{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T05:38:30Z","timestamp":1782538710294,"version":"3.54.5"},"reference-count":35,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective: To analyze the temporal and spatial distribution of polio vaccine coverage in Brazilian states.  Methods: An ecological time series study was conducted using data from the National Immunization Program Information System. The analyzed period was from 1997 to 2021. Joinpoint software was used to calculate the annual percentage change and average annual percentage change through regressions. QGIS 3.10.7 software was used to construct thematic maps. GeoDa 1.20.0.10 software was used to estimate spatial autocorrelation using the Global Moran's Index and Local Moran's Index.  Results: National vaccine coverage in 1997 was 89.27%, decreasing to 61.32% in 2021. The trend analysis indicated an average annual decrease of 1.5% in polio vaccine coverage in Brazil. Across the country, 17 states showed a statistically significant reduction in the average annual percentage change rate. The highest average reduction rates in vaccine coverage among Brazilian states were observed in Amap\u00e1 (\u22123.7%; 95%CI \u22126.0; \u22121.4) and Pernambuco (\u22123.3%; 95%CI \u22124.0; \u22122.5). In the spatial analysis, in Moran Global, a positive autocorrelation was identified in the years 2012 to 2021 (p&lt;0.02), with an index value of 0.361, which means that geographically close areas tended to have similar levels of vaccination coverage.  Conclusion: There was significant heterogeneity in coverage among states and a strong decrease trend in vaccination rates, which could facilitate the circulation of the poliovirus and pose a threat to the susceptible population.<\/jats:p>","DOI":"10.1590\/1980-549720230037","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:03:02Z","timestamp":1693206182000},"source":"Crossref","is-referenced-by-count":13,"title":["Temporal and spatial distribution of polio vaccine coverage in Brazil between 1997 and 2021"],"prefix":"10.1590","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5088-011X","authenticated-orcid":false,"given":"Nathanael de Souza","family":"Maciel","sequence":"first","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4188-2882","authenticated-orcid":false,"given":"H\u00e9vila Medeiros Ferreira Gomes","family":"Braga","sequence":"additional","affiliation":[{"name":"Universidade da Integra\u00e7\u00e3o Internacional da Lusofonia Afro-Brasileira,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2622-9949","authenticated-orcid":false,"given":"Francisca Jessika Nunes de","family":"Moura","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8386-6103","authenticated-orcid":false,"given":"Francisco Jardsom Moura","family":"Luzia","sequence":"additional","affiliation":[{"name":"Universidade da Integra\u00e7\u00e3o Internacional da Lusofonia Afro-Brasileira,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3387-6722","authenticated-orcid":false,"given":"Isabelle e Silva","family":"Sousa","sequence":"additional","affiliation":[{"name":"Universidade da Integra\u00e7\u00e3o Internacional da Lusofonia Afro-Brasileira,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9758-7853","authenticated-orcid":false,"given":"Emilia Soares Chaves","family":"Rouberte","sequence":"additional","affiliation":[{"name":"Universidade da Integra\u00e7\u00e3o Internacional da Lusofonia Afro-Brasileira,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"issue":"25","key":"ref1","first-page":"277","article-title":"Polio vaccines: WHO position paper \u2013 June 2022","volume":"97","year":"2022","journal-title":"Weekly Epidemiological Record"},{"issue":"6","key":"ref2","first-page":"18476","article-title":"Causas da queda progressiva das taxas de vacina\u00e7\u00e3o da poliomielite no Brasil","volume":"3","author":"Franco MAE","year":"2020","journal-title":"Braz J Hea Rev"},{"key":"ref3","series-title":"Poliomielite no Brasil: do reconhecimento da doen\u00e7a ao fim da transmiss\u00e3o","author":"Risi Junior JB","year":"2019","edition":"1a ed."},{"key":"ref4","article-title":"A erradica\u00e7\u00e3o da poliomielite em quatro tempos","volume":"36","author":"Verani JFS","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref5","series-title":"The Polio endgame strategy 2019-2023: eradication, integration, containment and certification [Internet]","year":"2019"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1590\/S0034-89101995000300008","article-title":"Avalia\u00e7\u00e3o da cobertura vacinal do esquema b\u00e1sico para o primeiro ano de vida","volume":"29","author":"Miranda AS","year":"1995","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref7","series-title":"Final of the XV Meeting of the Technical Advisory Group on Vaccine preventable Diseases \u2013 Municipalities: improving immunization services","year":"2002"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.51891\/rease.v8i3.4794","article-title":"An\u00e1lise epidemiol\u00f3gica da poliomielite viral no Brasil nos \u00faltimos cinco anos","volume":"8","author":"Gomes MG","year":"2022","journal-title":"Revista Ibero-Americana de Humanidades, Ci\u00eancias e Educa\u00e7\u00e3o"},{"key":"ref9","first-page":"S10","article-title":"Artigo de revis\u00e3o: vacina\u00e7\u00e3o da crian\u00e7a e adolescente","volume":"4","author":"Carvalho AP","year":"2014","journal-title":"Resid Pediatr"},{"issue":"6","key":"ref10","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.jped.2018.01.008","article-title":"Vaccine refusal - what we need to know","volume":"94","author":"Succi RCM","year":"2018","journal-title":"J Pediatr (Rio J.)"},{"key":"ref11","series-title":"Imuniza\u00e7\u00f5es: cobertura \u2013 desde 1994. 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Fake news e sa\u00fade [Internet]","year":"2020"},{"issue":"1","key":"ref28","article-title":"Primary Health Care in remote rural municipalities: context, organization, and access to integral care in the Brazilian National Health System","volume":"32","author":"Fausto MCR","year":"2023","journal-title":"Saude Soc"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"663074","DOI":"10.3389\/fimmu.2021.663074","article-title":"Addressing parental vaccine hesitancy and other barriers to childhood\/adolescent vaccination uptake during the coronavirus (COVID-19) pandemic","volume":"12","author":"Olusanya OA","year":"2021","journal-title":"Front Immunol"},{"issue":"2","key":"ref30","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1590\/1413-81232023282.17842022","article-title":"Vacina\u00e7\u00e3o contra poliomielite no Brasil de 2011 a 2021: sucessos, reveses e desafios futuros","volume":"28","author":"Donalisio MR","year":"2023","journal-title":"Ci\u00eanc Sa\u00fade Coletiva"},{"issue":"4","key":"ref31","doi-asserted-by":"crossref","first-page":"PT135621","DOI":"10.1590\/0102-311xpt135621","article-title":"Tend\u00eancia da disponibilidade de vacinas no Brasil: PMAQ-AB 2012, 2014 e 2018","volume":"38","author":"Neves RG","year":"2022","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"2","key":"ref32","doi-asserted-by":"crossref","DOI":"10.1590\/s1679-49742021000200010","article-title":"An\u00e1lise das coberturas vacinais de crian\u00e7as menores de um ano em Roraima, 2013-2017","volume":"30","author":"Fonseca KR","year":"2021","journal-title":"Epidemiol Serv Sa\u00fade"},{"issue":"2","key":"ref33","article-title":"Vacina Brasil e estrat\u00e9gias de forma\u00e7\u00e3o e desenvolvimento em imuniza\u00e7\u00f5es","volume":"28","author":"Domingues CMAS","year":"2019","journal-title":"Epidemiol Serv Sa\u00fade"},{"issue":"8","key":"ref34","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0201870","article-title":"Using geographical analysis to identify child health inequality in sub-Saharan Africa","volume":"13","author":"Yourkavitch J","year":"2018","journal-title":"PLoS One"},{"issue":"1","key":"ref35","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1186\/s12889-022-13589-9","article-title":"Spatial analysis of vaccine coverage on the first year of life in the northeast of Brazil","volume":"22","author":"Cunha NSP","year":"2022","journal-title":"BMC Public Health"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Distribui\u00e7\u00e3o temporal e espacial da cobertura vacinal contra poliomielite no Brasil entre 1997 e 2021"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2023000100436&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:03:15Z","timestamp":1693206195000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2023000100436&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":35,"alternative-id":["S1415-790X2023000100436"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720230037","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-549720230037.2","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-549720230037.2","asserted-by":"object"}]},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e230037"}}