical revision of this manuscript.

Variable		N	%	CI 95%
Sex		(n = 605)
	Male	242	40.0	36.1% – 44.0%
	Female	363	60.0	56.0% – 63.9%
Age		(n = 605)
	13 years	27	4.5	3.0% – 6.5%
	14 to 15 years	538	88.9	86.1% – 91.3%
	>15 to 18 years	40	6.6	4.8% – 9.0%
Immunization record card		(n = 605)
	In possession of	535	88.4	85.5% – 90.8%
	Not in possession of	59	9.8	7.6% – 12.5%
	Failed to answer	11	1.8	1.0% – 3.3%
Presented immunization record card		(n = 605)
	Yes	475	78.5	75.1% – 81.6%
	No	130	21.5	18.4% – 24.9%
Scared of injections		(n = 605)
	Yes	251	41.5	37.5% – 45.5%
	No	348	57.5	53.5% – 61.5%
	Failed to answer	6	1.0	0.4% – 2.3%
Have experienced a reaction to a vaccine		(n = 605)
	Yes	76	12.6%	10.1% – 15.5%
	No	524	86.6%	83.6% – 89.2%
	Failed to answer	5	0.8%	0.3% – 2.0%
Think that vaccinationis important		(n = 605)
	Yes	595	98.3	96.9% – 99.2%
	No	8	1.3	0.6% – 2.7%
	Failed to answer	2	0.4	0.1% – 1.3%
Vaccination coverage		(n = 475)
	Tetanus and diphtheria	355	74.7	70.5% – 78.5%
	Yellow Fever	304	64.0	59.5% – 68.3%
	Hepatitis B	443	93.3	90.5% – 95.3%
	MMR	448	94.3	91.7% – 96.2%
	Vaccination status up to date	214	45.1	40.5% – 49.7%

Vaccination coverage	13 – 14 years n (%)	15 – 18 years n (%)	P value
Tetanus and diphtheria	303 (85.4%)	52 (14.6%)	p<0.01
Yellow Fever	211 (69.4%)	93 (30.6%)	p=0.20
Hepatitis B	319 (72%)	124 (28%)	p=0.25
MMR	325 (72.5%)	123 (27.5%)	p<0.05
Vaccination status up to date	181 (84.6%)	33 (15.4%)	p<0.01
Vaccination coverage	Fear of injections Yes	Fear of injections No	P value Test x2
Tetanus and diphtheria	178	259	p=0.48
Yellow Fever	110	191	p=0.03
Hepatitis B	178	259	p=0.48
MMR	182	261	p=0.15
Vaccination status up to date	73	139	p=0.01

Disease/infection	N	%	CI 95%
Yellow Fever	372	61.5	57.5% – 65.4%
Infantile paralysis	331	54.7	50.6% – 58.7%
Tetanus	270	44.6	40.6% – 48.7%
Hepatitis B	219	36.2	32.4% – 40.2%
Measles	208	34.4	30.6% – 38.3%
Rubella	132	21.8	18.6% – 25.4%
Meningitis	127	21.0	17.9% – 24.5%
Tuberculosis	74	12.2	9.8% – 15.2%
Mumps	67	11.1	8.7% – 13.9%
HPV	34	5.6	4.0% – 7.8%
Diseases that are not vaccination-preventable	131	21.7	18.5% – 25.2%
Didn't know	177	29.3	25.7% – 33.1%

Variable^* * Participants were allowed to mention more than one alternative.	N	%	CI 95%
Breast milk	105	17.4	14.5% – 20.7%
From mother to child	158	26.1	22.7% – 29.8%
Contaminated blood	265	43.8	39.8% – 47.9%
Tattoos and piercings	235	38.8	35.0% – 42.9%
Vaginal sex without condom	267	44.1	40.1% – 48.2%
Anal sex without condom	204	33.7	30.0% – 37.7%
Unprotected oral sex	176	29.1	25.5% – 32.9%
A sharp object	219	36.2	32.4% – 40.2%
Sharing contaminated needles and syringes	258	42.6	38.7% – 46.7%
Cocaine snorting straw	88	14.5	11.9% – 17.7%
Did not know	214	35.4	31.6% – 39.3%
Non transmittable types ofHepatitis B	242	40	36.1% – 44.0%

Vaccine	Education region						Total
Vaccine	Central	Northeast	Northwest	Southeast	Southwest	West	Total
Yellow Fever	420	80	159	145	237	93	1.134
Tetanus and diphtheria	189	36	62	86	63	22	458
Hepatitis B	141	16	62	44	55	26	344
MMR	16	5	7	12	13	2	55
Influenza	58	–	–	49	–	–	107
HPV	136	–	–	100	–	–	236

n = \frac{{[z_{1 - a / 2} \sqrt{2 \bar{p} (1 - \bar{p})} + z_{1 - β} \sqrt{{\hat{p}}_{1} (1 - {\hat{p}}_{1}) + {\hat{p}}_{2} (1 - {\hat{p}}_{2})}]}^{2}}{{({\hat{p}}_{2} - {\hat{p}}_{1})}^{2}}

[1] Collaborations

SMF Viegas participated in study conception and design, data collection, analysis and interpretation, extension, drafting this manuscript, and in the critical revision and approval of the version submitted for publication. FC Sampaio participated in the study and extension activities, data analysis and interpretation, and in drafting this manuscript. PP Oliveira participated in the study and extension activities, data interpretation, and in drafting and the critical revision of this manuscript. FM Lanza participated in data analysis and interpretation and in drafting and the critical revision of this manuscript. VC Oliveira participated in the extension activities, data interpretation, and in drafting and the critical revision of this manuscript. WJ Santos participated in drafting and the critical revision of this manuscript.

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Vaccination and adolescent knowledge: health education and disease prevention

Abstract