{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T12:34:05Z","timestamp":1793795645878,"version":"4.6.1"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Este trabalho objetivou mapear controv\u00e9rsias relacionadas \u00e0 intera\u00e7\u00e3o da descontinuidade do esquema vacinal contra a COVID-19 e a hesita\u00e7\u00e3o vacinal, em um munic\u00edpio de Pernambuco, Brasil. A pesquisa foi orientada pela cartografia das controv\u00e9rsias, perspectiva metodol\u00f3gica ancorada na Teoria Ator-Rede. Realizou-se entrevistas com 36 adultos e idosos, com esquema vacinal incompleto, oito profissionais e cinco gestores de sa\u00fade, al\u00e9m da confec\u00e7\u00e3o do di\u00e1rio de campo para a produ\u00e7\u00e3o dos dados. Foram identificados tr\u00eas perfis de usu\u00e1rios: confiantes, hesitantes e vacinados por exig\u00eancia. Vinte e um usu\u00e1rios relataram a inten\u00e7\u00e3o em n\u00e3o prosseguir com a vacina\u00e7\u00e3o, caso fosse recomendado. Agrupamentos tem\u00e1ticos subsidiaram mapear tr\u00eas controv\u00e9rsias: a disputa acerca da confian\u00e7a no cen\u00e1rio da vacina\u00e7\u00e3o contra a COVID-19, a disputa sobre a informa\u00e7\u00e3o, e as disputas na amplia\u00e7\u00e3o da cobertura vacinal diante das barreiras de acesso \u00e0 vacina\u00e7\u00e3o. Entre os resultados, destacaram-se que a ades\u00e3o vacinal n\u00e3o se configurou sin\u00f4nimo de confian\u00e7a na vacina\u00e7\u00e3o, cren\u00e7as e sentimentos como confian\u00e7a e medo estiveram atrelados \u00e0s experi\u00eancias pessoais, not\u00edcias falsas e debates pol\u00edticos e ideol\u00f3gicos, com caracter\u00edsticas distintas entre os perfis. A responsabilidade coletiva apresentou-se como importante elemento para o fortalecimento da vacina\u00e7\u00e3o, sendo compreendida em articula\u00e7\u00e3o com a supera\u00e7\u00e3o das barreiras vacinais. O estudo apontou a diversidade de atores que atravessaram a descontinuidade do esquema vacinal contra a COVID-19, indicando a necessidade de pol\u00edticas de aceita\u00e7\u00e3o da vacina\u00e7\u00e3o, com o fortalecimento da confian\u00e7a vacinal e, consequentemente, amplia\u00e7\u00e3o da ades\u00e3o e cobertura vacinal.<\/jats:p>","DOI":"10.1590\/0102-311xpt210924","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T11:11:29Z","timestamp":1770981089000},"source":"Crossref","is-referenced-by-count":2,"title":["Os desafios da continuidade da vacina\u00e7\u00e3o contra a COVID-19 em um cen\u00e1rio de hesita\u00e7\u00e3o vacinal"],"prefix":"10.1590","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7052-0325","authenticated-orcid":false,"given":"Vick Brito","family":"Oliveira","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Universidade Federal de Pernambuco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5278-3727","authenticated-orcid":false,"given":"Adriana Falangola Benjamin","family":"Bezerra","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6349-2917","authenticated-orcid":false,"given":"Sydia Rosana de Araujo","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Motores comportamentais e sociais da vacina\u00e7\u00e3o: ferramentas e orienta\u00e7\u00f5es pr\u00e1ticas para se atingir uma elevada taxa de aceita\u00e7\u00e3o das 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