Vaccination coverage and use of the Brazilian Health System for vaccination against influenza and pneumonia in adults and elderly with self-reported diabetes, municipality of São Paulo, 2003, 2008 and 2015* * This article is derived from the doctoral thesis entitled 'Access, use and equity in health care services in São Paulo - populational household surveys', defended by Camila Nascimento Monteiro at the Postgraduate Program in Preventive Medicine, University of São Paulo Faculty of Health Sciences; 2016.

Camila Nascimento Monteiro Reinaldo José Gianini Sheila Rizzato Stopa Neuber José Segri Marilisa Berti de Azevedo Barros Chester Luiz Galvão Cesar Moisés Goldbaum About the authors

Abstract

Objective:

to estimate the vaccination coverage against influenza and pneumonia and to analyze the utilization of Brazilian National Health System-SUS for vaccination in adults and elderly with self-reported diabetes in São Paulo, Brazil, in 2003, 2008 and 2015.

Methods:

Cross-sectional studies with data from the ISA-Capital (population-based household surveys).

Results:

3,357, 3,271 and 4,043 were interviewed in 2003, 2008 and 2015; the prevalence of diabetes mellitus were 5.0% (2003), 6.4% (2008) and 7.7% (2015); fewer than half of people with diabetes, vaccinated against influenza (47.2%) and pneumonia (17.9%) in 2003, with a small increase in 2015 (59.2% and 26.1%, respectively); the majority of people who are vaccinated against influenza and pneumonia used SUS, 88.7% (2003) and 97.2% (2015) for influenza; 84.7% (2003) and 94.5% (2015) for pneumonia, without difference among age, sex, education level and ethnicity.

Conclusion:

despite the low vaccination coverage against influenza and pneumonia in the population with diabetes mellitus since 2003 the utilization of SUS to vaccination has been progressively expanding.

Keywords:
Vaccination; Brazilian National Health System; Cross-sectional studies; Diabetes Mellitus

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